PMID- 9684923 OWN - NLM STAT- MEDLINE DCOM- 19980922 LR - 20220310 IS - 1042-8194 (Print) IS - 1026-8022 (Linking) VI - 29 IP - 3-4 DP - 1998 Apr TI - The t(2;5) in human lymphomas. PG - 249-56 AB - A recurrent, reciprocal balanced translocation, t(2;5) (p23;q35), has been recognized in CD30+ anaplastic large-cell lymphomas (ALCL), a newly recognized subtype comprising approximately 5% of all non-Hodgkin's lymphoma (NHL). This translocation creates a novel fusion protein, NPM-ALK, which has transforming properties in vitro and can cause large-cell lymphoma in vivo when transfected into murine bone marrow. Multiple techniques including reverse transcriptase-polymerase chain reaction (RT-PCR) amplification of NPM-ALK fusion transcripts, genomic DNA-PCR, RNA in situ hybridization, and fluorescence in situ hybridization (FISH) of metaphase chromosomes and interphase nuclei, and immunohistochemical detection of the 80 kilodalton protein (p80) derived from the NPM-ALK fusion have enabled surveys of normal and lymphoma tissues for evidence of the translocation. These studies suggest that expression of ALK protein, a novel orphan receptor tyrosine kinase, is normally confined to the nervous system. In lymphoma, NPM-ALK expression is most often seen in young patients with the monomorphic or small-cell variant of ALCL who present with advanced stage disease and have tumors with a CD30+, T- or null-cell phenotype. It is less frequently detected in older patients and in ALCL of pleomorphic histology. In addition, expression of NPM-ALK has been found in occasional CD30 negative B-cell lymphomas with diffuse large cell or immunoblastic histology. NPM-ALK is rarely, if ever, detected in Hodgkin's disease or secondary ALCL. Although initially found in primary nodal ALCL, recent studies suggest that NPM-ALK expression may occur in lymphoma at extranodal sites, including the skin; it remains controversial, however, whether CD30+ primary cutaneous lymphoma and its benign counterpart, lymphomatoid papulosis (LyP), express NPM-ALK in some cases. A retrospective study has suggested that expression of NPM-ALK is associated with a better overall 5-year survival; these results must be confirmed in prospective studies of patients with uniform staging and therapy to more fully understand the clinical significance of the t(2;5) and its novel chimeric protein, NPM-ALK. FAU - Kadin, M E AU - Kadin ME AD - Department of Pathology, Beth Israel Hospital and Harvard Medical School, Boston, MA 02115, USA. mkadin@bidmc.harvard.edu FAU - Morris, S W AU - Morris SW LA - eng GR - CA 01702/CA/NCI NIH HHS/United States GR - CA 69129/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Neoplasm Proteins) RN - EC 2.7.1.- (p80(NPM-ALK) protein) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Anaplastic Lymphoma Kinase MH - Chromosomes, Human, Pair 2/*genetics MH - Chromosomes, Human, Pair 5/*genetics MH - Humans MH - Lymphoma, Large-Cell, Anaplastic/*genetics/metabolism MH - Neoplasm Proteins/*genetics MH - Protein-Tyrosine Kinases/*genetics/metabolism MH - Receptor Protein-Tyrosine Kinases MH - Skin Neoplasms/genetics/metabolism MH - Translocation, Genetic/*genetics RF - 52 EDAT- 1998/07/31 00:00 MHDA- 1998/07/31 00:01 CRDT- 1998/07/31 00:00 PHST- 1998/07/31 00:00 [pubmed] PHST- 1998/07/31 00:01 [medline] PHST- 1998/07/31 00:00 [entrez] AID - 10.3109/10428199809068562 [doi] PST - ppublish SO - Leuk Lymphoma. 1998 Apr;29(3-4):249-56. doi: 10.3109/10428199809068562.