2019
DOI: 10.1038/s41408-019-0213-9
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Immunoglobulin gene rearrangement IGHV3-48 is a predictive marker of histological transformation into aggressive lymphoma in follicular lymphomas

Abstract: Follicular lymphoma (FL) is a heterogeneous disease whose pathogenesis remains partially unknown. Around 20% of FL patients experience early progression or treatment-refractory disease and 2–3% of patients per year experience histological transformation (HT) into a more aggressive lymphoma (tFL). Here, we evaluate the immunoglobulin heavy chain variable ( IGHV ) gene usage and mutational status in 187 FL cases to assess its impact on clinical outcome and histological transformation. The … Show more

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Cited by 12 publications
(16 citation statements)
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“…IGHV3-23 is one of the most commonly used heavy variable regions in the human immunoglobulin (Ig) repertoire [ 30 ]. Its usage has been linked with non-Hodgkin lymphomas (NHL) such as chronic lymphoid leukemia (CLL) [ 31 34 ], mantle cell lymphoma (MCL) [ 35 ], splenic marginal zone lymphoma (MZL) [ 36 , 37 ], Waldenström’s macroglobulinemia [ 38 ], and follicular lymphoma (FL) [ 39 , 40 ]. Disease progression in these B-cell malignancies is driven by chronic stimulation from either microbial or auto-antigens.…”
Section: Discussionmentioning
confidence: 99%
“…IGHV3-23 is one of the most commonly used heavy variable regions in the human immunoglobulin (Ig) repertoire [ 30 ]. Its usage has been linked with non-Hodgkin lymphomas (NHL) such as chronic lymphoid leukemia (CLL) [ 31 34 ], mantle cell lymphoma (MCL) [ 35 ], splenic marginal zone lymphoma (MZL) [ 36 , 37 ], Waldenström’s macroglobulinemia [ 38 ], and follicular lymphoma (FL) [ 39 , 40 ]. Disease progression in these B-cell malignancies is driven by chronic stimulation from either microbial or auto-antigens.…”
Section: Discussionmentioning
confidence: 99%
“…D3-10, D3-22, and D3-3 accounted for most of the D2 and D3 gene families used in FL. JH4 was the most frequent JH component [ 58 , 69 , 80 ]. Interestingly, FL can transform into other more aggressive malignancies, usually DLBCL.…”
Section: The Oncogenesis Of B-lineage Malignancies and The Correspond...mentioning
confidence: 99%
“…This finding could suggest that cases with IGHV4-34 usage may tend to transform to a more aggressive disease rather than relapsing as FL, a hypothesis supported by the presence of this IGHV gene in a proportion of DLBCL and transformed FL. 29,31,42 If independently confirmed in larger cohorts, this feature might help to improve the molecular stratification of FL.…”
Section: Discussionmentioning
confidence: 87%