Published in:
01-10-2013 | Correspondence
Frequent triple-hit expression of MYC, BCL2, and BCL6 in primary lymphoma of the central nervous system and absence of a favorable MYClowBCL2low subgroup may underlie the inferior prognosis as compared to systemic diffuse large B cell lymphomas
Authors:
Anna Brunn, Inga Nagel, Manuel Montesinos-Rongen, Wolfram Klapper, Inga Vater, Werner Paulus, Volkmar Hans, Ingmar Blümcke, Joachim Weis, Reiner Siebert, Martina Deckert
Published in:
Acta Neuropathologica
|
Issue 4/2013
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Excerpt
“Double-hit” (DH) systemic diffuse large B cell lymphomas (DLBCL), defined by molecular cytogenetics as breakpoint affecting the
MYC locus concomitantly with a breakpoint affecting the
BCL2 and/or
BCL6 locus as well as double-expressing (DE) lymphomas defined by immunohistochemistry (IHC) as coexpression of MYC with BCL2 proteins, carry a poor prognosis [
2‐
4]. Primary lymphoma of the CNS (PCNSL) is a specific DLBCL with particular target organ manifestation and a significantly adverse outcome. To investigate potential mechanisms leading to these features, we studied a series of 50 PCNSL (immunocompetent patients) for
MYC,
BCL2, and
BCL6 breaks by FISH and MYC, BCL2, and BCL6 expression by IHC. …