Germinal center and activated B-cell profiles separate burkitt lymphoma and diffuse large B-cell lymphoma in AIDS and non-AIDS cases

Morphologic features of Burkitt lymphoma (BL) and diffuse large B-cell lymphoma (DLBCL) overlap. No single phenotypic marker or molecular abnormality is pathognomonic. We tested a panel of 8 germinal center (GC) and activated B-cell (ABC) markers for their ability to separate BL and DLBCL. We diagno...

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Veröffentlicht in:American journal of clinical pathology 2005-11, Vol.124 (5), p.790-798
Hauptverfasser: GORMLEY, Robert P, MADAN, Rashna, RAMESH, K. H, PULIJAAL, Venkat, CAUUIZZARO, Linda, WALSH, Daniel, IOACHIM, Harry L, RATECH, Howard, DULAU, Alina E, DONGSHENG XU, TAMAS, Ecaterina F, BHATTACHARYYA, Pritish K, LEVALLEY, Aaron, XIAONAN XUE, KUMAR, Pankaj, SPARANO, Joseph
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container_issue 5
container_start_page 790
container_title American journal of clinical pathology
container_volume 124
creator GORMLEY, Robert P
MADAN, Rashna
RAMESH, K. H
PULIJAAL, Venkat
CAUUIZZARO, Linda
WALSH, Daniel
IOACHIM, Harry L
RATECH, Howard
DULAU, Alina E
DONGSHENG XU
TAMAS, Ecaterina F
BHATTACHARYYA, Pritish K
LEVALLEY, Aaron
XIAONAN XUE
KUMAR, Pankaj
SPARANO, Joseph
description Morphologic features of Burkitt lymphoma (BL) and diffuse large B-cell lymphoma (DLBCL) overlap. No single phenotypic marker or molecular abnormality is pathognomonic. We tested a panel of 8 germinal center (GC) and activated B-cell (ABC) markers for their ability to separate BL and DLBCL. We diagnosed 16 BL and 39 DLBCL cases from 21 patients with AIDS and 34 without AIDS based on traditional morphologic criteria, Ki-67 proliferative index, and c-myc rearrangement (fluorescence in situ hybridization). After immunohistochemically staining tissue microarrays of BL and DLBCL for markers of GC (bcl-6, CD10, cyclin H) and ABC (MUM1, CD138, PAK1, CD44, bcl-2), we scored each case for the percentage of positive cells. Hierarchical clustering yielded 2 major clusters significantly associated with morphologic diagnosis (P < .001). For comparison, we plotted the sum of the GC scores and ABC scores for each case as x and y data points. This revealed a high-GC/low-ABC group and a low-GC/high-ABC group that were associated significantly with morphologic diagnosis (P < .001). Protein expression of multiple GC and ABC markers can separate BL and DLBCL.
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We diagnosed 16 BL and 39 DLBCL cases from 21 patients with AIDS and 34 without AIDS based on traditional morphologic criteria, Ki-67 proliferative index, and c-myc rearrangement (fluorescence in situ hybridization). After immunohistochemically staining tissue microarrays of BL and DLBCL for markers of GC (bcl-6, CD10, cyclin H) and ABC (MUM1, CD138, PAK1, CD44, bcl-2), we scored each case for the percentage of positive cells. Hierarchical clustering yielded 2 major clusters significantly associated with morphologic diagnosis (P &lt; .001). For comparison, we plotted the sum of the GC scores and ABC scores for each case as x and y data points. This revealed a high-GC/low-ABC group and a low-GC/high-ABC group that were associated significantly with morphologic diagnosis (P &lt; .001). 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No single phenotypic marker or molecular abnormality is pathognomonic. We tested a panel of 8 germinal center (GC) and activated B-cell (ABC) markers for their ability to separate BL and DLBCL. We diagnosed 16 BL and 39 DLBCL cases from 21 patients with AIDS and 34 without AIDS based on traditional morphologic criteria, Ki-67 proliferative index, and c-myc rearrangement (fluorescence in situ hybridization). After immunohistochemically staining tissue microarrays of BL and DLBCL for markers of GC (bcl-6, CD10, cyclin H) and ABC (MUM1, CD138, PAK1, CD44, bcl-2), we scored each case for the percentage of positive cells. Hierarchical clustering yielded 2 major clusters significantly associated with morphologic diagnosis (P &lt; .001). For comparison, we plotted the sum of the GC scores and ABC scores for each case as x and y data points. This revealed a high-GC/low-ABC group and a low-GC/high-ABC group that were associated significantly with morphologic diagnosis (P &lt; .001). 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Myelofibrosis</subject><subject>Lymphocyte Activation</subject><subject>Lymphoma, AIDS-Related - diagnosis</subject><subject>Lymphoma, AIDS-Related - immunology</subject><subject>Lymphoma, AIDS-Related - pathology</subject><subject>Lymphoma, B-Cell - diagnosis</subject><subject>Lymphoma, B-Cell - immunology</subject><subject>Lymphoma, B-Cell - pathology</subject><subject>Lymphoma, Large B-Cell, Diffuse - diagnosis</subject><subject>Lymphoma, Large B-Cell, Diffuse - immunology</subject><subject>Lymphoma, Large B-Cell, Diffuse - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. 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subjects Adolescent
Adult
Aged
B-Lymphocytes - immunology
Biological and medical sciences
Burkitt Lymphoma - diagnosis
Burkitt Lymphoma - immunology
Burkitt Lymphoma - pathology
Child
Child, Preschool
Diagnosis, Differential
Female
Germinal Center - immunology
Hematologic and hematopoietic diseases
Humans
Immunohistochemistry
Investigative techniques, diagnostic techniques (general aspects)
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphocyte Activation
Lymphoma, AIDS-Related - diagnosis
Lymphoma, AIDS-Related - immunology
Lymphoma, AIDS-Related - pathology
Lymphoma, B-Cell - diagnosis
Lymphoma, B-Cell - immunology
Lymphoma, B-Cell - pathology
Lymphoma, Large B-Cell, Diffuse - diagnosis
Lymphoma, Large B-Cell, Diffuse - immunology
Lymphoma, Large B-Cell, Diffuse - pathology
Male
Medical sciences
Middle Aged
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Retrospective Studies
title Germinal center and activated B-cell profiles separate burkitt lymphoma and diffuse large B-cell lymphoma in AIDS and non-AIDS cases
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