PMID- 38418651 OWN - NLM STAT- MEDLINE DCOM- 20240301 LR - 20240302 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 14 IP - 1 DP - 2024 Feb 29 TI - Long-term monitoring of gastric mucosa-associated lymphoid tissue lymphoma in patients with extra copies of the MALT1 gene. PG - 4953 LID - 10.1038/s41598-024-55663-9 [doi] LID - 4953 AB - The objective of this study was to clarify the long-term prognosis of patients with gastric mucosa-associated lymphoid tissue (MALT) lymphoma with additional copies of MALT1. In this multicenter retrospective study, we enrolled 145 patients with gastric MALT lymphoma who underwent fluorescence in situ hybridization (FISH) analysis to detect t(11;18) translocation. The patient cohort was divided into three groups: Group A (n = 87), comprising individuals devoid of the t(11;18) translocation or extra MALT1 copies; Group B (n = 27), encompassing patients characterized by the presence of the t(11;18) translocation; and Group C (n = 31), including patients with extra MALT1 copies. The clinical outcomes in each cohort were collected. Over the course of a mean follow-up of 8.5 +/- 4.2 years, one patient died of progressive MALT lymphoma, while 15 patients died due to etiologies unrelated to lymphoma. The progression or relapse of MALT lymphoma was observed in 11 patients: three in Group A, two in Group B, and six in Group C. In Groups A, B, and C, the 10-year overall survival rates were 82.5%, 93.8%, and 86.4%, respectively, and the 10-year event-free survival rates were 96.1%, 96.0%, and 82.9%, respectively. The event-free survival rate in Group C was significantly lower than that in Group A. However, no differences were observed in the 10-year event-free survival rates among individuals limited to stage I or II(1) disease (equivalent to excluding patients with stage IV disease in this study, as there were no patients with stage II(2)), with rates of 98.6%, 95.8%, and 92.3% for Groups A, B, and C, respectively. In conclusion, the presence of extra copies of MALT1 was identified as an inferior prognostic determinant of event-free survival. Consequently, trisomy/tetrasomy 18 may serve as an indicator of progression and refractoriness to therapeutic intervention in patients with gastric MALT lymphoma, particularly stage IV gastric MALT lymphoma. CI - (c) 2024. The Author(s). FAU - Iwamuro, Masaya AU - Iwamuro M AD - Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. pr145h2k@okayama-u.ac.jp. FAU - Takenaka, Ryuta AU - Takenaka R AD - Department of Internal Medicine, Tsuyama Chuo Hospital, Tsuyama, 708‑0841, Japan. FAU - Miyahara, Koji AU - Miyahara K AD - Department of Internal Medicine, Hiroshima City Hospital, Hiroshima, 730-8518, Japan. FAU - Okanoue, Shotaro AU - Okanoue S AD - Department of Gastroenterology, Mitoyo General Hospital, Kanonji, 769‑1695, Japan. FAU - Yoshioka, Masao AU - Yoshioka M AD - Department of Internal Medicine, Okayama Saiseikai General Hospital, Okayama, 700‑8511, Japan. FAU - Sakaguchi, Chihiro AU - Sakaguchi C AD - Department of Gastroenterology, Shikoku Cancer Center, Matsuyama, 791-0280, Japan. FAU - Yamamoto, Kumiko AU - Yamamoto K AD - Department of Gastroenterology, Kagawa Prefectural Central Hospital, Takamatsu, 760‑8557, Japan. FAU - Kawai, Yoshinari AU - Kawai Y AD - Department of Gastroenterology, Onomichi Municipal Hospital, Onomichi, 722‑8503, Japan. FAU - Toyokawa, Tatsuya AU - Toyokawa T AD - Department of Gastroenterology, Fukuyama Medical Center, Fukuyama, 720‑8520, Japan. FAU - Tanaka, Takehiro AU - Tanaka T AD - Department of Pathology, Okayama University Hospital, Okayama, 700-8558, Japan. FAU - Otsuka, Motoyuki AU - Otsuka M AD - Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20240229 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - EC 3.4.22.- (MALT1 protein, human) RN - EC 3.4.22.- (Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein) RN - Familial primary gastric lymphoma SB - IM MH - Humans MH - *Lymphoma, B-Cell, Marginal Zone/genetics/pathology MH - In Situ Hybridization, Fluorescence MH - Retrospective Studies MH - Neoplasm Recurrence, Local/genetics MH - Translocation, Genetic MH - Mucosa-Associated Lymphoid Tissue Lymphoma Translocation 1 Protein/genetics MH - *Lymphoma, Non-Hodgkin MH - *Stomach Neoplasms PMC - PMC10902346 OTO - NOTNLM OT - Esophagogastroduodenoscopy OT - Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue OT - Gastric neoplasms OT - Trisomy 18 OT - t(11;18) translocation COIS- The authors declare no competing interests. EDAT- 2024/02/29 00:42 MHDA- 2024/03/01 06:44 PMCR- 2024/02/29 CRDT- 2024/02/28 23:26 PHST- 2023/11/30 00:00 [received] PHST- 2024/02/26 00:00 [accepted] PHST- 2024/03/01 06:44 [medline] PHST- 2024/02/29 00:42 [pubmed] PHST- 2024/02/28 23:26 [entrez] PHST- 2024/02/29 00:00 [pmc-release] AID - 10.1038/s41598-024-55663-9 [pii] AID - 55663 [pii] AID - 10.1038/s41598-024-55663-9 [doi] PST - epublish SO - Sci Rep. 2024 Feb 29;14(1):4953. doi: 10.1038/s41598-024-55663-9.