An additional segment at 1p36 derived from der(18)t(14;18) in patients with diffuse large B-cell lymphomas transformed from follicular lymphoma

被引:8
作者
Nomura, K [1 ]
Kanda-Akano, Y [1 ]
Shimizu, D [1 ]
Okuda, T [1 ]
Yoshida, N [1 ]
Matsumoto, Y [1 ]
Nishida, K [1 ]
Taki, T [1 ]
Yokota, S [1 ]
Horiike, S [1 ]
Taniwaki, M [1 ]
机构
[1] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Kyoto 6028566, Japan
关键词
FISH; SKY; immunoglobulin heavy chain gene; lymphoma; 1p36; t(14; 18);
D O I
10.1007/s00277-004-0995-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The particular translocation in follicular lymphomas (FLs) is a t(14;18)(q32;q21), recombining the immunoglobulin heavy chain (IgH) gene on chromosome 14 with the B-cell leukemia/lymphoma 2 (BCL2) gene on chromosome 18. Some low-grade FLs are aggressively transformed into diffuse large B-cell lymphomas, presumably by acquisition of secondary chromosomal changes, including chromosomal band 1p36. A common example is add(1)(p36). Because it is difficult to identify the origin of add(1)(p36) even on high-resolution G-banding analysis, we used spectral karyotyping (SKY) and double-color fluorescence in situ hybridization (DC-FISH) to define the t(14;18) and the extra band at 1p36 in two cases of diffuse large B-cell lymphoma (DLBCL). SKY revealed that the extra chromosomal segment on 1p36 was derived from chromosome 18. DC-FISH defined BCL2/IgH fusion signals at 1p36 in addition to t(14;18), suggesting that BCL2/IgH fusion at 1p36 was an evolutionary alteration following the primary BCL2/IgH translocation on der(18) in both cases. Our results indicate that IgH alleles, implicated in chromosomal rearrangement, may themselves frequently be targets for secondary translocations, suggesting that multiple IgH translocations and insertions are associated with the progression of FL.
引用
收藏
页码:474 / 476
页数:3
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