2013
DOI: 10.1111/his.12092
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Immunoarchitectural patterns in splenic marginal zone lymphoma: correlations with chromosomal aberrations, IGHV mutations, and survival. A study of 76 cases

Abstract: We report the histological spectrum of SMZL, and discuss the differential diagnosis and requirement for molecular and cytogenetic analysis in atypical cases.

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Cited by 13 publications
(3 citation statements)
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“…[3][4][5] Such mutations have been identified in both the B-cell Receptor (BCR) and Toll-Like Receptor (TLR) signaling pathways e.g. CARD11 and MYD88 gene mutations, respectively, 3,[5][6][7][8][9] implicating immune signaling in the natural history of selected SMZL cases. This claim is also supported by the particularly skewed immunoglobulin heavy variable (IGHV) gene repertoire in SMZL, where a substantial proportion of cases (from 20% to more than 30%, depending on the series) express a single IGHV gene allele, namely IGHV1-2*04, suggesting (super)antigenic pressure on the malignant clone involving inflammatory/infectious agents.…”
Section: Introductionmentioning
confidence: 99%
“…[3][4][5] Such mutations have been identified in both the B-cell Receptor (BCR) and Toll-Like Receptor (TLR) signaling pathways e.g. CARD11 and MYD88 gene mutations, respectively, 3,[5][6][7][8][9] implicating immune signaling in the natural history of selected SMZL cases. This claim is also supported by the particularly skewed immunoglobulin heavy variable (IGHV) gene repertoire in SMZL, where a substantial proportion of cases (from 20% to more than 30%, depending on the series) express a single IGHV gene allele, namely IGHV1-2*04, suggesting (super)antigenic pressure on the malignant clone involving inflammatory/infectious agents.…”
Section: Introductionmentioning
confidence: 99%
“…It is expected that SMZL derives from a marginal zone B-cell with possible previous antigen exposure. The rearrangements of the immunoglobulin genes found in 30% of SMZL cases may suggest that this tumor derives from a highly selected B-cell population [ 34 , 35 , 36 , 37 ]. The initial hypothesis was, indeed, that SMZL derived from marginal zone B cells due to a histological marginal zone differentiation in splenic specimens [ 34 , 38 ] and the use of a limited repertoire, with a preferential usage of specific IGHV genes, such as IGHV1-2*04 (31%), IGHV3-23 (8%), and IGHV4-34 (13%).…”
Section: Resultsmentioning
confidence: 99%
“…The initial hypothesis was, indeed, that SMZL derived from marginal zone B cells due to a histological marginal zone differentiation in splenic specimens [ 34 , 38 ] and the use of a limited repertoire, with a preferential usage of specific IGHV genes, such as IGHV1-2*04 (31%), IGHV3-23 (8%), and IGHV4-34 (13%). In addition, approximately 10% of cases express B-cell receptors (BCRs) with quasi-identical IGHV sequences, including the antigen-binding site, strongly suggesting that antigen selection might contribute to the lymphomagenesis of SMZL [ 36 , 39 ]. Moreover, Warsame et al reported that SMZL with an HV1-2 rearrangement is not associated with hepatitis C virus infection and produced poly- and self-reactive antibodies [ 40 ].…”
Section: Resultsmentioning
confidence: 99%