Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2003-11-4
pubmed:abstractText
Posttransplantation lymphoproliferative disorders (PTLDs) represent a serious complication of solid organ transplantation. This study assessed the molecular histogenesis of 52 B-cell monoclonal PTLDs, including 12 polymorphic PTLDs (P-PTLDs), 36 diffuse large B-cell lymphomas (DLBCLs), and 4 Burkitt/Burkitt-like lymphomas (BL/BLLs). Somatic hypermutation (SHM) of immunoglobulin variable (IgV) genes documented that most monoclonal B-cell PTLDs (75% P-PTLDs, 91.3% DLBCLs, 100% BL/BLLs) derive from germinal center (GC)-experienced B cells. B-cell lymphoma 6 (BCL6) mutations occurred in 25% P-PTLDs, 60.6% DLBCLs, and 75.0% BL/BLLs. A first histogenetic category of PTLDs (31.2% DLBCLs) express the BCL6+/multiple myeloma oncogene-1 protein (MUM1-/+)/CD138- profile and mimic B cells experiencing the GC reaction, as also suggested by ongoing SHM in a fraction of these cases. A second subset of PTLDs (66.7% P-PTLDs and 31.2% DLBCLs) display the BCL6-/MUM1+/CD138- phenotype and mimic B cells that have concluded the GC reaction. A third histogenetic category of PTLDs (25.0% P-PTLDs and 31.2% DLBCLs) shows the BCL6-/MUM1+/CD138+ profile, consistent with preterminally differentiated post-GC B cells. Crippling mutations of IgV heavy chain (IgVH) and/or IgV light chain (IgVL) genes, leading to sterile rearrangements and normally preventing cell survival, occur in 4 DLBCLs and 1 BL/BLL that may have been rescued from apoptosis through expression of Epstein-Barr virus (EBV)-encoded latent membrane protein 1 (LMP1). Overall, the histogenetic diversity of monoclonal B-cell PTLDs may help define biologically homogeneous categories of the disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
102
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
3775-85
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12907442-Adolescent, pubmed-meshheading:12907442-Adult, pubmed-meshheading:12907442-Aged, pubmed-meshheading:12907442-B-Lymphocytes, pubmed-meshheading:12907442-Base Sequence, pubmed-meshheading:12907442-Child, pubmed-meshheading:12907442-Child, Preschool, pubmed-meshheading:12907442-Female, pubmed-meshheading:12907442-Gene Rearrangement, pubmed-meshheading:12907442-Genes, Immunoglobulin, pubmed-meshheading:12907442-Herpesvirus 4, Human, pubmed-meshheading:12907442-Humans, pubmed-meshheading:12907442-Immunophenotyping, pubmed-meshheading:12907442-Infant, pubmed-meshheading:12907442-Lymphoproliferative Disorders, pubmed-meshheading:12907442-Male, pubmed-meshheading:12907442-Middle Aged, pubmed-meshheading:12907442-Molecular Sequence Data, pubmed-meshheading:12907442-Organ Transplantation, pubmed-meshheading:12907442-Retrospective Studies, pubmed-meshheading:12907442-Somatic Hypermutation, Immunoglobulin, pubmed-meshheading:12907442-Viral Matrix Proteins
pubmed:year
2003
pubmed:articleTitle
Molecular histogenesis of posttransplantation lymphoproliferative disorders.
pubmed:affiliation
Hematology Unit, Department of Medical Sciences & Interdisciplinary Research Center on Autoimmune Diseases, Amedeo Avogadro University of Eastern Piedmont, Via Solaroli 17, 28100 Novara, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't