PMID- 15370207 OWN - NLM STAT- MEDLINE DCOM- 20041221 LR - 20190116 IS - 1042-8194 (Print) IS - 1026-8022 (Linking) VI - 45 IP - 8 DP - 2004 Aug TI - Molecular-cytogenetic characterization of non-Hodgkin's lymphoma with double and cryptic translocations of the immunoglobulin heavy chain gene. PG - 1559-67 AB - The present study aimed to characterize the clinical and molecular-cytogenetic features of non-Hodgkin's lymphoma (NHL) with double translocation of the immunoglobulin heavy chain (IGH) gene. G-banding analysis, fluorescence in situ hybridization (FISH) with the IGH (Cgamma and VH) and oncogene (c-MYC, BCL1, BCL2, and BCL6) probes, and long-distance polymerase chain reaction (LD-PCR) were performed on 6 patients with B-cell lymphoma, one with angioimmunoblastic T-cell lymphoma, and one with acute lymphoblastic leukemia (ALL) with B-cell phenotype. G-banding analysis detected two different 14q32 translocations, t(14,18) and add (14)(q32) in a patient with ALL. Two distinct partners of double IGH translocation identified by FISH were as follows: c-MYC + BCL2 in 3 patients, c-MYC + BCL1 in 2, c-MYC + BCL6 in one, BCL2 + 9q22 in one, and 1q21 + 6q27 in one. Colocalization of BCL1 and c-MYC probes was demonstrated in a patient with mantle cell lymphoma. LD-PCR detected c-MYC/Cmu, c-MYC/Calpha and BCL6/Cmu, and c-MYC/Calpha fusion in each one patient. Seven of 8 patients showed high serum LDH. Central nervous system and leukemic involvement was observed in 5 and 6 patients, respectively. Median survival time of patients with c-MYC/IGH translocation was 9 months. The results defined a clinical subset of B-cell lymphoma/leukemia showing extremely poor prognosis. C-MYC/IGH translocation is possibly an evolutionary alteration following the primary IGH translocation with BCL1, BCL2, or BCL6. Furthermore, FISH identified one novel (9q22) and one cryptic chromosomal breakpoints (6q27) involved in IGH translocation. FAU - Kanda-Akano, Yumiko AU - Kanda-Akano Y AD - Division of Hematology and Oncology, Department of Internal Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan. FAU - Nomura, Kenichi AU - Nomura K FAU - Fujita, Yasuko AU - Fujita Y FAU - Horiike, Shigeo AU - Horiike S FAU - Nishida, Kazuhiro AU - Nishida K FAU - Nagai, Masami AU - Nagai M FAU - Miura, Ikuo AU - Miura I FAU - Nakamura, Shigeo AU - Nakamura S FAU - Seto, Masao AU - Seto M FAU - Iida, Shinsuke AU - Iida S FAU - Ueda, Ryuzo AU - Ueda R FAU - Taniwaki, Masafumi AU - Taniwaki M LA - eng PT - Journal Article PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (DNA-Binding Proteins) RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Proto-Oncogene Proteins c-bcl-6) RN - 0 (Proto-Oncogene Proteins c-myc) RN - 0 (Transcription Factors) RN - 136601-57-5 (Cyclin D1) SB - IM MH - Adult MH - Aged MH - Chromosome Banding MH - Cyclin D1/genetics MH - Cytogenetic Analysis MH - DNA-Binding Proteins/genetics MH - Female MH - Genes, Immunoglobulin/*genetics MH - Humans MH - Immunoglobulin Heavy Chains/*genetics MH - In Situ Hybridization, Fluorescence MH - Lymphoma, B-Cell/*genetics MH - Lymphoma, Follicular/genetics MH - Lymphoma, Mantle-Cell/genetics MH - Lymphoma, T-Cell/*genetics MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - Proto-Oncogene Proteins/genetics MH - Proto-Oncogene Proteins c-bcl-2/genetics MH - Proto-Oncogene Proteins c-bcl-6 MH - Proto-Oncogene Proteins c-myc/genetics MH - Transcription Factors/genetics MH - *Translocation, Genetic EDAT- 2004/09/17 05:00 MHDA- 2004/12/22 09:00 CRDT- 2004/09/17 05:00 PHST- 2004/09/17 05:00 [pubmed] PHST- 2004/12/22 09:00 [medline] PHST- 2004/09/17 05:00 [entrez] AID - YLJW3FXC53N56P00 [pii] AID - 10.1080/10428190310001625674 [doi] PST - ppublish SO - Leuk Lymphoma. 2004 Aug;45(8):1559-67. doi: 10.1080/10428190310001625674.