Abstract
The biologic and pathologic features of B-cell malignancies bearing a translocation t(14;19)(q32;q13) leading to a fusion of IGH and BCL3 are still poorly described. Herein we report the results of a comprehensive cytogenetic, fluorescence in situ hybridization (FISH), molecular and histopathological survey of a large series of B-cell malignancies with t(14;19) or variant translocations. A total of 56 B-cell malignancies with a FISH-proven BCL3 involvement were identified with the translocation partners being IGH (n=51), IGL (n=2), IGK (n=2) and a non-IG locus (n=1). Hierarchical clustering of chromosomal changes associated with the t(14;19) indicated the presence of two different groups of IG/BCL3-positive lymphatic neoplasias. The first group included 26 B-cell malignancies of various histologic subtypes containing a relatively high number of chromosomal changes and mostly mutated IgVH genes. This cluster displayed three cytogenetic branches, one with rearrangements in 7q, another with deletions in 17p and a third one with rearrangements in 1q and deletions in 6q and 13q. The second group included 19 cases, mostly diagnosed as B-cell chronic lymphocytic leukemia (B-CLL), and characterized by few additional chromosomal changes (e.g. trisomy 12) and unmutated IgVH genes. In conclusion, our study indicates that BCL3 translocations are not restricted to B-CLL but present in a heterogeneous group of B-cell malignancies.
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Acknowledgements
The authors thank Claudia Becher, Dorit Schuster, Magret Ratjen and Reina Zühlke-Jenisch (Institute of Human Genetics, Kiel, Germany) for their excellent technical assistance. This work was supported by the Deutsche Krebshilfe, the Fund for Scientific Research of Flanders (FWO-Vlaanderen, Grant No. G.0338.01), the Leukaemia Research Fund (UK) and the Marató de TV3 (Càncer, 2.005).
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Martín-Subero, J., Ibbotson, R., Klapper, W. et al. A comprehensive genetic and histopathologic analysis identifies two subgroups of B-cell malignancies carrying a t(14;19)(q32;q13) or variant BCL3-translocation. Leukemia 21, 1532–1544 (2007). https://doi.org/10.1038/sj.leu.2404695
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DOI: https://doi.org/10.1038/sj.leu.2404695
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