Expression of MUM1/IRF4 selectively clusters with primary effusion lymphoma among lymphomatous effusions: implications for disease histogenesis and pathogenesis

Br J Haematol. 2000 Oct;111(1):247-57. doi: 10.1046/j.1365-2141.2000.02329.x.

Abstract

Primary effusion lymphoma (PEL) is a peculiar B-cell lymphoma characterized by infection by human herpesvirus type-8/Kaposi sarcoma-associated herpesvirus (HHV-8/KSHV) and by preferential growth in the serous body cavities. Histogenetic studies have suggested that PEL originates from B cells at a late stage of differentiation. In this study, we have investigated PEL for the expression status of MUM1/IRF4 (multiple myeloma 1/interferon regulatory factor 4) protein, which is involved in physiological B-cell maturation and represents a histogenetic marker of late B-cell differentiation. Using multiple detection assays, all cases of PEL (n = 22) were found to express MUM1/IRF4 molecules. MUM1/IRF4 expression was a selective feature of PEL among lymphomas involving the serous body cavities as secondary lymphomatous effusions generally failed to express the protein. In reactive lymphoid tissues, MUM1/ IRF4 expression clustered with advanced stages of B-cell differentiation. Comparison of MUM1/IRF4 expression with that of other histogenetic markers defined two phenotypic variants of PEL, i.e. MUM1/IRF4+, CD138/syndecan-1+, B-cell antigen- (20 out of 22 cases) and MUM1/IRF4+, CD138/syndecan-1-, B-cell antigen+ (2 out of 22 cases), suggesting a certain degree of heterogeneity in the disease histogenesis. The implications of these data are threefold. First, MUM1/IRF4 expression corroborates the notion that PEL originates from post-germinal centre, preterminally differentiated B-cells. Second, MUM1/IRF4 may help in the differential diagnosis of PEL among other lymphomas involving the serous body cavities. Finally, MUM1/IRF4 may interact with HHV-8/KSHV-encoded interferon regulatory factors (IRFs) and thus contribute to PEL escape from interferon-mediated control of viral infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antigens, Differentiation, B-Lymphocyte / analysis
  • Biomarkers / analysis
  • Blotting, Western
  • Burkitt Lymphoma / metabolism
  • DNA-Binding Proteins / analysis*
  • DNA-Binding Proteins / genetics
  • Humans
  • Immunohistochemistry
  • Interferon Regulatory Factors
  • Lymph Nodes / chemistry
  • Lymphoma, B-Cell / etiology
  • Lymphoma, B-Cell / immunology
  • Lymphoma, B-Cell / metabolism*
  • Membrane Glycoproteins / analysis
  • Models, Immunological
  • Point Mutation
  • Proteoglycans / analysis
  • Proto-Oncogene Proteins / genetics
  • Proto-Oncogene Proteins c-bcl-6
  • Syndecan-1
  • Syndecans
  • Transcription Factors / analysis*
  • Transcription Factors / genetics

Substances

  • Antigens, Differentiation, B-Lymphocyte
  • Biomarkers
  • DNA-Binding Proteins
  • Interferon Regulatory Factors
  • Membrane Glycoproteins
  • Proteoglycans
  • Proto-Oncogene Proteins
  • Proto-Oncogene Proteins c-bcl-6
  • SDC1 protein, human
  • Syndecan-1
  • Syndecans
  • Transcription Factors
  • interferon regulatory factor-4