title: Expression of cyclin D3 and cyclin E and identification of distinct clusters of proliferation and apoptosis in diffuse large B-cell lymphomas.
abstract: In the present study 79 cases of de novo Diffuse Large B-cell Lymphomas (DLBCL) were studied in order: a) to analyse the expression of cyclin D3, cyclin E and cyclin D1 in relation to other proliferative features (expression of Ki67, cyclin A and cyclin B1), the apoptosis status and the expression of p53, Rb, p16 and p27; and b) to determine whether distinct clusters of proliferation and apoptosis could be identified in DLBCL. Overexpression of cyclin D3 and cyclin E was found in 35/79 (43%) and 18/79 (22%) cases, respectively, whereas overexpression of cyclin D1 was not detected in any case. In most cases (39/46) overexpression of cyclin D3 and cyclin E was mutually exclusive possibly reflecting different underlying pathways inducing deregulated expression of these cyclins. In most cases (29/35) overexpression of cyclin D3 was mutually exclusive with Rb/p16 aberrant expression status supporting an oncogenic role for cyclin D3 and suggesting that the pathogenetic effect of cyclin D3 overexpression occurs through perturbation of the Rb1 pathway. Combined alterations of the P53 and the Rb/p16/cyclin D3 expression status were significantly associated with higher mean values of cyclin A (p=0.023) and cyclin B1 (p=0.033) indicating that concurrent impairment of the p53 and Rb1 pathways induces increased tumour cell proliferation in DLBCL. Cluster analysis of the apoptosis and the proliferation status permitted separation of DLBCL into distinct groups with low (44 cases) and high (18 cases) apoptotic activity and into distinct groups with low (32 cases), intermediate (36 cases) and high (11 cases) proliferative activity. The identification of distinct clusters with respect to the proliferation and the apoptosis status indicates that groups with distinct cellular kinetic properties can be defined in the histological group of DLBCL.
authors.affiliation: Department of Pathology, Medical Faculty, University of Ioannina, Ioannina, Greece. mbai@cc.uoi.gr
authors.forename: M
authors.initials: M
authors.lastname: Bai
authors.forename: E
authors.initials: E
authors.lastname: Tsanou
authors.forename: N J
authors.initials: NJ
authors.lastname: Agnantis
authors.forename: A
authors.initials: A
authors.lastname: Chaidos
authors.forename: D
authors.initials: D
authors.lastname: Dimou
authors.forename: A
authors.initials: A
authors.lastname: Skyrlas
authors.forename: S
authors.initials: S
authors.lastname: Dimou
authors.forename: M
authors.initials: M
authors.lastname: Vlychou
authors.forename: V
authors.initials: V
authors.lastname: Galani
authors.forename: P
authors.initials: P
authors.lastname: Kanavaros
mesh_terms: D017209:Apoptosis / Q000502:physiology; D002455:Cell Division / Q000502:physiology; D016000:Cluster Analysis; D019925:Cyclin A / Q000096:biosynthesis; D019938:Cyclin D1 / Q000096:biosynthesis; D056743:Cyclin D3; D019927:Cyclin E / Q000096:biosynthesis*; D019941:Cyclin-Dependent Kinase Inhibitor p16 / Q000096:biosynthesis; D016213:Cyclins / Q000096:biosynthesis*; D006801:Humans; D007150:Immunohistochemistry; D020287:In Situ Nick-End Labeling; D019394:Ki-67 Antigen / Q000096:biosynthesis; D016393:Lymphoma, B-Cell / Q000378:metabolism* / Q000473:pathology*; D008840:Microfilament Proteins / Q000096:biosynthesis; D009124:Muscle Proteins; D016160:Retinoblastoma Protein / Q000096:biosynthesis; D016159:Tumor Suppressor Protein p53 / Q000096:biosynthesis
chemical_list: C534696:CCND3 protein, human; C534697:Ccnd3 protein, mouse; D019925:Cyclin A; D056743:Cyclin D3; D019927:Cyclin E; D019941:Cyclin-Dependent Kinase Inhibitor p16; D016213:Cyclins; D019394:Ki-67 Antigen; D008840:Microfilament Proteins; D009124:Muscle Proteins; D016160:Retinoblastoma Protein; C058992:Tagln protein, mouse; D016159:Tumor Suppressor Protein p53; D019938:Cyclin D1