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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4952-4963.
Prepublished online as a Blood First Edition Paper on February 6, 2007; DOI 10.1182/blood-2006-10-055145.


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Submitted October 30, 2006
Accepted January 31, 2007

The gene expression profile of nodal peripheral T-cell lymphoma demonstrates a molecular link between angioimmunoblastic T-cell lymphoma (AITL) and follicular helper T cells (TFH)

Laurence de Leval*, David S Rickman, Caroline Thielen, Aurelien de Reynies, Yen-Lin Huang, Georges Delsol, Laurence Lamant, Karen Leroy, Josette Briere, Thierry Molina, Francoise Berger, Christian Gisselbrecht, Luc Xerri, and Philippe Gaulard

Pathology, CHU Sart-Tilman, University of Liege, Liege, Belgium
Ligue Contre le Cancer, Paris, France
Inserm, Unite 617, Universite Paris 12, Faculte de medecine, Institut Mondor de medecine moleculaire, Creteil, France
Pathology, CHU Purpan, Toulouse, France
Inserm, Unite 617, Assistance Publique-Hopitaux de Paris, Groupe hospitalier Henri Mondor, Dept de Pathologie, & Institut Mondor de medecine moleculaire, Creteil, France
Pathology, Hopital Saint-Louis, Paris, France
Pathology, Hotel-Dieu, Paris, France
Pathology, Centre Hospitalier Lyon Sud, Pierre Benite, France
Hematology, Hopital Saint-Louis, Paris, France
Pathology, Institut Paoli Calmettes, Marseille, France

* Corresponding author; email: l.deleval{at}ulg.ac.be.

The molecular alterations underlying the pathogenesis of angioimmunoblastic T-cell lymphoma (AITL) and peripheral T-cell lymphoma, unspecified (PTCL-u) are largely unknown. In order to characterize the ontogeny and molecular differences between both entities, a series of AITLs (n=18) and PTCLs-u (n=16) was analyzed using gene expression profiling. Unsupervised clustering correlated with the pathological classification and with CD30 expression in PTCL-u. The molecular profile of AITLs was characterized by a strong microenvironment imprint (overexpression of B-cell- and follicular dendritic cell-related genes, chemokines, and genes related to extracellular matrix and vascular biology), and overexpression of several genes characteristic of normal follicular helper T cells (TFH) (CXCL13, BCL6, PDCD1, CD40L, NFATC1). By gene set enrichment analysis, the AITL molecular signature was significantly enriched in published TFH-specific genes. The enrichment was higher for sorted AITL cells than for tissue samples. Overexpression of several TFH genes was validated by immunohistochemistry in AITLs. A few cases with molecular TFH-like features were identified among CD30- PTCLs-u. Our findings strongly support that TFH cells represent the normal counterpart of AITL, and suggest that the AITL spectrum may be wider than suspected, as a subset of CD30- PTCL-u may derive from or be related to AITL.


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