A limited role for TP53 mutation in the transformation of follicular lymphoma to diffuse large B-cell lymphoma: Lymphoma

The role of TP53 mutation in transformation of follicular lymphoma (FL) to diffuse large B-cell lymphoma (t-FL) was examined in a panel of 91 lymph node biopsies derived from 29 patients pre- and post-transformation. The entire TP53 coding sequence was screened and immunocytochemistry performed to d...

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Veröffentlicht in:Leukemia 2005-08, Vol.19 (8), p.1459-1465
Hauptverfasser: Davies, A J, Lee, A M, Taylor, C, Clear, A J, Goff, L K, Iqbal, S, Cuthbert-Heavens, D, Calaminici, M, Norton, A J, Lister, T A, Fitzgibbon, J
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container_end_page 1465
container_issue 8
container_start_page 1459
container_title Leukemia
container_volume 19
creator Davies, A J
Lee, A M
Taylor, C
Clear, A J
Goff, L K
Iqbal, S
Cuthbert-Heavens, D
Calaminici, M
Norton, A J
Lister, T A
Fitzgibbon, J
description The role of TP53 mutation in transformation of follicular lymphoma (FL) to diffuse large B-cell lymphoma (t-FL) was examined in a panel of 91 lymph node biopsies derived from 29 patients pre- and post-transformation. The entire TP53 coding sequence was screened and immunocytochemistry performed to determine expression of p53 and its key regulator MDM2. A total of 10 mutations were detected in eight patients (28%), although none were present at FL diagnosis. Mutations were not detected solely at the time of transformation; in three patients, mutated TP53 arose in at least one antecedent FL sample (6 months, 2.5 years and 4 years prior to transformation). Loss of heterozygosity at the TP53 locus occurred in 2/20 informative patients (only in t-FL samples). p53 staining was positive in 82% (9/11) of available biopsies with a missense mutation, and negative in 71% (45/63) with wtTP53 . MDM2 expression was significantly higher in t-FL samples (mean 72% positive; 95% confidence interval (95% CI) 68–76%) than FL (mean 58% positive; 95% CI 54–62%) ( P
doi_str_mv 10.1038/sj.leu.2403802
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The entire TP53 coding sequence was screened and immunocytochemistry performed to determine expression of p53 and its key regulator MDM2. A total of 10 mutations were detected in eight patients (28%), although none were present at FL diagnosis. Mutations were not detected solely at the time of transformation; in three patients, mutated TP53 arose in at least one antecedent FL sample (6 months, 2.5 years and 4 years prior to transformation). Loss of heterozygosity at the TP53 locus occurred in 2/20 informative patients (only in t-FL samples). p53 staining was positive in 82% (9/11) of available biopsies with a missense mutation, and negative in 71% (45/63) with wtTP53 . MDM2 expression was significantly higher in t-FL samples (mean 72% positive; 95% confidence interval (95% CI) 68–76%) than FL (mean 58% positive; 95% CI 54–62%) ( P &lt;0.001) but did not correlate with TP53 status. TP53 mutation has only a limited role in the transformation of FL, exerting a heterogeneous influence upon phenotypic change. In contrast, dysregulation of MDM2 is frequent and may provide a more rational therapeutic target.</description><identifier>ISSN: 0887-6924</identifier><identifier>EISSN: 1476-5551</identifier><identifier>DOI: 10.1038/sj.leu.2403802</identifier><identifier>PMID: 15902285</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>B-cell lymphoma ; Biopsy ; Cancer ; Cancer Research ; Cell cycle ; Cell Transformation, Neoplastic - genetics ; Confidence intervals ; Critical Care Medicine ; Dentistry ; Gene Expression Regulation, Neoplastic ; Genetic transformation ; Hematology ; Heterozygosity ; Hospitals ; Humans ; Immunocytochemistry ; Immunohistochemistry ; Intensive ; Internal Medicine ; Leukemia ; Loss of Heterozygosity ; Lymph nodes ; Lymph Nodes - pathology ; Lymphatic system ; Lymphocytes B ; Lymphoma ; Lymphoma, B-Cell - pathology ; Lymphoma, Follicular - pathology ; Lymphoma, Large B-Cell, Diffuse - pathology ; MDM2 protein ; Medical prognosis ; Medical research ; Medicine ; Medicine &amp; Public Health ; Missense mutation ; Mutation ; Mutation, Missense ; Neoplasm Proteins - analysis ; Nuclear Proteins - analysis ; Oncology ; original-manuscript ; Patients ; Proteins ; Proto-Oncogene Proteins - analysis ; Proto-Oncogene Proteins c-mdm2 ; Therapeutic targets ; Transformations ; Tumor Suppressor Protein p53 - analysis ; Tumor Suppressor Protein p53 - genetics</subject><ispartof>Leukemia, 2005-08, Vol.19 (8), p.1459-1465</ispartof><rights>Springer Nature Limited 2005</rights><rights>Leukemia (2005) 19, 1459-1465.</rights><rights>COPYRIGHT 2005 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Aug 2005</rights><rights>Nature Publishing Group 2005.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c623t-7f322b04f2ad63ab95e6f010565a0222dfb84bb22ffe128de783a1aa4c631cc23</citedby><cites>FETCH-LOGICAL-c623t-7f322b04f2ad63ab95e6f010565a0222dfb84bb22ffe128de783a1aa4c631cc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15902285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, A J</creatorcontrib><creatorcontrib>Lee, A M</creatorcontrib><creatorcontrib>Taylor, C</creatorcontrib><creatorcontrib>Clear, A J</creatorcontrib><creatorcontrib>Goff, L K</creatorcontrib><creatorcontrib>Iqbal, S</creatorcontrib><creatorcontrib>Cuthbert-Heavens, D</creatorcontrib><creatorcontrib>Calaminici, M</creatorcontrib><creatorcontrib>Norton, A J</creatorcontrib><creatorcontrib>Lister, T A</creatorcontrib><creatorcontrib>Fitzgibbon, J</creatorcontrib><title>A limited role for TP53 mutation in the transformation of follicular lymphoma to diffuse large B-cell lymphoma: Lymphoma</title><title>Leukemia</title><addtitle>Leukemia</addtitle><addtitle>Leukemia</addtitle><description>The role of TP53 mutation in transformation of follicular lymphoma (FL) to diffuse large B-cell lymphoma (t-FL) was examined in a panel of 91 lymph node biopsies derived from 29 patients pre- and post-transformation. The entire TP53 coding sequence was screened and immunocytochemistry performed to determine expression of p53 and its key regulator MDM2. A total of 10 mutations were detected in eight patients (28%), although none were present at FL diagnosis. Mutations were not detected solely at the time of transformation; in three patients, mutated TP53 arose in at least one antecedent FL sample (6 months, 2.5 years and 4 years prior to transformation). Loss of heterozygosity at the TP53 locus occurred in 2/20 informative patients (only in t-FL samples). p53 staining was positive in 82% (9/11) of available biopsies with a missense mutation, and negative in 71% (45/63) with wtTP53 . MDM2 expression was significantly higher in t-FL samples (mean 72% positive; 95% confidence interval (95% CI) 68–76%) than FL (mean 58% positive; 95% CI 54–62%) ( P &lt;0.001) but did not correlate with TP53 status. TP53 mutation has only a limited role in the transformation of FL, exerting a heterogeneous influence upon phenotypic change. In contrast, dysregulation of MDM2 is frequent and may provide a more rational therapeutic target.</description><subject>B-cell lymphoma</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Cell cycle</subject><subject>Cell Transformation, Neoplastic - genetics</subject><subject>Confidence intervals</subject><subject>Critical Care Medicine</subject><subject>Dentistry</subject><subject>Gene Expression Regulation, Neoplastic</subject><subject>Genetic transformation</subject><subject>Hematology</subject><subject>Heterozygosity</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Immunocytochemistry</subject><subject>Immunohistochemistry</subject><subject>Intensive</subject><subject>Internal Medicine</subject><subject>Leukemia</subject><subject>Loss of Heterozygosity</subject><subject>Lymph nodes</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic system</subject><subject>Lymphocytes B</subject><subject>Lymphoma</subject><subject>Lymphoma, B-Cell - pathology</subject><subject>Lymphoma, Follicular - pathology</subject><subject>Lymphoma, Large B-Cell, Diffuse - pathology</subject><subject>MDM2 protein</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Missense mutation</subject><subject>Mutation</subject><subject>Mutation, Missense</subject><subject>Neoplasm Proteins - analysis</subject><subject>Nuclear Proteins - analysis</subject><subject>Oncology</subject><subject>original-manuscript</subject><subject>Patients</subject><subject>Proteins</subject><subject>Proto-Oncogene Proteins - analysis</subject><subject>Proto-Oncogene Proteins c-mdm2</subject><subject>Therapeutic targets</subject><subject>Transformations</subject><subject>Tumor Suppressor Protein p53 - analysis</subject><subject>Tumor Suppressor Protein p53 - genetics</subject><issn>0887-6924</issn><issn>1476-5551</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkk1v3CAQhlHVqtmmvfZYoVbKzRvAgPFxE_VLitQe0jPC9rDLCswW7EP-fbF21W2rRBUHxMwzLzPwIvSWkjUltbrO-7WHec14ORD2DK0ob2QlhKDP0Yoo1VSyZfwCvcp5T8iSlC_RBRUtYUyJFRo32LvgJhhwih6wjQnffxc1DvNkJhdH7EY87QBPyYy5ZMMxGm1BvXf97E3C_iEcdjEYPEU8OGvnDLjEt4Bvqh68_w28Ri-s8RnenPZL9OPTx_vbL9Xdt89fbzd3VS9ZPVWNrRnrCLfMDLI2XStAWkKJkMKUxtlgO8W7jjFrgTI1QKNqQ43hvaxp37P6El0ddQ8p_pwhTzq4vHRiRohz1lIRSWre_BekbSsIl7yAH_4B93FOYxlCM8lFQ0TLZKHeP0kxIhpOWnWW2hoP2o02lsftl3v1hiolGG_VQq0focoaILg-jmBdif9VcPVHwQ6Mn3Y5-nn5r_yocp9izgmsPiQXTHrQlOjFVTrvdXGVPrmqFLw7TTV3AYYzfrJRAa6PQC6pcQvpPPYTkr8AsejVfg</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Davies, A J</creator><creator>Lee, A M</creator><creator>Taylor, C</creator><creator>Clear, A J</creator><creator>Goff, L K</creator><creator>Iqbal, S</creator><creator>Cuthbert-Heavens, D</creator><creator>Calaminici, M</creator><creator>Norton, A J</creator><creator>Lister, T A</creator><creator>Fitzgibbon, J</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</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>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>A limited role for TP53 mutation in the transformation of follicular lymphoma to diffuse large B-cell lymphoma</title><author>Davies, A J ; Lee, A M ; Taylor, C ; Clear, A J ; Goff, L K ; Iqbal, S ; Cuthbert-Heavens, D ; Calaminici, M ; Norton, A J ; Lister, T A ; Fitzgibbon, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c623t-7f322b04f2ad63ab95e6f010565a0222dfb84bb22ffe128de783a1aa4c631cc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>B-cell lymphoma</topic><topic>Biopsy</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Cell cycle</topic><topic>Cell Transformation, Neoplastic - genetics</topic><topic>Confidence intervals</topic><topic>Critical Care Medicine</topic><topic>Dentistry</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Genetic transformation</topic><topic>Hematology</topic><topic>Heterozygosity</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Immunocytochemistry</topic><topic>Immunohistochemistry</topic><topic>Intensive</topic><topic>Internal Medicine</topic><topic>Leukemia</topic><topic>Loss of Heterozygosity</topic><topic>Lymph nodes</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic system</topic><topic>Lymphocytes B</topic><topic>Lymphoma</topic><topic>Lymphoma, B-Cell - pathology</topic><topic>Lymphoma, Follicular - pathology</topic><topic>Lymphoma, Large B-Cell, Diffuse - pathology</topic><topic>MDM2 protein</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine &amp; 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The entire TP53 coding sequence was screened and immunocytochemistry performed to determine expression of p53 and its key regulator MDM2. A total of 10 mutations were detected in eight patients (28%), although none were present at FL diagnosis. Mutations were not detected solely at the time of transformation; in three patients, mutated TP53 arose in at least one antecedent FL sample (6 months, 2.5 years and 4 years prior to transformation). Loss of heterozygosity at the TP53 locus occurred in 2/20 informative patients (only in t-FL samples). p53 staining was positive in 82% (9/11) of available biopsies with a missense mutation, and negative in 71% (45/63) with wtTP53 . MDM2 expression was significantly higher in t-FL samples (mean 72% positive; 95% confidence interval (95% CI) 68–76%) than FL (mean 58% positive; 95% CI 54–62%) ( P &lt;0.001) but did not correlate with TP53 status. TP53 mutation has only a limited role in the transformation of FL, exerting a heterogeneous influence upon phenotypic change. In contrast, dysregulation of MDM2 is frequent and may provide a more rational therapeutic target.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>15902285</pmid><doi>10.1038/sj.leu.2403802</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Nature; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects B-cell lymphoma
Biopsy
Cancer
Cancer Research
Cell cycle
Cell Transformation, Neoplastic - genetics
Confidence intervals
Critical Care Medicine
Dentistry
Gene Expression Regulation, Neoplastic
Genetic transformation
Hematology
Heterozygosity
Hospitals
Humans
Immunocytochemistry
Immunohistochemistry
Intensive
Internal Medicine
Leukemia
Loss of Heterozygosity
Lymph nodes
Lymph Nodes - pathology
Lymphatic system
Lymphocytes B
Lymphoma
Lymphoma, B-Cell - pathology
Lymphoma, Follicular - pathology
Lymphoma, Large B-Cell, Diffuse - pathology
MDM2 protein
Medical prognosis
Medical research
Medicine
Medicine & Public Health
Missense mutation
Mutation
Mutation, Missense
Neoplasm Proteins - analysis
Nuclear Proteins - analysis
Oncology
original-manuscript
Patients
Proteins
Proto-Oncogene Proteins - analysis
Proto-Oncogene Proteins c-mdm2
Therapeutic targets
Transformations
Tumor Suppressor Protein p53 - analysis
Tumor Suppressor Protein p53 - genetics
title A limited role for TP53 mutation in the transformation of follicular lymphoma to diffuse large B-cell lymphoma: Lymphoma
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