Pruneri Giancarlo, Fabris Sonia, Fasani Roberta, Del Curto Barbara, Capella Carlo, Pozzi Barbara, Motta Teresio, Andreola Salvatore, Ferreri Andres J M, Ponzoni Maurilio, Viale Giuseppe, Neri Antonino
Divisions of Pathology and Laboratory Medicine, European Institute of Oncology, Milan, Italy.
J Pathol. 2003 Aug;200(5):596-601. doi: 10.1002/path.1384.
Cyclin D3 plays a pivotal role in controlling the physiological progression from the G1 to the S phase of the cell cycle. Recent data suggest that cyclin D3 may be deregulated in extranodal non-Hodgkin's lymphomas (NHLs) as a consequence of the t(6;14)(p21.1;q32.3) translocation. The present study investigated for the first time by dual-colour fluorescence in situ hybridization (FISH) on interphase nuclei and immunohistochemistry the prevalence of the t(6;14) translocation and cyclin D3 immunoreactivity (IR) in a series of 29 stage I-IIE primary gastric NHLs (PGLs). No case showed the t(6;14) translocation. However, in five (17.2%) cases (two extranodal marginal zone lymphomas of MALT type, LGM; one diffuse large-cell lymphoma with a MALT component, DLCLM; and two diffuse large-cell lymphomas without a MALT component, DLCL), three to four cyclin D3 signals were detected by FISH. Co-hybridization with probes specific for the centromeric region and long arm of chromosome 6 indicated trisomy in one case (DLCL), whereas in the remaining four cases the pattern was highly suggestive of the presence of an isochromosome 6p. One (12.5%) case of LGM, six (75%) cases of DLCLM, and seven (53.8%) cases of DLCL (p = 0.0378) were immunoreactive for cyclin D3. Cyclin D3 IR was detected in two (40%) of the five cases with extra cyclin D3 signals and in 12 of the remaining 24 cases (50%, p = 1.000). These results suggest that the t(6;14) may represent a rare event in the pathogenesis of PGL and that cyclin D3 deregulation is most likely the result of epigenetic mechanisms.
细胞周期蛋白D3在控制细胞周期从G1期到S期的生理进程中起关键作用。最近的数据表明,由于t(6;14)(p21.1;q32.3)易位,细胞周期蛋白D3在结外非霍奇金淋巴瘤(NHL)中可能失调。本研究首次通过对间期核进行双色荧光原位杂交(FISH)和免疫组织化学,调查了29例I-IIE期原发性胃NHL(PGL)中t(6;14)易位和细胞周期蛋白D3免疫反应性(IR)的发生率。无一例显示t(6;14)易位。然而,在5例(17.2%)病例中(2例MALT型结外边缘区淋巴瘤,LGM;1例伴有MALT成分的弥漫性大细胞淋巴瘤,DLCLM;2例无MALT成分的弥漫性大细胞淋巴瘤,DLCL),通过FISH检测到三到四个细胞周期蛋白D3信号。用针对6号染色体着丝粒区域和长臂的特异性探针进行共杂交表明,1例(DLCL)为三体,而在其余4例中,模式高度提示存在6p等臂染色体。1例(12.5%)LGM、6例(75%)DLCLM和7例(53.8%)DLCL(p = 0.0378)对细胞周期蛋白D3呈免疫反应性。在5例有额外细胞周期蛋白D3信号的病例中有2例(40%)检测到细胞周期蛋白D3 IR,在其余24例中有12例(50%,p = 1.000)检测到。这些结果表明,t(6;14)可能是PGL发病机制中的罕见事件,细胞周期蛋白D3失调很可能是表观遗传机制的结果。