Non-Hodgkin's Lymphoma
NHL arises in normal B and T cells during their lineage differentiation, which is signaled by productive intragenic rearrangements of the immunoglobulin (IG) and T-cell receptor (TCR) genes. Occasional errors in the rearrangement process result in chromosomal translocations, which juxtapose the IG and TCR genes with novel genes from the break junction site of the reciprocal chromosome. The juxtaposed gene is placed under the control of the IG or TCR gene and becomes activated, leading to deregulation of normal differentiation of the lymphoid cell and initiation of proliferation. We have discovered several new translocations in B-cell lymphomas that involve the IG gene sites and isolated the deregulated genes. In these translocations, as a general rule, the coding region of the deregulated gene is not disrupted, while the upstream regulatory regions are replaced by those of the IG genes, leading to abnormal expression of the normal gene product. Among the genes identified by us in these translocations, transcription factors predominate (including NFKB2, PAX5, MUM1/IRF4, and BCL6). Other genes that have been isolated play a role in tumor progression (MUC1), while the function of several novel genes is still to be fully characterized (BCL8, BCL11). Studies of the newly discovered transcription factors are providing new insights into normal development of B cells and the mechanisms underlying their transformation.
Through CGH studies, we have discovered that gene amplification of chromosomal regions is a common phenomenon in NHL. Using a candidate gene approach, we identified REL (mapped at 2p14 to 15) to be frequently amplified and overexpressed in aggressive lymphomas. The consequence of this REL overexpression to the NFKB/REL-mediated anti-apoptotic response of tumor cells is under study. Because CGH identified large genomic segments (~10MB) and candidate gene approaches tend to be slow and labor-intensive, we have introduced high-throughput screening of tumors with chromosomal amplification for simultaneous analysis of gene amplification (chip-CGH) and gene expression using microarrays.