PMID- 22726922 OWN - NLM STAT- MEDLINE DCOM- 20121008 LR - 20181201 IS - 1873-5835 (Electronic) IS - 0145-2126 (Linking) VI - 36 IP - 9 DP - 2012 Sep TI - Extra copies of ALK gene locus is a recurrent genetic aberration and favorable prognostic factor in both ALK-positive and ALK-negative anaplastic large cell lymphomas. PG - 1141-6 LID - 10.1016/j.leukres.2012.06.005 [doi] AB - Systemic anaplastic large cell lymphoma (ALCL) is subtyped into ALK-positive ALCL and ALK-negative ALCL based on the presence or absence of ALK protein expression. ALK-positive ALCL is characterized by t(2;5)(p23;q35)/NPM-ALK or variant ALK-involved translocations, while little is known about the genetic changes in ALK-negative ALCL. We investigated the structural and numerical aberrations of the ALK gene using interphase fluorescence in situ hybridization (FISH) in 81 cases with ALCL and analyzed their association with clinical outcome of the patients. ALK gene rearrangement was found in 47 of 50 (94%) ALK-positive ALCLs but in none of 31 ALK-negative ALCLs. Extra copies of the ALK gene locus, representing mainly extra copies of chromosome 2, were seen in 19 ALK-positive (38%) and 15 ALK-negative (48%) cases (P=0.357). In 55 cases with follow-up information, the mean survival time of the 38 ALK positive cases (58 months) was significantly longer than that of 17 ALK-negative cases (22.5 months) (P=0.038). Interestingly, the cases with extra copies of ALK had a significantly longer mean survival time than those without (64.4 months vs 35.3 months) (P=0.023) and this difference was observed in both ALK-positive (72.3 vs 45.9 months) and ALK-negative (34.7 vs 9.9 months) cases. Multivariate analysis showed that both ALK protein expression and extra copies of ALK gene were independent predictors for better survival (P=0.008). Our results suggest that the extra copies of ALK gene locus are a frequent genetic aberration in both ALK-positive and ALK-negative ALCL and is a favorable prognostic marker for the patients. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Yu, Ran AU - Yu R AD - Department of Pathology, Basic Medical College, Capital Medical University, Beijing, China. FAU - Chen, Gang AU - Chen G FAU - Zhou, Chunju AU - Zhou C FAU - Gao, Zifen AU - Gao Z FAU - Shi, Yunfei AU - Shi Y FAU - Shi, Yan AU - Shi Y FAU - Zhou, Xiaoge AU - Zhou X FAU - Xie, Jianlan AU - Xie J FAU - Liu, Hongxiang AU - Liu H FAU - Gong, Liping AU - Gong L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120620 PL - England TA - Leuk Res JT - Leukemia research JID - 7706787 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Anaplastic Lymphoma Kinase MH - Child MH - Child, Preschool MH - Cohort Studies MH - *DNA Copy Number Variations/genetics/physiology MH - Female MH - Gene Dosage MH - Gene Frequency MH - Genetic Loci MH - Genetic Predisposition to Disease MH - Humans MH - Infant MH - Lymphoma, Large-Cell, Anaplastic/*diagnosis/*genetics MH - Male MH - Middle Aged MH - Prognosis MH - Receptor Protein-Tyrosine Kinases/*genetics MH - Young Adult EDAT- 2012/06/26 06:00 MHDA- 2012/10/09 06:00 CRDT- 2012/06/26 06:00 PHST- 2012/03/19 00:00 [received] PHST- 2012/06/01 00:00 [revised] PHST- 2012/06/03 00:00 [accepted] PHST- 2012/06/26 06:00 [entrez] PHST- 2012/06/26 06:00 [pubmed] PHST- 2012/10/09 06:00 [medline] AID - S0145-2126(12)00263-9 [pii] AID - 10.1016/j.leukres.2012.06.005 [doi] PST - ppublish SO - Leuk Res. 2012 Sep;36(9):1141-6. doi: 10.1016/j.leukres.2012.06.005. Epub 2012 Jun 20.