BCL-6 expression in mesenchymal tumours: an immunohistochemical and fluorescence in situ hybridisation study

J Clin Pathol. 2011 Oct;64(10):866-9. doi: 10.1136/jclinpath-2011-200185. Epub 2011 Jul 1.

Abstract

The BCL-6 proto-oncogene encodes a transcriptional repressor protein. Among normal tissues, BCL-6 expression is confined to germinal center B-cells and a subpopulation of T-helper cells. Little is known about BCL-6 expression in mesenchymal tissues. We examined a series of solitary fibrous tumor (SFT) and other mesenchymal tumors for BCL-6 expression. Immunohistochemistry for BCL-6 was performed on 64 mesenchymal tumors [26 SFT (19 benign/uncertain, 7 malignant), 6 synovial sarcomas (SS), 5 gastrointestinal stromal tumors (GIST), 5 malignant peripheral nerve sheath tumors (MPNST), 5 leiomyosarcomas (LMS), 9 leiomyomas (LM) 4 desmoid tumors (DT), 4 perineuriomas (PN)]. Nuclear immunoreactivity was considered positive. Six BCL-6 positive SFT were also tested for BCL-6 gene rearrangement/amplification by FISH. Nuclear expression of BCL-6 was seen in 13/26 SFT, 5/5 LMS, 1/9 LM, 5/6 SS, 1/5 GIST, 1/5 MPNST, 1/4 PN, and 0/5 DT. BCL-6 expression was significantly more frequent in malignant (6/7) as compared with benign/uncertain SFT (6/19) (p=0.02) and in LMS (5/5) as compared with LM (1/9) (p=0.003). FISH for BCL-6 rearrangement/amplification was negative in all tested cases. We have observed BCL-6 expression in 50% or more of SFT, SS, and LMS, and in a lesser percentage of LM, GIST, MPNST and PN. Significantly more frequent expression of BCL-6 in malignant compared with benign/uncertain SFT and in LMS compared with LM suggests abnormalities in the BCL-6 signaling pathway may contribute to malignant transformation in at least some mesenchymal tumors. It is unlikely that BCL-6 expression in mesenchymal tumors is due to BCL-6 gene amplification or rearrangement.

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / genetics*
  • Cell Transformation, Neoplastic / chemistry
  • Cell Transformation, Neoplastic / genetics
  • DNA-Binding Proteins / analysis*
  • DNA-Binding Proteins / genetics*
  • Gene Amplification
  • Gene Rearrangement
  • Humans
  • Immunohistochemistry*
  • In Situ Hybridization, Fluorescence*
  • Mesoderm / chemistry*
  • Mesoderm / pathology
  • Minnesota
  • Neoplasms, Connective Tissue / chemistry*
  • Neoplasms, Connective Tissue / genetics*
  • Neoplasms, Connective Tissue / pathology
  • Proto-Oncogene Mas
  • Proto-Oncogene Proteins c-bcl-6
  • Solitary Fibrous Tumors / chemistry
  • Solitary Fibrous Tumors / genetics

Substances

  • BCL6 protein, human
  • Biomarkers, Tumor
  • DNA-Binding Proteins
  • MAS1 protein, human
  • Proto-Oncogene Mas
  • Proto-Oncogene Proteins c-bcl-6