AID is a poor prognostic marker of high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements

被引:7
作者
Miyaoka, Masashi [1 ]
Kikuti, Yara Yukie [1 ]
Carreras, Joaquim [1 ]
Itou, Atsushi [1 ]
Ikoma, Haruka [1 ]
Tomita, Sakura [1 ]
Shiraiwa, Sawako [2 ]
Ando, Kiyoshi [2 ]
Nakamura, Naoya [1 ]
机构
[1] Tokai Univ, Sch Med, Dept Pathol, 143 Shimokasuya, Isehara, Kanagawa 2591193, Japan
[2] Tokai Univ, Sch Med, Dept Hematol Oncol, Isehara, Kanagawa, Japan
基金
日本学术振兴会;
关键词
AICDA; AID; gene expression profile; high-grade B-cell lymphoma with MYC and BCL2 and; or BCL6 rearrangements; immunohistochemistry; INDUCED CYTIDINE DEAMINASE; RITUXIMAB PLUS CYCLOPHOSPHAMIDE; CHRONIC LYMPHOCYTIC-LEUKEMIA; DOUBLE-HIT LYMPHOMA; EXPRESSION; VINCRISTINE; DOXORUBICIN; MUTATIONS; SURVIVAL; IMPACT;
D O I
10.1111/pin.13182
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Diffuse large B-cell lymphoma with MYC rearrangement is defined as double/triple-hit lymphoma (DHL/THL) or single-hit lymphoma (SHL) by the inclusion of the BCL2 and BCL6 rearrangements status. DHL/THL is called as "high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements" in the World Health Organization 2017 Classification of Tumors of Hematopoietic and Lymphoid Tissues. To find a prognostic biomarker of DHL/THL, we firstly examined 19 cases (molecular analysis series;10 cases of DHL/THL and 9 cases of SHL) with gene expression profile analysis. The gene expression profile analysis showed that the high expression of AICDA was associated with an adverse prognosis in DHL/THL, but not in SHL. Then, we evaluated immunohistochemical expression of AID, the protein product of AICDA, in 50 cases (molecular analysis series of 19 cases and additional immunohistochemistry series of 31 cases; 12 cases of DHL/THL and 19 cases of SHL) and confirmed that its expression was also associated with an adverse prognosis in DHL/THL. Therefore, AICDA and AID can be a predictor of an adverse clinical outcome in DHL/THL and immunohistochemistry of AID is useful to find DHL/THL-adverse prognosis group.
引用
收藏
页码:35 / 42
页数:8
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