Human pathology

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mantle cell lymphoma

small cell mantle lymphoma

Mantle cell lymphoma (MCL) is characterized by the chromosomal translocation t(11;14)(q13;q32), resulting in overexpression of cyclin-D1 (CCND1) in the vast majority of cases. In addition, alterations of other cell-cycle-regulating signal pathways as CDKN2B/CDKN2A-CCND1 pathway or ARF-MDM2-TP53 pathway are frequently observed.

Immunophenotype

- Pan-B +
- CD5+
- CD23-
- CD10-/+
- sIgM+ bright

Putative cell of origin: CD5+ B-cells of the follicle mantle having germline IgV gene sequences

Variants

- Burkitt lymphoma transformation of mantle cell lymphoma (15370262)
- Cyclin D1 and t(11;14)-mantle cell lymphoma resembling marginal zone B-cell lymphoma (17316759)
- composite splenic marginal zone lymphoma and mantle cell lymphoma (17134739)

Localization

- nodal mantle cell lymphoma

Cytogenetics

- translocation t(11;14)(q13;q32) with CCND1 rearrangement with cyclin-D1 overexpression (50-90%) (11q13 and 14q32)
- translocation t(1;12)(p21;q23)
- complex karyotype

  • complex karyotype carries an unfavourable prognostic significance

- 1p22.3 deletion (116830336)
- 11q23 deletion (16382446)

Molecular biology

- epigenetic alterations and genomic deletions of CDK inhibitors (CDKIs) p16(INK4a), p15(INK4b), p14(ARF) (16258956)

- cyclin D1 overexpression by CCND1 gene secondary to the translocation t(11;14)(q13;q32) (11q13 and 14q32)

Reviews

- Jares P, Colomer D, Campo E. Genetic and molecular pathogenesis of mantle cell lymphoma: perspectives for new targeted therapeutics. Nat Rev Cancer. 2007 Oct;7(10):750-62. PMID: 17891190

- Kurtin PJ. Mantle cell lymphoma. Adv Anat Pathol. 1998 Nov;5(6):376-98. PMID: 10095879

References

- Mansoor A, Akbari M, Auer I, Lai R. Cyclin D1 and t(11;14)-positive B-cell neoplasms resembling marginal zone B-cell lymphoma: a morphological variant of mantle cell lymphoma. Hum Pathol. 2007 Feb 19; PMID: 17316759

- Balakrishnan A, von Neuhoff N, Rudolph C, Kamphues K, Schraders M, Groenen P, van Krieken JH, Callet-Bauchu E, Schlegelberger B, Steinemann D. Quantitative microsatellite analysis to delineate the commonly deleted region 1p22.3 in mantle cell lymphomas. Genes Chromosomes Cancer. 2006 Oct;45(10):883-92. PMID: 16830336

- Hutter G, Scheubner M, Zimmermann Y, Kalla J, Katzenberger T, Hubler K, Roth S, Hiddemann W, Ott G, Dreyling M. Differential effect of epigenetic alterations and genomic deletions of CDK inhibitors [p16(INK4a), p15(INK4b), p14(ARF)] in mantle cell lymphoma. Genes Chromosomes Cancer. 2006 Feb;45(2):203-10. PMID: 16258956