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Clonal relationship in multifocal non-Hodgkin’s lymphoma of mucosa-associated lymphoid tissue (MALT)

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Abstract

To elucidate the progression of gastric marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) type, we analyzed a case presenting simultaneously with MALT lymphoma of the stomach and lung, and a gastric high-grade diffuse large lymphoma. The rearranged immunoglobulin heavy chain (IgH) variable regions were analyzed using a polymerase chain reaction (PCR)-based assay. Clonal relationship was shown between the gastric high-grade and the pulmonary low-grade lymphoma. The gastric MALT lymphoma was not related to the other manifestations. Translocation t(11;18) was not detected in the gastric high-grade lymphoma. MALT lymphomas at various locations and with different histologies may derive from a common precursor cell. Lymphomas at identical sites may have different stem cells.

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References

  1. Akagi T, Motegi M, Tamura A, Suzuki R, Hosokawa Y, Suzuki H, Ota H, Nakamura S, Morishima Y, Taniwaki M, Seto M (1999) A novel gene, MALT1 at 18q21, is involved in t(11;18)(q21;q21) found in low-grade B-cell lymphoma of mucosa-associated lymphoid tissue. Oncogene 18:5785–5794

    Article  CAS  PubMed  Google Scholar 

  2. Auer IA, Gascoyne RD, Connors JM, Cotter FE, Greiner TC, Sanger WG, Horsman DE (1997) t(11;18)(q21;q21) is the most common translocation in MALT lymphomas. Ann Oncol 8:979–985

    Google Scholar 

  3. Cook GP, Tomlinson IM, Walter G, Riethman H, Carter NP, Buluwela L, Winter G, Rabbitts TH (1994) A map of the human immunoglobulin VH locus completed by analysis of the telomeric region of chromosome 14q. Nat Genet 7:162–168

    CAS  PubMed  Google Scholar 

  4. Dierlamm J, Baens M, Wlodarska I, Stefanova-Ouzounova M, Hernandez JM, Hossfeld DK, De Wolf-Peeters C, Hagemeijer A, Van den Berghe H, Marynen P (1999) The apoptosis inhibitor gene API2 and a novel 18q gene, MLT, are recurrently rearranged in the t(11;18) associated with the mucosa-associated lymphoid tissue lymphomas. Blood 93:3601–3609

    PubMed  Google Scholar 

  5. Dierlamm J, Baens M, Stefanova-Ouzounova M, Hinz K, Wlodarska I, Maes B, Steyls A, Driessen A, Verhoef G, Gaulard P, Hagemeijer A, Hossfeld DK, De Wolf-Peeters C, Marynen P (2000) Detection of t(11;18)(q21;q21) by interphase fluorescence in situ hybridization using API2 and MLT specific probes. Blood 96:2215–2218

    CAS  PubMed  Google Scholar 

  6. Du MQ, Xu CF, Diss TC, Peng HZ, Wotherspoon AC, Isaacson PG, Pan LX (1996) Intestinal dissemination of gastric mucosa-associated lymphoid tissue lymphoma. Blood 88:4445–4451

    CAS  PubMed  Google Scholar 

  7. Matolcsy A, Nagy M, Kisfaludy N, Kelenyi G (1999) Distinct clonal origin of low-grade MALT-type and high-grade lesions of a multifocal gastric lymphoma. Histopathology 34:6–8

    Article  CAS  PubMed  Google Scholar 

  8. Ott G, Katzenberger T, Greiner A, Kalla J, Rosenwald A, Heinrich U, Ott MM, Muller-Hermelink HK (1997) The t(11;18)(q21;q21) chromosome translocation is a frequent and specific aberration in low-grade but not high-grade malignant non-Hodgkin’s lymphomas of the mucosa associated lymphoid tissue (MALT)-type. Cancer Res 57:3944–3948

    CAS  PubMed  Google Scholar 

  9. Peng H, Du M, Diss TC, Isaacson PG, Pan L (1997) Genetic evidence for a clonal link between low and high-grade components in gastric MALT B-cell lymphoma. Histopathology 30:425–429

    CAS  PubMed  Google Scholar 

  10. Starostik P, Patzner J, Greiner A, Schwarz S, Kalla J, Ott G, Muller-Hermelink HK (2002) Gastric marginal zone B-cell lymphomas of MALT type develop along 2 distinct pathogenetic pathways. Blood 99:3–9

    Article  CAS  PubMed  Google Scholar 

  11. Thieblemont C, Berger F, Dumontet C, Moullet I, Bouafia F, Felman P, Salles G, Coiffier B (2000) Mucosa associated lymphoid tissue lymphoma is a disseminated disease in one third of 158 patients analyzed. Blood 95:802–806

    CAS  PubMed  Google Scholar 

  12. Thiede C, Alpen B, Morgner A, Schmidt M, Ritter M, Ehninger G, Stolte M, Bayerdorffer E, Neubauer A (1998) Ongoing somatic mutations and clonal expansion after sure of Helicobacter pylori infection in gastric mucosa associated lymphoid tissue (MALT) B-cell lymphoma. J Clin Oncol 16:3822–3831

    CAS  PubMed  Google Scholar 

  13. Tomlinson IM, Walter G, Marks JD, Llewelyn MB, Winter G (1992) The repertoire of human germline VH sequences reveals about fifty groups of VH segments with different hypervariable loops. J Mol Biol 227:776–798

    CAS  PubMed  Google Scholar 

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Correspondence to A. Neubauer.

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Supported in part by Deutsche Krebshilfe (70–2251-Ne1) and the Kempkes Stiftung

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Alpen, B., Wündisch, T., Dierlamm, J. et al. Clonal relationship in multifocal non-Hodgkin’s lymphoma of mucosa-associated lymphoid tissue (MALT). Ann Hematol 83, 124–126 (2004). https://doi.org/10.1007/s00277-003-0763-5

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  • DOI: https://doi.org/10.1007/s00277-003-0763-5

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