PMID- 24118498 OWN - NLM STAT- MEDLINE DCOM- 20140731 LR - 20131216 IS - 1600-0609 (Electronic) IS - 0902-4441 (Linking) VI - 92 IP - 1 DP - 2014 Jan TI - MYC translocation partner gene determines survival of patients with large B-cell lymphoma with MYC- or double-hit MYC/BCL2 translocations. PG - 42-8 LID - 10.1111/ejh.12212 [doi] AB - In large B-cell lymphoma (LBCL) MYC- and MYC/BCL2 double-hit (DH) translocations have been associated with inferior survival. We hypothesised that the negative prognostic impact of MYC translocation was determined by an immunoglobulin MYC translocation partner gene (IG-MYC), as opposed to a non-immunoglobulin partner gene (nonIG-MYC). In a prospective, unselected cohort of 237 LBCL patients MYC and BCL2 translocations were identified by fluorescent in situ hybridisation (FISH) with split probes. MYC translocation partner gene was identified by IGH/MYC fusion probes and/or kappa/lambda split probes. Clinical data were collected from patient files. MYC translocation was identified in 28/225 patients. IG-MYC translocation partner gene was identified in 12/24 patients. DH translocation was identified in 23/228 patients. IG-MYC translocation partner gene was identified in 9/19 DH patients. Neither MYC-nor DH translocation showed correlation with survival. However, MYC translocation with IG-MYC translocation partner gene was associated with worse OS compared with both MYC translocation with nonIG-MYC translocation partner gene (P = 0.02) as well as absence of MYC translocation (P = 0.03). In patients with DH a similar, however, stronger correlation was seen (P = 0.003 and P = 0.0004 respectively). MYC - or DH translocation with nonIG-MYC translocation partner gene was not associated with worse overall survival (P = 0.2 and P = 0.3 respectively). Most patients received Rituximab (86%) and CHOP/CHOP-like chemotherapy regimes (81%). We suggest that prognostic stratification of LBCL patients by MYC and/or DH translocations should include identification of MYC translocation partner gene because approximately half of the cases harbour nonIG-MYC translocation partner genes with no or minor influence on survival. CI - (c) 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Pedersen, Mette O AU - Pedersen MO AD - Department of Pathology, Herlev University Hospital, University of Copenhagen, Herlev, Denmark. FAU - Gang, Anne O AU - Gang AO FAU - Poulsen, Tim S AU - Poulsen TS FAU - Knudsen, Helle AU - Knudsen H FAU - Lauritzen, Anne F AU - Lauritzen AF FAU - Nielsen, Signe L AU - Nielsen SL FAU - Klausen, Tobias W AU - Klausen TW FAU - Norgaard, Peter AU - Norgaard P LA - eng PT - Journal Article DEP - 20131111 PL - England TA - Eur J Haematol JT - European journal of haematology JID - 8703985 SB - IM MH - Aged MH - Aged, 80 and over MH - *Genes, bcl-2 MH - *Genes, myc MH - Humans MH - Lymphoma, Large B-Cell, Diffuse/diagnosis/drug therapy/*genetics/*mortality MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - *Translocation, Genetic OTO - NOTNLM OT - BCL2 genes OT - MYC genes OT - MYC translocation partner genes OT - chromosomal translocation OT - diffuse large B-cell lymphoma OT - double-hit EDAT- 2013/10/15 06:00 MHDA- 2014/08/01 06:00 CRDT- 2013/10/15 06:00 PHST- 2013/10/08 00:00 [accepted] PHST- 2013/10/15 06:00 [entrez] PHST- 2013/10/15 06:00 [pubmed] PHST- 2014/08/01 06:00 [medline] AID - 10.1111/ejh.12212 [doi] PST - ppublish SO - Eur J Haematol. 2014 Jan;92(1):42-8. doi: 10.1111/ejh.12212. Epub 2013 Nov 11.