Expression of the human germinal-centre-associated lymphoma protein in diffuse large B-cell lymphomas in patients with rheumatoid arthritis

被引:18
作者
Baecklund, Eva [1 ]
Natkunam, Yasodha [2 ]
Backlin, Carin [3 ]
Iliadou, Anastasia [4 ]
Askling, Johan [5 ,6 ]
Ekbom, Anders [5 ]
Feltelius, Nils [7 ]
Klareskog, Lars [6 ]
Enblad, Gunilla [8 ]
Lossos, Izidore S. [9 ]
Levy, Ronald [10 ]
Sundstroem, Christer [3 ]
Rosenquist, Richard [3 ]
机构
[1] Univ Uppsala Hosp, Dept Rheumatol, SE-75185 Uppsala, Sweden
[2] Stanford Univ, Sch Med, Dept Pathol, Stanford, CA 94305 USA
[3] Uppsala Univ, Dept Genet & Pathol, Uppsala, Sweden
[4] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
[5] Karolinska Univ Hosp, Clin Epidemiol Unit, Dept Med, Karolinska Inst, Stockholm, Sweden
[6] Karolinska Univ Hosp, Karolinska Inst, Dept Med, Rheumatol Unit, Stockholm, Sweden
[7] Swedish Med Prod Agcy, Uppsala, Sweden
[8] Uppsala Univ, Dept Oncol Radiol & Clin Immunol, Uppsala, Sweden
[9] Univ Miami, Sylvester Comprehens Canc Ctr, Miami, FL 33152 USA
[10] Stanford Univ, Med Ctr, Dept Med, Div Oncol, Stanford, CA 94305 USA
关键词
human germinal-centre-associated protein; lymphoma; rheumatoid arthritis; diffuse large B-cell lymphoma; B-cells;
D O I
10.1111/j.1365-2141.2008.07011.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diffuse large B-cell lymphomas (DLBCL) can be subdivided into germinal centre (GC)-like and non-GC-like subtypes by CD10, BCL6 and MUM1/IRF4 status. We previously reported that patients with severe rheumatoid arthritis (RA) are at increased risk of non-GC DLBCL. This study examined a new GC-marker, human germinal-centre-associated lymphoma (HGAL) protein, in RA-DLBCL. Of 111, 38 (34%) DLBCL were HGAL-positive and showed less disseminated disease and a tendency toward improved overall survival compared to HGAL-negative cases. This supports that a majority of RA-DLBCL are of non-GC origin, indicating a specific role for activated peripheral B cells in the pathogenesis of RA-DLBCL.
引用
收藏
页码:69 / 72
页数:4
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