Molecular and clinical progress in follicular lymphoma lacking the t(14;18) translocation (Review)

Zunmin Zhu, Tao Li, Xuran Zhang, Zhengqiang Zhang, Dandan Zhu, Pei Lin, Shichun Tu, Weihong Ren

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Although the majority of patients with follicular lymphoma (FL) harbor the t(14;18)(q32;q21) IGH/BCL2 gene rearrangement that leads to the overexpression of BCL2 protein, approximately 20% of FL cases lack t(14;18) (q32;q21). It is considered that BCL2 overexpression underscores the development of the majority of cases of FL and their transformation to more aggressive lymphoma [known as transformed FL (tFL)]. However, FL cases lacking the t(14;18) (q32;q21) translocation exhibit symptoms analogous to their t(14;18)-positive counterparts. An important goal of recent research on FL has been to clarify the distinctions between the two different forms of FL. Numerous studies have shed light onto the genetic and molecular features of t(14;18)-negative FL and the related clinical manifestations. In this review, we summarize the current knowledge of t(14;18)-negative FL occurring in the lymph nodes with an emphasis on the underlying molecular and clinical features. In addition, novel treatment directions are discussed.

Original languageEnglish (US)
Pages (from-to)7-17
Number of pages11
JournalInternational journal of oncology
Volume56
Issue number1
DOIs
StatePublished - 2020

Keywords

  • BCL2
  • BCL6
  • Chromosome translocation
  • Follicular lymphoma
  • IGH
  • R-CHOP
  • T(14;18)-negative follicular lymphoma

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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