PMID- 27115168 OWN - NLM STAT- MEDLINE DCOM- 20171102 LR - 20181113 IS - 1944-7930 (Electronic) IS - 1539-6509 (Print) IS - 1539-6509 (Linking) VI - 21 IP - 115 DP - 2016 Mar TI - Integrating understanding of epidemiology and genomics in B-cell non-Hodgkin lymphoma as a pathway to novel management strategies. PG - 181-8 AB - Non-Hodgkin lymphomas include a biologically and clinically heterogeneous group of cancers distinguished by genetics, histology, and treatment outcomes. New discoveries regarding the genomic alterations and epidemiological exposures associated with these lymphomas have enhanced our understanding of factors that contribute to lymphomagenesis for specific subtypes. We explore the impact of normal B-cell biology engineered for recognizing a wide variety of antigens on the development of specific lymphoma subtypes, review lymphoma genetics, and examine the epidemiology of B-cell NHLs including recent investigations of risk factors for particular lymphoma subtypes based on large pooled analyses. Burkitt lymphoma, an aggressive form of B-cell NHL involving translocation of the MYC gene and an immunoglobulin gene has been associated with a history of eczema, hepatitis C, and occupation as a cleaner. Increased risk of diffuse large B-cell lymphoma has been associated with increased young adult body mass index, history of B-cell-activating autoimmune diseases, hepatitis C, and several single nucleotide variants involving the human leukocyte antigen (HLA) region of chromosome 6 and non-HLA loci near EXOC2, PVT1, MYC, and NCOA1. Tumor sequencing studies suggest that multiple pathways are involved in the development of DLBCL. Additional studies of epidemiological exposures, genome wide associations, and tumor sequencing in follicular, lymphoplasmacytic, marginal zone, and mantle cell lymphoma demonstrate overlapping areas of increased risk factors and unique factors for specific subtypes. Integrating these findings is important for constructing comprehensive models of NHL pathogenesis, which could yield novel targets for therapy and strategies for lymphoma prevention in certain populations. FAU - Glass, Samantha AU - Glass S AD - University of Illinois at Chicago School of Medicine, Chicago, IL 60607, USA. FAU - Phan, Anh AU - Phan A AD - Lymphoma Program, Department of Hematology/Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - Williams, Jessica N AU - Williams JN AD - Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. FAU - Flowers, Christopher R AU - Flowers CR AD - Lymphoma Program, Department of Hematology/Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - Koff, Jean L AU - Koff JL AD - Lymphoma Program, Department of Hematology/Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA 30322, USA. LA - eng GR - R21 CA158686/CA/NCI NIH HHS/United States GR - U01 CA195568/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Discov Med JT - Discovery medicine JID - 101250006 RN - 0 (EXOC2 protein, human) RN - 0 (HLA Antigens) RN - 0 (MYC protein, human) RN - 0 (PVT1 long-non-coding RNA, human) RN - 0 (Proto-Oncogene Proteins c-myc) RN - 0 (RNA, Long Noncoding) RN - 0 (Vesicular Transport Proteins) RN - EC 2.3.1.48 (NCOA1 protein, human) RN - EC 2.3.1.48 (Nuclear Receptor Coactivator 1) SB - IM MH - Adaptive Immunity MH - B-Lymphocytes/*immunology MH - Cell Transformation, Neoplastic/genetics MH - Chromosomes, Human, Pair 6/genetics MH - Exome MH - Genomics MH - HLA Antigens/genetics MH - Humans MH - Lymphoma, B-Cell/*epidemiology/*genetics/therapy MH - Lymphoma, Non-Hodgkin/*epidemiology/*genetics/therapy MH - Mutation MH - Nuclear Receptor Coactivator 1/genetics MH - Polymorphism, Single Nucleotide MH - Proto-Oncogene Proteins c-myc/genetics MH - RNA, Long Noncoding/genetics MH - Risk Factors MH - Sequence Analysis, DNA MH - Translocation, Genetic MH - Vesicular Transport Proteins/genetics PMC - PMC5754270 MID - NIHMS927149 COIS- Disclosure The authors report no conflicts of interest. EDAT- 2016/04/27 06:00 MHDA- 2017/11/03 06:00 PMCR- 2018/01/05 CRDT- 2016/04/27 06:00 PHST- 2016/04/27 06:00 [entrez] PHST- 2016/04/27 06:00 [pubmed] PHST- 2017/11/03 06:00 [medline] PHST- 2018/01/05 00:00 [pmc-release] PST - ppublish SO - Discov Med. 2016 Mar;21(115):181-8.