PMID- 18618503 OWN - NLM STAT- MEDLINE DCOM- 20080829 LR - 20240417 IS - 1545-5017 (Electronic) IS - 1545-5009 (Print) IS - 1545-5009 (Linking) VI - 51 IP - 4 DP - 2008 Oct TI - Characterization of childhood precursor T-lymphoblastic lymphoma by immunophenotyping and fluorescent in situ hybridization: a report from the Children's Oncology Group. PG - 489-94 LID - 10.1002/pbc.21666 [doi] AB - BACKGROUND: T-lymphoblastic lymphoma (T-LBL) accounts for 25-30% of childhood non-Hodgkin's lymphoma and is closely related to T-lymphoblastic leukemia (T-ALL). Recently, we demonstrated distinct differences in gene expression between childhood T-LBL and T-ALL, but molecular pathogenesis and relevant protein expression patterns in T-LBL remain poorly understood. PROCEDURE: Children with T-LBL with disseminated disease were registered and treated on COG protocol 5971. Paraffin-embedded tumor tissue was obtained at diagnosis for immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH) studies. We determined the pattern and intensity of staining for c-Myc, Skp2, Mib-1, p53, TCL-1, bcl-2, and bcl-6 proteins by IHC and c-Myc, p53, bcl-2, bcl-6, and TCR alpha/delta molecular alterations by FISH in 22 pediatric T-LBL cases. RESULTS: The majority of T-LBL samples expressed Mib-1 (59%) and c-Myc (77%) proteins in greater than 50% of the cells, but Skp2 (14%), p53 (14%), and bcl-2 (23%) expression was less common. FISH studies demonstrated 18% gains and 10% losses in c-Myc, 16% gains in p53, 12% gains and 6% losses in bcl-2, and 6% gains and 19% losses in bcl-6 with little direct correlation between the IHC and FISH studies. CONCLUSIONS: Childhood T-LBL is a highly proliferative tumor associated with enhanced expression of c-Myc protein, but without detectable c-Myc molecular alterations. FISH studies did not identify consistent etiologies of molecular dysregulation, and future studies with other molecular approaches may be required to elucidate the molecular pathogenesis of childhood T-LBL. CI - (c) 2008 Wiley-Liss, Inc. FAU - Smock, Kristi J AU - Smock KJ AD - Department of Pathology, University of Utah Health Sciences Center, ARUP Laboratories, Salt Lake City, Utah, USA. FAU - Nelson, Marilu AU - Nelson M FAU - Tripp, Sheryl R AU - Tripp SR FAU - Sanger, Warren G AU - Sanger WG FAU - Abromowitch, Minnie AU - Abromowitch M FAU - Cairo, Mitchell S AU - Cairo MS FAU - Perkins, Sherrie L AU - Perkins SL CN - Children's Oncology Group LA - eng GR - U10 CA098413-05/CA/NCI NIH HHS/United States GR - U10 CA098543/CA/NCI NIH HHS/United States GR - U10 CA098543-06/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Pediatr Blood Cancer JT - Pediatric blood & cancer JID - 101186624 SB - IM MH - Child MH - Humans MH - Immunohistochemistry MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - Medical Oncology MH - Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/*classification/immunology/metabolism/*pathology PMC - PMC2712233 MID - NIHMS123020 EDAT- 2008/07/12 09:00 MHDA- 2008/08/30 09:00 PMCR- 2009/10/01 CRDT- 2008/07/12 09:00 PHST- 2008/07/12 09:00 [pubmed] PHST- 2008/08/30 09:00 [medline] PHST- 2008/07/12 09:00 [entrez] PHST- 2009/10/01 00:00 [pmc-release] AID - 10.1002/pbc.21666 [doi] PST - ppublish SO - Pediatr Blood Cancer. 2008 Oct;51(4):489-94. doi: 10.1002/pbc.21666.