BCL6, MUM1, and CD10 expression in mantle cell lymphoma

Appl Immunohistochem Mol Morphol. 2010 Mar;18(2):103-8. doi: 10.1097/PAI.0b013e3181bb9edf.

Abstract

Mantle cell lymphoma (MCL) characteristically express CD20, CD5, and cyclin-D1, carries the translocation t(11;14) (q13;q32) and typically has no expression of germinal center cell markers. So-called aberrant phenotypes such as CD5 negative and cyclin-D1-negative MCL have been described. Also few cases with CD10 and/or BCL-6 protein expression have been reported. We analyzed 127 MCL looking for the frequency of aberrant immunophenotype, CD10, BCL-6, and MUM1 expression. All cases were CD20 and cyclin-D1 positive, 96% expressed CD5, and 98% showed the t(11;14). BCL-6 expression was observed in 12% of the cases and MUM1 in 35%. No one case showed CD10 positivity in 30% or more neoplastic cells. Only 3 cases showed 10% to 20% of tumoral cells positive for CD10. MUM1 expression was observed in 67% of the BCL-6 positive cases. Thirty-two percent of the cases showed a MUM1+/BCL-6-/CD10- phenotype and 56% had a triple-negative-pattern. Aberrant phenotype is infrequent but not rare, and does not rule out a diagnosis of MCL in an otherwise typical case.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / genetics
  • Biomarkers, Tumor / metabolism
  • CD5 Antigens / biosynthesis
  • Cyclin D / genetics
  • Cyclin D / immunology
  • Cyclin D / metabolism*
  • DNA-Binding Proteins / genetics
  • DNA-Binding Proteins / immunology
  • DNA-Binding Proteins / metabolism*
  • Female
  • Gene Expression Regulation, Leukemic
  • Germinal Center / pathology
  • Humans
  • In Situ Hybridization, Fluorescence
  • Lymphoma, Mantle-Cell / diagnosis
  • Lymphoma, Mantle-Cell / immunology*
  • Lymphoma, Mantle-Cell / pathology
  • Male
  • Middle Aged
  • Neprilysin / genetics
  • Neprilysin / immunology
  • Neprilysin / metabolism*
  • Oncogene Proteins, Fusion / genetics
  • Oncogene Proteins, Fusion / metabolism
  • Phenotype
  • Proto-Oncogene Proteins c-bcl-6
  • Retrospective Studies
  • Translocation, Genetic

Substances

  • BCL6 protein, human
  • Biomarkers, Tumor
  • CD5 Antigens
  • Cyclin D
  • DNA-Binding Proteins
  • IGH-CCND1 fusion protein, human
  • Oncogene Proteins, Fusion
  • Proto-Oncogene Proteins c-bcl-6
  • Neprilysin