Abstract
Analysis of global gene expression with DNA microarrays has great potential to improve the understanding of tumorigenesis, advance tumor diagnosis and classification, and affect cancer treatment. Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin’s lymphoma. However, we now realize that the disease is extremely heterogeneous. This review summarizes the progress in understanding DLBCL that has been made as a result of the application of gene expression profiling.
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References
A clinical evaluation of the International Lymphoma Study Group classification of non-Hodgkin’s lymphoma. The Non-Hodgkin’s Lymphoma Classification Project.Blood. 1997;89:3909–3918.
Harris NL, Jaffe ES, Stein H, et al. A revised European-American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group.Blood. 1994;84:1361–1392
Harris NL, Jaffe ES, Diebold J, et al. World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues: report of the Clinical Advisory Committee meeting- Airlie House, Virginia, November 1997.J Clin Oncol. 1999;17:3835–3849.
Lossos IS, Alizadeh AA, Diehn M, et al. Transformation of follicular lymphoma to diffuse large-cell lymphoma: alternative patterns with increased or decreased expression of c-myc and its regulated genes.Proc Natl Acad Sci U S A. 2002;99:8886–8891.
Tusher VG, Tibshirani R, Chu G. Significance analysis of microarrays applied to the ionizing radiation response.Proc Natl Acad Sci U S A. 2001;98:5116–5121.
Eisen MB, Spellman PT, Brown PO, Botstein D. Cluster analysis and display of genome-wide expression patterns.Proc Natl Acad Sci U S A. 1998;95:14863–14868.
Alizadeh AA, Eisen MB, Davis RE, et al. Distinct types of diffuse large B-cell lymphoma identified by gene expression profiling.Nature. 2000;403:503–511.
Alizadeh A, Eisen M, Davis R, et al. The lymphochip: a specialized cDNA microarray for the genomic-scale analysis of gene expression in normal and malignant lymphocytes.Cold Spring Harb Symp Quant Biol. 1999;64:71–78.
A predictive model for aggressive non-Hodgkin’s lymphoma.The International Non-Hodgkin’s Lymphoma Prognostic Factors Project.N Engl J Med. 1993;329:987–994.
MacLennan IC. Germinal centers.Annu Rev Immunol. 1994;12:117–139.
Klein U, Goossens T, Fischer M, et al. Somatic hypermutation in normal and transformed human B cells.Immunol Rev. 1998;162:261–280.
Lossos IS, Okada CY, Tibshirani R, et al. Molecular analysis of immunoglobulin genes in diffuse large B-cell lymphomas.Blood. 2000;95:1797–1803.
Lossos IS, Alizadeh AA, Eisen MB, et al. Ongoing immunoglobulin somatic mutation in germinal center B cell-like but not in acti vated B cell-like diffuse large cell lymphomas.Proc Natl Acad Sci U S A. 2000;97:10209–10213.
Huang JZ, Sanger WG, Greiner TC, et al. The t(14;18) defines a unique subset of diffuse large B-cell lymphoma with a germinal center B-cell gene expression profile.Blood. 2002;99:2285–2290.
Rosenwald A, Wright G, Chan WC, et al. The use of molecular profiling to predict survival after chemotherapy for diffuse large-Bcell lymphoma.N Engl J Med. 2002;346:1937–1947.
Lossos IS, Jones KD, Warnke R, et al. The expression of a single gene, BCL-6, strongly predicts survival in patients with diffuse large B-cell lymphoma.Blood. 2001;98:945–951.
Shipp MA, Ross KN, Tamayo P, et al. Diffuse large B-cell lymphoma outcome prediction by gene-expression profiling and supervised machine learning.Nat Med. 2002;8:68–74.
Davis RE, Brown KD, Siebenlist U, Staudt LM. Constitutive nuclear factor kappaB activity is required for survival of activated B cell-like diffuse large B cell lymphoma cells.J Exp Med. 2001;194:1861–1874.
Baeuerle PA, Baltimore D. NF-kappa B: ten years after.Cell. 1996;87:13–20.
Wulczyn FG, Krappmann D, Scheidereit C. The NF-kappa B/Rel and I kappa B gene families: mediators of immune response and inflammation.J Mol Med. 1996;74:749–769.
Lossos IS, Alizadeh AA, Rajapaksa R, Tibshirani R, Levy R. HGAL is a novel interleukin-4-inducible gene that strongly predicts survival in diffuse large B-cell lymphoma.Blood. 2003;101:433–440.
Christoph T, Rickert R, Rajewsky K. M17: a novel gene expressed in germinal centers.Int Immunol. 1994;6:1203–1211.
Cambier JC. Antigen and Fc receptor signaling: the awesome power of the immunoreceptor tyrosine-based activation motif (ITAM).J Immunol. 1995;155:3281–3285.
Acker B, Hoppe RT, Colby TV, Cox RS, Kaplan HS, Rosenberg SA. Histologic conversion in the non-Hodgkin’s lymphomas.J Clin Oncol. 1983;1:11–16.
Horning SJ, Rosenberg SA. The natural history of initially untreated low-grade non-Hodgkin’s lymphomas.N Engl J Med. 1984;311:1471–1475.
Armitage JO, Sanger WG, Weisenburger DD, et al. Correlation of secondary cytogenetic abnormalities with histologic appearance in non-Hodgkin’s lymphomas bearing t(14;18)(q32;q21).J Natl Cancer Inst. 1988;80:576–580.
Richardson ME, Chen QG, Filippa DA, et al. Intermediate- to high-grade histology of lymphomas carrying t(14;18) is associated with additional nonrandom chromosome changes.Blood. 1987;70:444–447.
Yunis JJ, Frizzera G, Oken MM, McKenna J, Theologides A, Arnesen M. Multiple recurrent genomic defects in follicular lymphoma: a possible model for cancer.N Engl J Med. 1987;316:79–84.
Hough RE, Goepel JR, Alcock HE, Hancock BW, Lorigan PC, Hammond DW. Copy number gain at 12q12-14 may be important in the transformation from follicular lymphoma to diffuse large B cell lymphoma.Br J Cancer. 2001;84:499–503.
Yano T, Jaffe ES, Longo DL, Raffeld M. MYC rearrangements in histologically progressed follicular lymphomas.Blood. 1992;80:758–767.
Sander CA, Yano T, Clark HM, et al. p53 mutation is associated with progression in follicular lymphomas.Blood. 1993;82:1994–2004.
Lo Coco F, Gaidano G, Louie DC, Offit K, Chaganti RS, Dalla- Favera R. p53 mutations are associated with histologic transformation of follicular lymphoma.Blood. 1993;82:2289–2295.
Lossos IS, Levy R. Higher-grade transformation of follicle center lymphoma is associated with somatic mutation of the 5_ noncoding regulatory region of the BCL-6 gene.Blood. 2000;96:635–639.
Szereday Z, Csernus B, Nagy M, Laszlo T, Warnke RA, Matolcsy A. Somatic mutation of the 5′ noncoding region of the BCL-6 gene is associated with intraclonal diversity and clonal selection in histological transformation of follicular lymphoma.Am J Pathol. 2000;156:1017–1024.
Matolcsy A, Casali P, Warnke RA, Knowles DM. Morphologic transformation of follicular lymphoma is associated with somatic mutation of the translocated Bcl-2 gene.Blood. 1996;88:3937–3944.
Elenitoba-Johnson KS, Gascoyne RD, Lim MS, Chhanabai M, Jaffe ES, Raffeld M. Homozygous deletions at chromosome 9p21 involving p16 and p15 are associated with histologic progression in follicle center lymphoma.Blood. 1998;91:4677–4685.
Pinyol M, Cobo F, Bea S, et al. p16(INK4a) gene inactivation by deletions, mutations, and hypermethylation is associated with transformed and aggressive variants of non-Hodgkin’s lymphomas.Blood. 1998;91:2977–2984.
Raffeld M, Yano T, Hoang AT, et al. Clustered mutations in the transcriptional activation domain of Myc in 8q24 translocated lymphomas and their functional consequences.Curr Top Microbiol Immunol. 1995;194:265–272.
Bahram F, von der Lehr N, Cetinkaya C, Larsson LG. c-Myc hot spot mutations in lymphomas result in inefficient ubiquitination and decreased proteasome-mediated turnover.Blood. 2000;95:2104–2110.
Hoang AT, Lutterbach B, Lewis BC, et al. A link between increased transforming activity of lymphoma-derived MYC mutant alleles, their defective regulation by p107, and altered phosphorylation of the c-Myc transactivation domain.Mol Cell Biol. 1995;15:4031–4042.
Pulverer BJ, Fisher C, Vousden K, Littlewood T, Evan G, WoodgettJR. Site-specific modulation of c-Myc cotransformation by residues phosphorylated in vivo.Oncogene. 1994;9:59–70.
Martinez-Climent JA, Alizadeh AA, Segraves R, et al. Transformation of follicular lymphoma to diffuse large cell lymphoma is associated with a heterogeneous set of DNA copy number and gene expression alterations [epub ahead of print].Blood. 2002;Oct 24.
Prendergast GC. Mechanisms of apoptosis by c-Myc.Oncogene. 1999;18:2967–2987.
Felsher DW, Zetterberg A, Zhu J, Tlsty T, Bishop JM. Overexpression of MYC causes p53-dependent G2 arrest of normal fibroblasts.Proc Natl Acad Sci U S A. 2000;97:10544–10548.
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Lossos, I.S., Levyb, R. Diffuse Large B-Cell Lymphoma: Insights Gained from Gene Expression Profiling. Int J Hematol 77, 321–329 (2003). https://doi.org/10.1007/BF02982638
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DOI: https://doi.org/10.1007/BF02982638