There is a demand to understand B-cell lymphoma pathogenesis better, to identify new markers, and to define multiple lymphoproliferative disorders more accurately. MicroRNAs (miRNAs) are regulators of protein translation, comprising a group of more than 1500 short noncoding single-strand RNA molecules of approximately 22 nucleotides in length. They are easily detectable in fresh or paraffinembedded diagnostic tissue and serum. Expression of individual miRNAs and miRNA signatures allows specific celldifferentiation stages to be identified, and is a powerful diagnostic and prognostic method. Here we review what is known about the pathogenic relevance of miRNAs, and use of miRNAs for the diagnosis and prognosis of B-cell lymphomas. Most of the published data concern chronic lymphocytic lymphoma and diffuse large B-cell lymphoma, and implicate miRNAs in the pathogenesis of these diseases. They identify miRNAs that could be used for diagnosis, prognosis, or prediction of response to specific therapies. (Blood. 2012;120(9):1782-1790) Introduction B-cell lymphomas make up a heterogeneous group of lymphoproliferative disorders that originate from B cells and whose pathogenesis is still largely unknown. Classification of B-cell lymphomas has essentially been based on the recognition of characteristic gene translocations that deregulate the expression of oncogenes or tumor suppressor genes. 1 B-cell lymphoma classification has made it possible to recognize and successfully treat a range of disorders, but a significant proportion of B-cell lymphoma patients still fail to respond to therapy.Although the accuracy with which the various B-cell disorders are recognized has improved through the use of new immunohistochemical and molecular markers, there is still a demand to understand lymphoma pathogenesis better, to identify new markers, and to define the range of lymphoproliferative disorders more accurately. Lymphoma classification is largely based on the assumption that lymphoma cells derive from specific cell populations, thereby making it possible to correlate the phenotype of particular lymphoma types with that of the normal counterpart B-cell subpopulations. Nevertheless, there is a growing understanding that lymphoma-specific markers also recapitulate the history of lymphoma pathogenesis, expressing additional markers that provide information about specific molecular events.The potential number of specific molecular markers for lymphoma diagnosis and prognostication has improved in the last few years thanks to the recognition of microRNAs (miRNAs) as central players in B-cell differentiation and oncogenesis. miRNAs are a recently identified class of noncoding single-strand RNA molecules of 21-23 nt that function as posttranscriptional regulators of gene expression, targeting their corresponding messenger RNAs for degradation or translational repression. MicroRNAs miRNAs were first described in 1993 in Caenorhabditis elegans, 2,3 although it took several years to confirm the supposition that miRNAs are essential compone...