PMID- 10406898 OWN - NLM STAT- MEDLINE DCOM- 19990824 LR - 20151119 IS - 0390-6078 (Print) IS - 0390-6078 (Linking) VI - 84 IP - 7 DP - 1999 Jul TI - 13q14 deletion in non-Hodgkin's lymphoma: correlation with clinicopathologic features. PG - 589-93 AB - BACKGROUND AND OBJECTIVE: 13q14 deletion frequently occurs as a single anomaly in chronic lymphocytic leukemia (CLL) with favorable prognosis. This study was performed to assess the distribution of 13q14 deletion in non-Hodgkin's lymphoma (NHL) and to analyze its correlation with salient clinicopathologic features. DESIGN AND METHODS: One hundred and twenty-five NHL were analyzed by cytogenetics and by interphase fluorescence in situ hybridization (FISH), using a 13q14 cosmid probe recognizing DNA sequences between the Rb gene and the D13S25 marker. Clinical records all patients were surveyed. RESULTS: A 13q14 rearrangement was present in the stemline in 10 patients; 15 additional cases were shown by FISH to carry 13q14 deletion in 55-90% of the interphase cells, giving a 20% overall incidence for this anomaly. Six of 44 patients had a low-grade NHL, 14/28 had mantle cell lymphoma (MCL), 5/42 had a high grade NHL (p<0.0001). There was not correlation between 13q, karyotype status and complexity. A statistically significant association was found between 13q-, presence of splenomegaly and PB involvement, lower probability of attaining complete remission (CR) and shorter survival. These findings were not simply a function of the association of 13q- with MCL. In multivariate analysis, a complex karyotype had prognostic importance (p=0.0078), along with age (p=0.01), histology (p=0.001), LDH (p=0.03), PS (p=0.001), sex (p=0.03) and splenomegaly (p=0.02). INTERPRETATION AND CONCLUSIONS: 13q14 deletion represented an early chromosome change and showed a preferential association with MCL, though it was found in virtually all principal histologic subtypes, irrespective of clinical stage, karyotype status and complexity. Patients with 13q14 deletions had a low CR rate, suggesting that genes relevant to lymphomagenesis are located in this chromosome segment that warrants molecular cytogenetic investigation. FAU - Cuneo, A AU - Cuneo A AD - Istituto di Ematologia, Universita di Ferrara, via Savonarola 9, 44100 Ferrara, Italy. sse@dns.unife.it FAU - Bigoni, R AU - Bigoni R FAU - Rigolin, G M AU - Rigolin GM FAU - Roberti, M G AU - Roberti MG FAU - Bardi, A AU - Bardi A FAU - Campioni, D AU - Campioni D FAU - Minotto, C AU - Minotto C FAU - Agostini, P AU - Agostini P FAU - Milani, R AU - Milani R FAU - Bullrich, F AU - Bullrich F FAU - Negrini, M AU - Negrini M FAU - Croce, C AU - Croce C FAU - Castoldi, G AU - Castoldi G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (Biomarkers, Tumor) SB - IM MH - *Biomarkers, Tumor MH - *Chromosomes, Human, Pair 13 MH - Gene Rearrangement MH - Genes, Retinoblastoma MH - Humans MH - Karyotyping MH - Lymphoma, Non-Hodgkin/*genetics/physiopathology MH - Multivariate Analysis MH - Prognosis MH - *Sequence Deletion EDAT- 1999/07/16 00:00 MHDA- 1999/07/16 00:01 CRDT- 1999/07/16 00:00 PHST- 1999/07/16 00:00 [pubmed] PHST- 1999/07/16 00:01 [medline] PHST- 1999/07/16 00:00 [entrez] PST - ppublish SO - Haematologica. 1999 Jul;84(7):589-93.