Frequent occurrence of B-cell lymphomas in angioimmunoblastic T-cell lymphoma and proliferation of Epstein-Barr virus-infected cells in early cases.
Secondary lymphomas occurring in the setting of angioimmunoblastic T-cell lymphoma (AILT) are considered to be rare. Their occurrence has been attributed to Epstein-Barr virus (EBV)-associated lymphoproliferations. A previous study detected a dysregulated hypermutation process in B-cells of AILT. The present study aimed at estimating the frequency of B-cell lymphomas in AILT. By studying the expression of EBV and activation-induced cytidine deaminase (AID) as an indicator of hypermutating cells, we assessed whether B-cell lymphoproliferations in AILT were strictly associated with EBV and whether hypermutation might contribute to lymphomagenesis. Among 161 cases of AILT, diagnosed between 1996 and 2005 at the lymph node registry, Frankfurt, Germany, 19 cases were detected that also had B-cell non-Hodgkin lymphoma (NHL) and two cases had classical Hodgkin lymphoma (HL). EBV was detected in tumour cells of 7/18 NHL and both HL, suggesting that factors other than EBV contribute to lymphomagenesis. AID was expressed in AILT in large cells disseminated in the tissue, implying that the process of somatic hypermutation is ongoing in AILT, although the GC architecture is disrupted. This might be relevant in the development of secondary lymphomas.
Willenbrock
Klaus
K
Senckenbergisches Institut für Pathologie, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt am Main, Frankfurt am Main, Germany. willenbrock@em.uni-frankfurt.de
Bräuninger
Andreas
A
Hansmann
Martin-Leo
ML
D001402:B-Lymphocytes / Q000473:pathology; D014408:Biomarkers, Tumor / Q000032:analysis; D049109:Cell Proliferation; D002999:Clone Cells; D003564:Cytidine Deaminase / Q000032:analysis; D004268:DNA-Binding Proteins / Q000032:analysis; D020031:Epstein-Barr Virus Infections / Q000201:enzymology / Q000473:pathology*; D015322:Gene Rearrangement, B-Lymphocyte; D004854:Herpesvirus 4, Human; D006801:Humans; D007150:Immunohistochemistry; D017403:In Situ Hybridization; D016393:Lymphoma, B-Cell / Q000201:enzymology / Q000473:pathology / Q000821:virology*; D016411:Lymphoma, T-Cell, Peripheral / Q000201:enzymology / Q000473:pathology* / Q000821:virology; D015260:Neprilysin / Q000032:analysis; D016133:Polymerase Chain Reaction / Q000379:methods; D051560:Proto-Oncogene Proteins c-bcl-6; D012367:RNA, Viral / Q000032:analysis; D027041:Somatic Hypermutation, Immunoglobulin; D013601:T-Lymphocytes / Q000473:pathology
C084103:BCL6 protein, human; D014408:Biomarkers, Tumor; D004268:DNA-Binding Proteins; D051560:Proto-Oncogene Proteins c-bcl-6; D012367:RNA, Viral; D015260:Neprilysin; D003564:Cytidine Deaminase