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λ轻链的沉默:双打击淋巴瘤演变中的隐藏复杂性

The Silence of the Lambdas: Hidden Complexities in the Evolution of Double-Hit Lymphomas.

作者信息

Shevchenko Galina, Hodson Daniel J

机构信息

Cambridge Stem Cell Institute, University of Cambridge, Cambridge, United Kingdom.

Department of Haematology, University of Cambridge, Cambridge, United Kingdom.

出版信息

Blood Cancer Discov. 2025 Jul 1;6(4):284-287. doi: 10.1158/2643-3230.BCD-25-0160.

DOI:10.1158/2643-3230.BCD-25-0160
PMID:40526040
Abstract

In this issue of Blood Cancer Discovery, Varano and colleagues uncover a substantial fraction of high-grade B-cell lymphoma with MYC and BCL2(-BCL6) translocations (so called "double-hit" lymphomas or high-grade B-cell lymphoma-double-hit-BCL2) that lack detectable expression of the B-cell receptor. MYC translocation in these cells is mediated by RAG enzymes, induced in response to silencing of the B-cell receptor in a precursor cell, a feature that renders them resistant to polatuzumab vedotin. See related article by Varano et al., p. 364.

摘要

在本期《血癌发现》中,瓦拉诺及其同事发现了相当一部分伴有MYC和BCL2(-BCL6)易位的高级别B细胞淋巴瘤(即所谓的“双打击”淋巴瘤或高级别B细胞淋巴瘤-双打击-BCL2),这些淋巴瘤缺乏可检测到的B细胞受体表达。这些细胞中的MYC易位由RAG酶介导,在前体细胞中因B细胞受体沉默而被诱导,这一特征使它们对泊洛妥珠单抗维达汀耐药。见瓦拉诺等人的相关文章,第364页。

相似文献

1
The Silence of the Lambdas: Hidden Complexities in the Evolution of Double-Hit Lymphomas.λ轻链的沉默:双打击淋巴瘤演变中的隐藏复杂性
Blood Cancer Discov. 2025 Jul 1;6(4):284-287. doi: 10.1158/2643-3230.BCD-25-0160.
2
B-cell Receptor Silencing Reveals the Origin and Dependencies of High-Grade B-cell Lymphomas with MYC and BCL2 Rearrangements.B细胞受体沉默揭示了伴有MYC和BCL2重排的高级别B细胞淋巴瘤的起源及依赖性
Blood Cancer Discov. 2025 Jul 1;6(4):364-393. doi: 10.1158/2643-3230.BCD-25-0099.
3
Clinicopathological and genomic analysis of double-hit follicular lymphoma: comparison with high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements.双打击滤泡淋巴瘤的临床病理和基因组分析:与伴有 MYC 和 BCL2 及/或 BCL6 重排的高级别 B 细胞淋巴瘤的比较。
Mod Pathol. 2018 Feb;31(2):313-326. doi: 10.1038/modpathol.2017.134. Epub 2017 Oct 6.
4
Unexpected favorable outcome in a patient with high grade B-cell lymphoma with abnormalities of MYC, BCL6 and BCL2 loci.一位患有伴有MYC、BCL6和BCL2基因座异常的高级别B细胞淋巴瘤患者出现意外良好转归。
Cancer Genet. 2018 Apr;222-223:25-31. doi: 10.1016/j.cancergen.2018.01.003. Epub 2018 Feb 3.
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MYC/BCL2/BCL6 triple hit lymphoma: a study of 40 patients with a comparison to MYC/BCL2 and MYC/BCL6 double hit lymphomas.三打击淋巴瘤中的 MYC/BCL2/BCL6:40 例患者的研究,并与 MYC/BCL2 和 MYC/BCL6 双打击淋巴瘤进行比较。
Mod Pathol. 2018 Sep;31(9):1470-1478. doi: 10.1038/s41379-018-0067-x. Epub 2018 May 21.
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Lymphomas with pseudo-double-hit BCL6-MYC translocations due to t(3;8)(q27;q24) are associated with a germinal center immunophenotype, extranodal involvement, and frequent BCL2 translocations.由于 t(3;8)(q27;q24)导致的具有假性双打击 BCL6-MYC 易位的淋巴瘤与生发中心免疫表型、结外累及和频繁的 BCL2 易位有关。
Hum Pathol. 2018 Oct;80:192-200. doi: 10.1016/j.humpath.2018.06.006. Epub 2018 Jun 11.
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[B-cell lymphomas with concurrent myc and bcl-2/IgH or bcl-6 translocations].伴有myc与bcl-2/IgH或bcl-6同时易位的B细胞淋巴瘤
Zhonghua Bing Li Xue Za Zhi. 2013 Sep;42(9):584-8.
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High-grade B-Cell Lymphoma With MYC, BCL2, and/or BCL6 Translocations/Rearrangements: Clinicopathologic Features of 51 Cases in a Single Institution of South China.高级别 B 细胞淋巴瘤伴 MYC、BCL2 和/或 BCL6 易位/重排:华南单中心 51 例临床病理特征。
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Outcome of high-grade B-cell lymphoma compared with other large B-cell lymphoma after CAR-T rescue: a DESCAR-T LYSA study.嵌合抗原受体T细胞(CAR-T)挽救治疗后高级别B细胞淋巴瘤与其他大B细胞淋巴瘤的结局:一项DESCAR-T LYSA研究
Blood Adv. 2025 May 27;9(10):2500-2510. doi: 10.1182/bloodadvances.2024014732.
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"Triple hit" lymphomas: A retrospective cytology case series of an uncommon high grade B-cell malignancy with C-MYC, BCL-2 and BCL-6 rearrangements.“三打击”淋巴瘤:C-MYC、BCL-2和BCL-6重排的罕见高级别B细胞恶性肿瘤的回顾性细胞学病例系列
Diagn Cytopathol. 2018 Sep;46(9):807-811. doi: 10.1002/dc.24038. Epub 2018 Jul 25.

本文引用的文献

1
B-cell Receptor Silencing Reveals the Origin and Dependencies of High-Grade B-cell Lymphomas with MYC and BCL2 Rearrangements.B细胞受体沉默揭示了伴有MYC和BCL2重排的高级别B细胞淋巴瘤的起源及依赖性
Blood Cancer Discov. 2025 Jul 1;6(4):364-393. doi: 10.1158/2643-3230.BCD-25-0099.
2
Motive and opportunity: MYC rearrangements in high-grade B-cell lymphoma with MYC and BCL2 rearrangements (an LLMPP study).发病机制和影响因素:MYC 和 BCL2 重排的高级别 B 细胞淋巴瘤中的 MYC 重排(一项 LLMPP 研究)。
Blood. 2024 Aug 1;144(5):525-540. doi: 10.1182/blood.2024024251.
3
Molecular Determinants of Sensitivity to Polatuzumab Vedotin in Diffuse Large B-Cell Lymphoma.
弥漫性大 B 细胞淋巴瘤中对泊洛妥珠单抗联合维布妥昔单抗治疗敏感性的分子决定因素。
Cancer Discov. 2024 Sep 4;14(9):1653-1674. doi: 10.1158/2159-8290.CD-23-0802.
4
Polatuzumab Vedotin in Previously Untreated Diffuse Large B-Cell Lymphoma.泊洛妥珠单抗联合化疗治疗未经治疗的弥漫性大 B 细胞淋巴瘤
N Engl J Med. 2022 Jan 27;386(4):351-363. doi: 10.1056/NEJMoa2115304. Epub 2021 Dec 14.
5
Cyclin D3 Governs Clonal Expansion of Dark Zone Germinal Center B Cells.周期蛋白 D3 调控暗区生发中心 B 细胞的克隆扩增。
Cell Rep. 2020 Nov 17;33(7):108403. doi: 10.1016/j.celrep.2020.108403.
6
Immunoglobulin expression in the endoplasmic reticulum shapes the metabolic fitness of B lymphocytes.内质网中免疫球蛋白的表达塑造了 B 淋巴细胞的代谢适应性。
Life Sci Alliance. 2020 Apr 27;3(6). doi: 10.26508/lsa.202000700. Print 2020 Jun.
7
Prognostic Significance of Rearrangement and Translocation Partner in Diffuse Large B-Cell Lymphoma: A Study by the Lunenburg Lymphoma Biomarker Consortium.弥漫性大 B 细胞淋巴瘤中重排和易位伙伴的预后意义:Lunenburg 淋巴瘤生物标志物联盟的研究。
J Clin Oncol. 2019 Dec 10;37(35):3359-3368. doi: 10.1200/JCO.19.00743. Epub 2019 Sep 9.
8
Pathogenic B-cell receptor signaling in lymphoid malignancies: New insights to improve treatment.淋巴恶性肿瘤中致病性 B 细胞受体信号转导:改善治疗的新见解。
Immunol Rev. 2019 Sep;291(1):190-213. doi: 10.1111/imr.12792.
9
Mechanisms of chromosomal translocations in B cell lymphomas.B细胞淋巴瘤中染色体易位的机制。
Oncogene. 2001 Sep 10;20(40):5580-94. doi: 10.1038/sj.onc.1204640.