Gain of CD26 expression on the malignant T‐cells in relapsed erythrodermic leukemic mycosis fungoides

Loss of CD26 surface expression on the circulating malignant T‐cell is the most widely accepted diagnostic marker in patients with leukemic cutaneous T‐cell lymphoma (CTCL). CTCL cases with reemergence of CD7 and/or CD26 surface expression are unusual and of uncertain prognosis. We report the case o...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of cutaneous pathology 2017-05, Vol.44 (5), p.462-466
Hauptverfasser: Cedeno‐Laurent, Filiberto, Wysocka, Maria, Obstfeld, Amrom E., Novoa, Roberto A., Vittorio, Carmela C., Kim, Ellen J., Weng, Wen‐Kai, Rook, Alain H.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 466
container_issue 5
container_start_page 462
container_title Journal of cutaneous pathology
container_volume 44
creator Cedeno‐Laurent, Filiberto
Wysocka, Maria
Obstfeld, Amrom E.
Novoa, Roberto A.
Vittorio, Carmela C.
Kim, Ellen J.
Weng, Wen‐Kai
Rook, Alain H.
description Loss of CD26 surface expression on the circulating malignant T‐cell is the most widely accepted diagnostic marker in patients with leukemic cutaneous T‐cell lymphoma (CTCL). CTCL cases with reemergence of CD7 and/or CD26 surface expression are unusual and of uncertain prognosis. We report the case of an erythrodermic leukemic mycosis fungoides patient who had achieved temporary remission after several months on multimodality immunotherapy and extracorporeal photopheresis, but who relapsed with aggressive disease phenotypically characterized by CD4+ T‐cells with high CD26 expression. Polymerase chain reaction studies and high‐throughput sequencing analyses from peripheral blood mononuclear cells at presentation and relapse consistently showed an identical clonal T‐cell receptor suggesting evolution of her original malignant clone which lacked CD26 expression. Interestingly, quantitative expression of the sialomucin, CD164, mirrored her clinical picture, thus favoring its reliability as a novel biomarker in CTCL.
doi_str_mv 10.1111/cup.12899
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1891860262</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1891860262</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3539-ea1fbc645784b5fa69ecbeb2629221c5f0195df24c09bda22f23be854a64d34c3</originalsourceid><addsrcrecordid>eNp1kMFOGzEQhi3UClLgwAsgS73QwxLb63XsIwotICGVQzhbXu84cdhdL3ZWkBuP0Gfsk9RpaA-VOpcZjb75NPoROqPkkuaa2nG4pEwqdYAmVBBSkEqQD2hCSlIWQsnZEfqU0poQKqSoDtERk0SWissJWt4Y3-Pg8PyaCQyvQ4SUfMirHm9WgDvT-mVv-g1e_Hz7YaFtE84HEVozJGgwxO1mFUMDsfMWtzA-wW7otjYkn7Ab-2XwDaQT9NGZNsHpez9Gj9--Lua3xf33m7v51X1hy6pUBRjqait4NZO8rpwRCmwNNRNMMUZt5QhVVeMYt0TVjWHMsbIGWXEjeFNyWx6ji713iOF5hLTRnU-7t00PYUyaSkWlIFmY0c__oOswxj5_p6lihAsxozxTX_aUjSGlCE4P0XcmbjUlepe-zunr3-ln9vzdONYdNH_JP3FnYLoHXnwL2_-b9PzxYa_8BamRj7U</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1920466714</pqid></control><display><type>article</type><title>Gain of CD26 expression on the malignant T‐cells in relapsed erythrodermic leukemic mycosis fungoides</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Cedeno‐Laurent, Filiberto ; Wysocka, Maria ; Obstfeld, Amrom E. ; Novoa, Roberto A. ; Vittorio, Carmela C. ; Kim, Ellen J. ; Weng, Wen‐Kai ; Rook, Alain H.</creator><creatorcontrib>Cedeno‐Laurent, Filiberto ; Wysocka, Maria ; Obstfeld, Amrom E. ; Novoa, Roberto A. ; Vittorio, Carmela C. ; Kim, Ellen J. ; Weng, Wen‐Kai ; Rook, Alain H.</creatorcontrib><description>Loss of CD26 surface expression on the circulating malignant T‐cell is the most widely accepted diagnostic marker in patients with leukemic cutaneous T‐cell lymphoma (CTCL). CTCL cases with reemergence of CD7 and/or CD26 surface expression are unusual and of uncertain prognosis. We report the case of an erythrodermic leukemic mycosis fungoides patient who had achieved temporary remission after several months on multimodality immunotherapy and extracorporeal photopheresis, but who relapsed with aggressive disease phenotypically characterized by CD4+ T‐cells with high CD26 expression. Polymerase chain reaction studies and high‐throughput sequencing analyses from peripheral blood mononuclear cells at presentation and relapse consistently showed an identical clonal T‐cell receptor suggesting evolution of her original malignant clone which lacked CD26 expression. Interestingly, quantitative expression of the sialomucin, CD164, mirrored her clinical picture, thus favoring its reliability as a novel biomarker in CTCL.</description><identifier>ISSN: 0303-6987</identifier><identifier>EISSN: 1600-0560</identifier><identifier>DOI: 10.1111/cup.12899</identifier><identifier>PMID: 28083948</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Biomarkers, Tumor ; CD164 ; CD26 ; CD4 antigen ; CD4-Positive T-Lymphocytes - metabolism ; CD4-Positive T-Lymphocytes - pathology ; CD7 antigen ; clonal evolution ; CTCL ; Dermatitis, Exfoliative - metabolism ; Dermatitis, Exfoliative - pathology ; Dipeptidyl Peptidase 4 - biosynthesis ; Dipeptidyl-peptidase IV ; Female ; Fungal infections ; Gene Expression Regulation, Enzymologic ; Gene Expression Regulation, Leukemic ; Humans ; Immunotherapy ; Leukemia ; Leukemia, T-Cell - metabolism ; Leukemia, T-Cell - pathology ; Leukocytes (mononuclear) ; Lymphocytes T ; Mycosis ; Mycosis fungoides ; Mycosis Fungoides - metabolism ; Mycosis Fungoides - pathology ; Neoplasm Proteins - biosynthesis ; Next-generation sequencing ; Peripheral blood mononuclear cells ; Polymerase chain reaction ; Remission ; Skin Neoplasms - metabolism ; Skin Neoplasms - pathology ; T cell receptors ; T-cell lymphoma</subject><ispartof>Journal of cutaneous pathology, 2017-05, Vol.44 (5), p.462-466</ispartof><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3539-ea1fbc645784b5fa69ecbeb2629221c5f0195df24c09bda22f23be854a64d34c3</citedby><cites>FETCH-LOGICAL-c3539-ea1fbc645784b5fa69ecbeb2629221c5f0195df24c09bda22f23be854a64d34c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcup.12899$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcup.12899$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28083948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cedeno‐Laurent, Filiberto</creatorcontrib><creatorcontrib>Wysocka, Maria</creatorcontrib><creatorcontrib>Obstfeld, Amrom E.</creatorcontrib><creatorcontrib>Novoa, Roberto A.</creatorcontrib><creatorcontrib>Vittorio, Carmela C.</creatorcontrib><creatorcontrib>Kim, Ellen J.</creatorcontrib><creatorcontrib>Weng, Wen‐Kai</creatorcontrib><creatorcontrib>Rook, Alain H.</creatorcontrib><title>Gain of CD26 expression on the malignant T‐cells in relapsed erythrodermic leukemic mycosis fungoides</title><title>Journal of cutaneous pathology</title><addtitle>J Cutan Pathol</addtitle><description>Loss of CD26 surface expression on the circulating malignant T‐cell is the most widely accepted diagnostic marker in patients with leukemic cutaneous T‐cell lymphoma (CTCL). CTCL cases with reemergence of CD7 and/or CD26 surface expression are unusual and of uncertain prognosis. We report the case of an erythrodermic leukemic mycosis fungoides patient who had achieved temporary remission after several months on multimodality immunotherapy and extracorporeal photopheresis, but who relapsed with aggressive disease phenotypically characterized by CD4+ T‐cells with high CD26 expression. Polymerase chain reaction studies and high‐throughput sequencing analyses from peripheral blood mononuclear cells at presentation and relapse consistently showed an identical clonal T‐cell receptor suggesting evolution of her original malignant clone which lacked CD26 expression. Interestingly, quantitative expression of the sialomucin, CD164, mirrored her clinical picture, thus favoring its reliability as a novel biomarker in CTCL.</description><subject>Aged</subject><subject>Biomarkers, Tumor</subject><subject>CD164</subject><subject>CD26</subject><subject>CD4 antigen</subject><subject>CD4-Positive T-Lymphocytes - metabolism</subject><subject>CD4-Positive T-Lymphocytes - pathology</subject><subject>CD7 antigen</subject><subject>clonal evolution</subject><subject>CTCL</subject><subject>Dermatitis, Exfoliative - metabolism</subject><subject>Dermatitis, Exfoliative - pathology</subject><subject>Dipeptidyl Peptidase 4 - biosynthesis</subject><subject>Dipeptidyl-peptidase IV</subject><subject>Female</subject><subject>Fungal infections</subject><subject>Gene Expression Regulation, Enzymologic</subject><subject>Gene Expression Regulation, Leukemic</subject><subject>Humans</subject><subject>Immunotherapy</subject><subject>Leukemia</subject><subject>Leukemia, T-Cell - metabolism</subject><subject>Leukemia, T-Cell - pathology</subject><subject>Leukocytes (mononuclear)</subject><subject>Lymphocytes T</subject><subject>Mycosis</subject><subject>Mycosis fungoides</subject><subject>Mycosis Fungoides - metabolism</subject><subject>Mycosis Fungoides - pathology</subject><subject>Neoplasm Proteins - biosynthesis</subject><subject>Next-generation sequencing</subject><subject>Peripheral blood mononuclear cells</subject><subject>Polymerase chain reaction</subject><subject>Remission</subject><subject>Skin Neoplasms - metabolism</subject><subject>Skin Neoplasms - pathology</subject><subject>T cell receptors</subject><subject>T-cell lymphoma</subject><issn>0303-6987</issn><issn>1600-0560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMFOGzEQhi3UClLgwAsgS73QwxLb63XsIwotICGVQzhbXu84cdhdL3ZWkBuP0Gfsk9RpaA-VOpcZjb75NPoROqPkkuaa2nG4pEwqdYAmVBBSkEqQD2hCSlIWQsnZEfqU0poQKqSoDtERk0SWissJWt4Y3-Pg8PyaCQyvQ4SUfMirHm9WgDvT-mVv-g1e_Hz7YaFtE84HEVozJGgwxO1mFUMDsfMWtzA-wW7otjYkn7Ab-2XwDaQT9NGZNsHpez9Gj9--Lua3xf33m7v51X1hy6pUBRjqait4NZO8rpwRCmwNNRNMMUZt5QhVVeMYt0TVjWHMsbIGWXEjeFNyWx6ji713iOF5hLTRnU-7t00PYUyaSkWlIFmY0c__oOswxj5_p6lihAsxozxTX_aUjSGlCE4P0XcmbjUlepe-zunr3-ln9vzdONYdNH_JP3FnYLoHXnwL2_-b9PzxYa_8BamRj7U</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Cedeno‐Laurent, Filiberto</creator><creator>Wysocka, Maria</creator><creator>Obstfeld, Amrom E.</creator><creator>Novoa, Roberto A.</creator><creator>Vittorio, Carmela C.</creator><creator>Kim, Ellen J.</creator><creator>Weng, Wen‐Kai</creator><creator>Rook, Alain H.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>M7N</scope></search><sort><creationdate>201705</creationdate><title>Gain of CD26 expression on the malignant T‐cells in relapsed erythrodermic leukemic mycosis fungoides</title><author>Cedeno‐Laurent, Filiberto ; Wysocka, Maria ; Obstfeld, Amrom E. ; Novoa, Roberto A. ; Vittorio, Carmela C. ; Kim, Ellen J. ; Weng, Wen‐Kai ; Rook, Alain H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3539-ea1fbc645784b5fa69ecbeb2629221c5f0195df24c09bda22f23be854a64d34c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Biomarkers, Tumor</topic><topic>CD164</topic><topic>CD26</topic><topic>CD4 antigen</topic><topic>CD4-Positive T-Lymphocytes - metabolism</topic><topic>CD4-Positive T-Lymphocytes - pathology</topic><topic>CD7 antigen</topic><topic>clonal evolution</topic><topic>CTCL</topic><topic>Dermatitis, Exfoliative - metabolism</topic><topic>Dermatitis, Exfoliative - pathology</topic><topic>Dipeptidyl Peptidase 4 - biosynthesis</topic><topic>Dipeptidyl-peptidase IV</topic><topic>Female</topic><topic>Fungal infections</topic><topic>Gene Expression Regulation, Enzymologic</topic><topic>Gene Expression Regulation, Leukemic</topic><topic>Humans</topic><topic>Immunotherapy</topic><topic>Leukemia</topic><topic>Leukemia, T-Cell - metabolism</topic><topic>Leukemia, T-Cell - pathology</topic><topic>Leukocytes (mononuclear)</topic><topic>Lymphocytes T</topic><topic>Mycosis</topic><topic>Mycosis fungoides</topic><topic>Mycosis Fungoides - metabolism</topic><topic>Mycosis Fungoides - pathology</topic><topic>Neoplasm Proteins - biosynthesis</topic><topic>Next-generation sequencing</topic><topic>Peripheral blood mononuclear cells</topic><topic>Polymerase chain reaction</topic><topic>Remission</topic><topic>Skin Neoplasms - metabolism</topic><topic>Skin Neoplasms - pathology</topic><topic>T cell receptors</topic><topic>T-cell lymphoma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cedeno‐Laurent, Filiberto</creatorcontrib><creatorcontrib>Wysocka, Maria</creatorcontrib><creatorcontrib>Obstfeld, Amrom E.</creatorcontrib><creatorcontrib>Novoa, Roberto A.</creatorcontrib><creatorcontrib>Vittorio, Carmela C.</creatorcontrib><creatorcontrib>Kim, Ellen J.</creatorcontrib><creatorcontrib>Weng, Wen‐Kai</creatorcontrib><creatorcontrib>Rook, Alain H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>Journal of cutaneous pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cedeno‐Laurent, Filiberto</au><au>Wysocka, Maria</au><au>Obstfeld, Amrom E.</au><au>Novoa, Roberto A.</au><au>Vittorio, Carmela C.</au><au>Kim, Ellen J.</au><au>Weng, Wen‐Kai</au><au>Rook, Alain H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gain of CD26 expression on the malignant T‐cells in relapsed erythrodermic leukemic mycosis fungoides</atitle><jtitle>Journal of cutaneous pathology</jtitle><addtitle>J Cutan Pathol</addtitle><date>2017-05</date><risdate>2017</risdate><volume>44</volume><issue>5</issue><spage>462</spage><epage>466</epage><pages>462-466</pages><issn>0303-6987</issn><eissn>1600-0560</eissn><abstract>Loss of CD26 surface expression on the circulating malignant T‐cell is the most widely accepted diagnostic marker in patients with leukemic cutaneous T‐cell lymphoma (CTCL). CTCL cases with reemergence of CD7 and/or CD26 surface expression are unusual and of uncertain prognosis. We report the case of an erythrodermic leukemic mycosis fungoides patient who had achieved temporary remission after several months on multimodality immunotherapy and extracorporeal photopheresis, but who relapsed with aggressive disease phenotypically characterized by CD4+ T‐cells with high CD26 expression. Polymerase chain reaction studies and high‐throughput sequencing analyses from peripheral blood mononuclear cells at presentation and relapse consistently showed an identical clonal T‐cell receptor suggesting evolution of her original malignant clone which lacked CD26 expression. Interestingly, quantitative expression of the sialomucin, CD164, mirrored her clinical picture, thus favoring its reliability as a novel biomarker in CTCL.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>28083948</pmid><doi>10.1111/cup.12899</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0303-6987
ispartof Journal of cutaneous pathology, 2017-05, Vol.44 (5), p.462-466
issn 0303-6987
1600-0560
language eng
recordid cdi_proquest_miscellaneous_1891860262
source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged
Biomarkers, Tumor
CD164
CD26
CD4 antigen
CD4-Positive T-Lymphocytes - metabolism
CD4-Positive T-Lymphocytes - pathology
CD7 antigen
clonal evolution
CTCL
Dermatitis, Exfoliative - metabolism
Dermatitis, Exfoliative - pathology
Dipeptidyl Peptidase 4 - biosynthesis
Dipeptidyl-peptidase IV
Female
Fungal infections
Gene Expression Regulation, Enzymologic
Gene Expression Regulation, Leukemic
Humans
Immunotherapy
Leukemia
Leukemia, T-Cell - metabolism
Leukemia, T-Cell - pathology
Leukocytes (mononuclear)
Lymphocytes T
Mycosis
Mycosis fungoides
Mycosis Fungoides - metabolism
Mycosis Fungoides - pathology
Neoplasm Proteins - biosynthesis
Next-generation sequencing
Peripheral blood mononuclear cells
Polymerase chain reaction
Remission
Skin Neoplasms - metabolism
Skin Neoplasms - pathology
T cell receptors
T-cell lymphoma
title Gain of CD26 expression on the malignant T‐cells in relapsed erythrodermic leukemic mycosis fungoides
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T03%3A45%3A37IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Gain%20of%20CD26%20expression%20on%20the%20malignant%20T%E2%80%90cells%20in%20relapsed%20erythrodermic%20leukemic%20mycosis%20fungoides&rft.jtitle=Journal%20of%20cutaneous%20pathology&rft.au=Cedeno%E2%80%90Laurent,%20Filiberto&rft.date=2017-05&rft.volume=44&rft.issue=5&rft.spage=462&rft.epage=466&rft.pages=462-466&rft.issn=0303-6987&rft.eissn=1600-0560&rft_id=info:doi/10.1111/cup.12899&rft_dat=%3Cproquest_cross%3E1891860262%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1920466714&rft_id=info:pmid/28083948&rfr_iscdi=true