PMID- 16041261 OWN - NLM STAT- MEDLINE DCOM- 20050825 LR - 20220316 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 80 IP - 2 DP - 2005 Jul 27 TI - Characteristic pattern of chromosomal imbalances in posttransplantation lymphoproliferative disorders: correlation with histopathological subcategories and EBV status. PG - 176-84 AB - BACKGROUND: Posttransplantation lymphoproliferative disorders (PTLDs) are a spectrum of lymphoid proliferations, occurring in immunosuppressed organ transplant recipients. They comprise early lesions, polymorphic (P-PTLD), monomorphic (M-PTLD), and Hodgkin/Hodgkin-like lymphoma PTLD (HL-PTLD) lesions. Most of them are associated with Epstein-Barr virus (EBV). Little is known about their genetic changes. MATERIALS AND METHODS: We have studied 35 PTLDs[7 P-PTLDs (3/7 polyclonal IgH), 26 M-PTLDs (22 B-cell PTLD, 4 T-cell PTLD), 2 HL-PTLDs], using comparative genomic hybridization (CGH), a DNA-based technique allowing a screening of chromosomal imbalances without needing cultured cells. RESULTS.: Overall incidence of chromosomal imbalances: 51.5 %. The most frequent gains involved 8q24, 3q27 [4 cases each]; 2p24p25, 5p, 9q22q34, 11, 12q22q24, 14q32, 17q, 18q21 [2 cases each]. Nonrandom losses were 17p13 [4 cases]; 1p36, 4q [3 cases each]; 17q23q25, Xp [2 cases each]. Three high-level amplifications were detected: 4p16, 9p22p24, 18q21q23. In this latter imbalance, involvement of Bcl2 has been confirmed by FISH. The nonrandom CGH imbalances occurring in M-PTLD are usually described in lymphomas of immunocompetent patients and contain genes known to be involved in lymphomagenesis, while genomic abnormalities detected in half cases of EBV positive P-PTLD are mostly unknown. CONCLUSION: This study reported nonrandom chromosomal imbalances in PTLD and also identified early genomic alterations in EBV positive P-PTLD. These results raise two questions: the role of such lesions in the development and progression of those EBV induced-lymphoproliferations and their clinical significance especially in P-PTLD. FAU - Poirel, Helene A AU - Poirel HA AD - Centre de genetique, Hematological section of the Center of Human Genetics, Cliniques Universitaires St-Luc-UCL, Bruxelles, Belgium. FAU - Bernheim, Alain AU - Bernheim A FAU - Schneider, Anouck AU - Schneider A FAU - Meddeb, Mounira AU - Meddeb M FAU - Choquet, Sylvain AU - Choquet S FAU - Leblond, Veronique AU - Leblond V FAU - Charlotte, Frederic AU - Charlotte F FAU - Davi, Frederic AU - Davi F FAU - Canioni, Danielle AU - Canioni D FAU - Macintyre, Elizabeth AU - Macintyre E FAU - Mamzer-Bruneel, Marie-France AU - Mamzer-Bruneel MF FAU - Hirsch, Isabelle AU - Hirsch I FAU - Hermine, Olivier AU - Hermine O FAU - Martin, Antoine AU - Martin A FAU - Cornillet-Lefebvre, Pascale AU - Cornillet-Lefebvre P FAU - Patey, Martine AU - Patey M FAU - Toupance, Olivier AU - Toupance O FAU - Kemeny, Jean-Louis AU - Kemeny JL FAU - Deteix, Patrice AU - Deteix P FAU - Raphael, Martine AU - Raphael M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Transplantation JT - Transplantation JID - 0132144 RN - 0 (Receptors, Antigen, T-Cell) SB - IM MH - Adult MH - Child MH - Child, Preschool MH - Chromosomal Instability/*genetics MH - Chromosome Mapping MH - Epstein-Barr Virus Infections/epidemiology MH - Female MH - Gene Rearrangement MH - Genes, Immunoglobulin MH - Herpesvirus 4, Human/*isolation & purification MH - Humans MH - Immunophenotyping MH - Infant MH - Lymphoproliferative Disorders/*genetics/pathology/virology MH - Male MH - Middle Aged MH - Organ Transplantation/*adverse effects MH - Postoperative Complications/physiopathology/virology MH - Receptors, Antigen, T-Cell/genetics MH - Transplantation Immunology EDAT- 2005/07/26 09:00 MHDA- 2005/08/27 09:00 CRDT- 2005/07/26 09:00 PHST- 2005/07/26 09:00 [pubmed] PHST- 2005/08/27 09:00 [medline] PHST- 2005/07/26 09:00 [entrez] AID - 00007890-200507270-00004 [pii] AID - 10.1097/01.tp.0000163288.98419.0d [doi] PST - ppublish SO - Transplantation. 2005 Jul 27;80(2):176-84. doi: 10.1097/01.tp.0000163288.98419.0d.