PMID- 18949449 OWN - NLM STAT- MEDLINE DCOM- 20090414 LR - 20221207 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 88 IP - 5 DP - 2008 Dec TI - BCL10 nuclear expression and t(11;18)(q21;q21) indicate nonresponsiveness to Helicobacter pylori eradication of Chinese primary gastric MALT lymphoma. PG - 516-523 LID - 10.1007/s12185-008-0187-z [doi] AB - The eradication of Helicobacter pylori (H. pylori) with antibiotics induces complete remission in 75% of patients with gastric MALT lymphoma. We investigated the efficacy of H. pylori eradication and assessed the predictive value of BCL10 nuclear expression and t(11;18)(q21;q21) regarding resistance to H. pylori eradication in primary gastric mucosa-associated lymphoid tissue lymphoma (MALT lymphoma) patients from mainland China. Twenty-two gastric MALT cases (Stage I(E)) underwent H. pylori eradication with antibiotics, and sequential endoscopic-bioptic follow-ups were performed and assessed with regular morphologic and immunohistochemical examinations. BCL10 nuclear expression and interphase fluorescence in situ hybridization (FISH) for MALT1 and API2/MALT1 were tested. Thirteen out of the 22 cases (59.1%) achieved complete regression (CR) after the eradication of H. pylori. The longest follow-up period in the 22 patients was 68 months, with 12 patients longer than 24 months. For the 13 CR patients, the longest follow-up period after H. pylori eradication was 53 months, with 6 patients longer than 24 months. BCL10 nuclear expression was detected by immunohistochemical staining in 9 cases, including 7 (77.8%) of 9 cases who showed no response (NR) and 2 (15.4%) of 13 patients who achieved CR following eradication therapy (P < 0.05). t(11;18)(q21;q21) was evaluated by interphase FISH in 18 cases including 11 CR and 7 NR patients after H. pylori eradication. t(11;18)(q21;q21) was found in 4 (57.1%) of 7 patients who showed NR following H. pylori eradication, but one in 11 CR patients (P < 0.05). A total of 59.1% of patients with early gastric MALT lymphoma recruited in this study achieved CR after H. pylori eradication. BCL10 nuclear expression and t(11;18)(q21;q21)-positive gastric MALT lymphomas are likely to be related to a failure to respond to H. pylori eradication in Chinese patients. FAU - Dong, Gehong AU - Dong G AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Liu, Cuiling AU - Liu C AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Ye, Hongtao AU - Ye H AD - Division of Molecular Histopathology, Department of Pathology, University of Cambridge, Cambridge, UK. AD - Department of Pathology, Guilin Medical College, 541004, Guilin, People's Republic of China. FAU - Gong, Liping AU - Gong L AD - Department of Pathology, Capital Medical University, 100069, Beijing, People's Republic of China. FAU - Zheng, Jie AU - Zheng J AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Li, Min AU - Li M AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Huang, Xin AU - Huang X AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Huang, Xuebiao AU - Huang X AD - Department of Digestive Disease, Peking University Third Hospital, 100191, Beijing, People's Republic of China. FAU - Huang, Yuanjie AU - Huang Y AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Shi, Yunfei AU - Shi Y AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Yin, Wenjuan AU - Yin W AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. FAU - Gao, Zifen AU - Gao Z AD - Department of Pathology, Peking University Health Science Center, 100191, Beijing, People's Republic of China. wjshgao@bjmu.edu.cn. LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081024 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Anti-Bacterial Agents) RN - 0 (B-Cell CLL-Lymphoma 10 Protein) RN - 0 (BCL10 protein, human) SB - IM MH - Adaptor Proteins, Signal Transducing/*biosynthesis/genetics MH - Adolescent MH - Adult MH - Aged MH - Anti-Bacterial Agents/administration & dosage MH - Asian People MH - B-Cell CLL-Lymphoma 10 Protein MH - China MH - Chromosomes, Human, Pair 11/genetics/metabolism MH - Chromosomes, Human, Pair 18/genetics/metabolism MH - Female MH - Follow-Up Studies MH - *Gene Expression Regulation, Neoplastic/drug effects MH - Helicobacter Infections/drug therapy/genetics/*metabolism/mortality/pathology MH - *Helicobacter pylori MH - Humans MH - Lymphoma, B-Cell, Marginal Zone/drug therapy/genetics/*metabolism/microbiology/mortality/pathology MH - Male MH - Middle Aged MH - Stomach Neoplasms/drug therapy/genetics/*metabolism/microbiology/mortality/pathology MH - Translocation, Genetic EDAT- 2008/10/25 09:00 MHDA- 2009/04/15 09:00 CRDT- 2008/10/25 09:00 PHST- 2008/02/02 00:00 [received] PHST- 2008/09/19 00:00 [accepted] PHST- 2008/09/18 00:00 [revised] PHST- 2008/10/25 09:00 [pubmed] PHST- 2009/04/15 09:00 [medline] PHST- 2008/10/25 09:00 [entrez] AID - 10.1007/s12185-008-0187-z [pii] AID - 10.1007/s12185-008-0187-z [doi] PST - ppublish SO - Int J Hematol. 2008 Dec;88(5):516-523. doi: 10.1007/s12185-008-0187-z. Epub 2008 Oct 24.