PMID- 21631271 OWN - NLM STAT- MEDLINE DCOM- 20110809 LR - 20211203 IS - 1543-2165 (Electronic) IS - 0003-9985 (Linking) VI - 135 IP - 6 DP - 2011 Jun TI - Uniform expression of Notch1, suppressor of B-cell-specific gene expression, in plasmablastic lymphoma. PG - 770-5 AB - CONTEXT: Although the loss of B-lineage-specific gene expression is a distinctive feature of plasmablastic lymphoma, the underlying mechanism remains poorly understood. A candidate for this mechanism is Notch1 signaling, which interferes with the activity of B-cell-specific transcription factors E2A and early B-cell factor and positively regulates the mammalian target of rapamycin (mTOR) pathway. OBJECTIVE: To explore the mechanism of loss of B-cell phenotype by correlating expression of B-cell markers with that of Notch1 and downstream targets of the mTOR pathway in plasmablastic lymphoma. DESIGN: A combination of flow cytometric and immunohistochemical immunophenotyping techniques was used on 9 cases of plasmablastic lymphoma to correlate loss of B-cell markers with expression of Notch1 and downstream activation of the mTOR pathway. These results are compared with 5 cases of primary effusion lymphoma and 21 cases of plasma cell myeloma. RESULTS: Plasmablastic lymphoma cases exhibit nearly complete loss of B-cell-associated markers and uniform expression of Notch1, with a predominantly nuclear staining pattern. There is a concurrent activation of the mTOR pathway, indicated by expression of mTOR targets eukaryotic initiation factor 4E-binding protein 1 and phosphorylated ribosomal protein S6 in most cases. Similar results are seen in cases of primary effusion lymphoma and plasma cell myeloma. CONCLUSIONS: These findings suggest that activation of Notch1 may be involved in suppression of B-cell-specific gene expression and global loss of the B-cell phenotype in plasmablastic lymphoma, similar to primary effusion lymphoma and plasma cell myeloma. Thus, there might be a role for the Notch1 and mTOR pathways in the pathogenesis and therapy of plasmablastic lymphoma. FAU - Seegmiller, Adam C AU - Seegmiller AC AD - Department of Pathology, University of Texas Southwestern Medical Center at Dallas, USA. FAU - Wang, Huan-You AU - Wang HY FAU - Hladik, Christa AU - Hladik C FAU - Chen, Weina AU - Chen W LA - eng PT - Journal Article PL - United States TA - Arch Pathol Lab Med JT - Archives of pathology & laboratory medicine JID - 7607091 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (Anti-HIV Agents) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Biomarkers, Tumor) RN - 0 (Cell Cycle Proteins) RN - 0 (EIF4EBP1 protein, human) RN - 0 (Lymphokines) RN - 0 (NOTCH1 protein, human) RN - 0 (Phosphoproteins) RN - 0 (Receptor, Notch1) RN - 0 (TCF3 protein, human) RN - 0 (suppressive B cell factor) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Adaptor Proteins, Signal Transducing/metabolism MH - Adult MH - Anti-HIV Agents/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Antiretroviral Therapy, Highly Active/methods MH - Basic Helix-Loop-Helix Transcription Factors/metabolism MH - Biomarkers, Tumor/*metabolism MH - Cell Cycle Proteins MH - Female MH - Flow Cytometry MH - HIV Seropositivity MH - Humans MH - Immunohistochemistry MH - Immunophenotyping MH - Lymphokines/*genetics MH - Lymphoma, Large-Cell, Immunoblastic/drug therapy/*metabolism/pathology MH - Lymphoma, Primary Effusion/metabolism/pathology MH - Male MH - Middle Aged MH - Multiple Myeloma/metabolism/pathology MH - Phosphoproteins/metabolism MH - Plasma Cells/*pathology MH - Receptor, Notch1/*metabolism MH - TOR Serine-Threonine Kinases/metabolism EDAT- 2011/06/03 06:00 MHDA- 2011/08/10 06:00 CRDT- 2011/06/03 06:00 PHST- 2011/06/03 06:00 [entrez] PHST- 2011/06/03 06:00 [pubmed] PHST- 2011/08/10 06:00 [medline] AID - 10.1043/2009-0691-OA.1 [pii] AID - 10.5858/2009-0691-OA.1 [doi] PST - ppublish SO - Arch Pathol Lab Med. 2011 Jun;135(6):770-5. doi: 10.5858/2009-0691-OA.1.