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Correlation of t(14;18) translocation breakpoint site with clinical characteristics in follicular lymphoma Cover

Correlation of t(14;18) translocation breakpoint site with clinical characteristics in follicular lymphoma

Open Access
|Jul 2023

Figures & Tables

FIGURE 1.

Diagram of the BCL2/JH t(14;18) translocation breakpoints. Relative positions of major breakpoint region (MBR), 3′MBR subcluster, 5′mcr subcluster and minor cluster region (mcr) are shown according to the report of van Dongen JJM et al.16

TABLE 1.

Sequences of primers used for detection of the t(14;18)(q32;q21) translocation. Relative positions of primers are indicated downstream of the first nucleotide of corresponding reference sequence

t(14;18) MBR primers
primer nameNCBI accession no.positionprimer sequence
MBR1AY220759.1(+193443)5′-GACCAGCAGATTCAAATCTATGG-3′
MBR2AY220759.1(+192940)5′-ACTCTGTGGCATTATTGCATTATAT-3′
t(14;18) 3′MBR primers
primer nameNCBI accession no.positionprimer sequence
3′MBR1AH010747.2(+717)5′-GCACCTGCTGGATACAACACTG-3′
3′MBR2AH010747.2(+1530)5′-GGTGACAGAGCAAAACATGAACA-3′
3′MBR3AH010747.2(+1787)5′-GTAATGACTGGGGAGCAAATCTT-3′
3′MBR4AH010747.2(+2718)5′-ACTGGTTGGCGTGGTTTAGAGA-3′
t(14;18) mcr primers
primer nameNCBI accession no.positionprimer sequence
mcr1AF275873.1(+1961)5′-TAGAGCAAGCGCCCAATAAATA-3′
mcr2AF275873.1(+2407)5′-TGAATGCCATCTCAAATCCAA-3′
5′mcrAH010747.2(+15849)5′-CCTTCTGAAAGAAACGAAAGCA-3′
Consensus JH primer
primer nameNCBI accession no.positionprimer sequence
JHOL807663.1(+239)3′-CCAGTGGCAGAGGAGTCCATTC-5′

[i] AF275873.1 = homo sapiens BCL2 gene, exon 3 and breakpoint region; AH010747.2 = homo sapiens genomic sequence downstream of BCL2; AY220759.1 = homo sapiens B-cell CLL/lymphoma 2 (BCL2) gene, complete coding sequence; MBR = major breakpoint region; mcr = minor cluster region; NCBI = National Center for Biotechnology Information; OL807663.1 = homo sapiens clone J6 immunoglobulin heavy chain variable region gene, partial coding sequence

TABLE 2.

Comparison of clinical features at diagnosis between the breakpoint-site groups (MBR, 3′MBR, mcr) using Fisher's exact test

MBR (N = 63)3′MBR (N = 4)mcr (N = 17)p1p2
Male sex24 (38%)1 (25%)4 (24%)0.5710.391
Grade* 311 (20%)2 (50%)4 (25%)0.3030.729
B-symptoms23 (37%)2 (50%)8 (47%)0.6410.576
Bulky disease**17 (27%)1 (25%)2 (12%)0.4970.335

MBR = major breakpoint region; mcr = minor cluster region; p1 = significance comparing all 3 groups; p2 = significance comparing the MBR and mcr groups only;

* = Disease grade was determined in 76 cases only;

** = Defined as largest lymphoma deposit > 10 cm or mediastinal mass > 1/3 of the thoracic diameter on posterior-anterior chest x-ray

TABLE 3.

Comparison of clinical features at diagnosis between the breakpoint-site groups (major breakpoint region [MBR], 3′MBR, mcr)

MBR (N = 63)3′MBR (N = 4)mcr (N = 17)p1p2
Median (mean) stage4 (3.70)4 (3.75)4 (3.94)0.3610.023
Median (mean) FLIPI2 (2.51)3 (2.75)3 (3.00)0.2260.094
Median (mean) age61 (60.25)62 (63.25)64 (63.71)0.4230.218

[i] p1 = significance comparing all 3 groups using 1 way Analysis of Variance (ANOVA) (df = 2); p2 = significance comparing the major breakpoint region (MBR) and minor cluster region (mcr) groups using Independent-Samples T-test

FIGURE 2.

Comparison of progression-free survival between the 3′MBR (blue), MBR (red) and mcr (green) groups. Censored cases are marked as vertical lines on their respective curves. Log Rank (Mantel-Cox) significance: 0.157. Log Rank (Mantel-Cox) significance comparing the MBR and mcr group: 0.235.

MBR = major breakpoint region; mcr = minor cluster region

FIGURE 3.

Comparison of overall survival between the 3′MBR (blue), MBR (red) and mcr (green) groups. Censored cases are marked as vertical lines on their respective curves. Log Rank (Mantel-Cox) significance: 0.426. Log Rank (Mantel-Cox) significance comparing the MBR and mcr group: 0.351.

MBR = major breakpoint region; mcr = minor cluster region

FIGURE 4.

Comparison of lymphoma-specific overall survival between the 3′MBR (blue), MBR (red) and mcr (green) groups. Censored cases are marked as vertical lines on their respective curves. Log Rank (Mantel-Cox) significance: 0.409. Log Rank (Mantel-Cox) significance comparing the MBR and mcr groups: 0.301.

MBR = major breakpoint region, mcr = minor cluster region

DOI: https://doi.org/10.2478/raon-2023-0030 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 487 - 492
Submitted on: Apr 4, 2023
Accepted on: May 31, 2023
Published on: Jul 13, 2023
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2023 Matej Panjan, Lucka Boltezar, Srdjan Novakovic, Ira Kokovic, Barbara Jezersek Novakovic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.