Hepatitis C virus positive diffuse large B-cell lymphomas have distinct molecular features and lack BCL2 translocations.

Journal Article (Journal Article)

BACKGROUND: The clinical presentation of patients with hepatitis C virus (HCV)-positive diffuse large B-cell lymphoma (DLBCL) is different from their HCV-negative counterparts, but the underlying molecular and pathological characteristics are largely under investigated. The virus has a role in lymphomagenesis, as witnessed by the curative potential of antiviral therapy in HCV-related low-grade B-cell lymphomas. METHODS: We performed a case-control study including 44 HCV-positive cases of de novo DLBCL, comparing them with 132 HCV-negative patients as controls (ratio 3 to 1). Cases and controls were matched for age, lactate dehydrogenase level and international prognostic index at presentation. Patients were studied by gene expression profiling for cell-of-origin determination and to perform differential expression analysis between groups, fluorescence in-situ hybridisation and immunohistochemistry for MYC, BCL2 and BCL6, TP53 mutations, and diagnostic specimens reviewed to exclude transformation from low-grade lymphoma. RESULTS: Compared to the HCV-negative controls, patients with HCV-positive de novo DLBCL had differential expression of genes that regulate innate immune response and modulate apoptotic pathways, have higher proliferative index, and lack BCL2 translocations. CONCLUSIONS: HCV-positive DLBCL have distinct molecular and pathological features compared to the HCV-negative counterparts.

Full Text

Duke Authors

Cited Authors

  • Visco, C; Wang, J; Tisi, MC; Deng, L; D'Amore, ESG; Tzankov, A; Montes-Moreno, S; Dybkær, K; Bhagat, G; Hsi, ED; van Krieken, JH; Ponzoni, M; Ferreri, AJM; Møller, MB; Piris, MA; Medeiros, LJ; Xu-Monette, ZY; Young, KH

Published Date

  • November 21, 2017

Published In

Volume / Issue

  • 117 / 11

Start / End Page

  • 1685 - 1688

PubMed ID

  • 28949959

Pubmed Central ID

  • PMC5729442

Electronic International Standard Serial Number (EISSN)

  • 1532-1827

Digital Object Identifier (DOI)

  • 10.1038/bjc.2017.345


  • eng

Conference Location

  • England