2019
DOI: 10.1111/imr.12745
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Molecular pathogenesis of germinal center‐derived B cell lymphomas

Abstract: Summary B cell lymphomas comprise a heterogeneous group of genetically, biologically, and clinically distinct neoplasms that, in most cases, originate from the clonal expansion of B cells in the germinal center (GC). In recent years, the advent of novel genomics technologies has revolutionized our understanding of the molecular pathogenesis of lymphoid malignancies as a multistep process that requires the progressive accumulation of multiple genetic and epigenetic alterations. A common theme that emerged from … Show more

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Cited by 64 publications
(76 citation statements)
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References 199 publications
(479 reference statements)
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“…Nevertheless, this translocation, which allows the overexpression of the anti-apoptotic molecule BCL2, could be detected at low frequency within recirculating post-GC memory B cells of most healthy individuals, indicating that it is not sufficient to trigger overt FL [ 4 ]. Advances in high-throughput genetic analyses have revealed the complex landscape of additional molecular events that support FL development [ 5 , 6 , 7 ]. Of note, beyond the well-accepted identification of FL B cells as centrocytes that fail to differentiate [ 8 ], recent single-cell transcriptomic analyses revealed a desynchronization of the GC-specific gene expression program in FL malignant cells that might adopt new dynamic modes of functional diversity [ 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…Nevertheless, this translocation, which allows the overexpression of the anti-apoptotic molecule BCL2, could be detected at low frequency within recirculating post-GC memory B cells of most healthy individuals, indicating that it is not sufficient to trigger overt FL [ 4 ]. Advances in high-throughput genetic analyses have revealed the complex landscape of additional molecular events that support FL development [ 5 , 6 , 7 ]. Of note, beyond the well-accepted identification of FL B cells as centrocytes that fail to differentiate [ 8 ], recent single-cell transcriptomic analyses revealed a desynchronization of the GC-specific gene expression program in FL malignant cells that might adopt new dynamic modes of functional diversity [ 9 ].…”
Section: Introductionmentioning
confidence: 99%
“…For instance, the molecular classification of DLBCL has been progressively refined from the seminal paper of Alizadeh describing the GCB/ABC/undetermined subtypes, based on gene expression, to the latest categorization into molecular subgroups, subdividing DLBCL also according to the spectrum of genetic alterations displayed . Also, for FL, the genetic profiling has identified frequent recurrent mutations, such as those affecting the H3K27 methyltransferase EZH2, the chromatin regulator gene CREBBP and KMT2D (MLL2) . In the case of MCL, the genomic analysis has identified recurrent mutations affecting TP53, ATM, CCND1, MLL2, and NOTCH1 and NOTCH2 genes .…”
Section: Evolving Paradigms In Non‐hodgkin Lymphomasmentioning
confidence: 99%
“…Cell signaling pathways are critical in B‐NHL pathophysiology . B‐NHL cells are, in most instances, dependent on constitutively active cascades that transmit survival and proliferation inputs from the surface membrane to the nucleus, where transcriptional and epigenetic processes translate the signals in effective outputs, like cell cycle progression, apoptosis inhibition, and invasiveness . On the basis of this, aberrant signal transduction is genetic and epigenetic mechanisms as well as the origination of an abnormal tumor microenvironment.…”
Section: Signaling In Nhlmentioning
confidence: 99%
“…2,3 The genetic hallmark of FL is the t(14;18) chromosomal translocation that constitutively activates the anti-apoptotic gene BCL2, along with recurrent mutations of histone modifier genes. 1 Additional genetic mutations affecting various biological pathways have been identified by genomic analyses, 1,4 including aberrations in components of the cellular nutrient-sensing pathway. Specifically, a sizable subset of FL cases show missense mutations in the nucleotide binding domain of the gene encoding the RagC GTPase (RRAGC).…”
Section: Takedownmentioning
confidence: 99%