Source
Institute of Pathology, GSF-National Research Centre for Environment and Health, D-85764 Neuherberg, Germany.
Abstract
PURPOSE:
Overexpression
of cyclin D1 mRNA and protein as a result of the chromosomal
translocation t(11;14)(q13;q32) is a highly specific molecular marker of
mantle cell lymphoma, but cyclin D1 dysregulation can also be found in
other B-cell neoplasias. The aim of the study was to develop a precise
and reliable tool for quantitation of cyclin D1 mRNA suitable for
archival clinical specimens.
EXPERIMENTAL DESIGN:
A
real-time reverse transcription-PCR (RT-PCR) assay was used to
quantitate cyclin D1 mRNA copy numbers. Using 2000 microdissected cells
as template, 104 formalin-fixed, paraffin-embedded lymph node, spleen,
and decalcified bone marrow biopsies from a panel of 95 cases of B-cell
non-Hodgkin's lymphomas (B-NHLs) were analyzed. In addition, cyclin D1
protein expression was assessed by immunohistochemistry.
RESULTS:
Strong
cyclin D1 mRNA overexpression was detected in mantle cell lymphomas (23
of 23), hairy cell leukemias (5 of 19), and multiple myelomas (7 of 23)
with particularly high levels in 2 of the latter cases. Intermediate
transcript levels were found in 5 of 23 multiple myelomas and 7 of 19
hairy cell leukemias. B-cell chronic lymphocytic leukemias (10 of 10),
follicular lymphomas (9 of 9), mucosa-associated lymphoid tissue
lymphomas (5 of 5) and reactive lymphoid tissues with the exception of
normal spleen had no or very low cyclin D1 expression. In comparison
with real-time RT-PCR, immunohistochemistry showed a lower level of
sensitivity, more variability, and did not allow accurate quantitation.
CONCLUSIONS:
Real-time
RT-PCR for cyclin D1 mRNA is an excellent tool for the differential
diagnosis of B-NHLs and, in combination with microdissection, a powerful
approach for retrospective trials using archival clinical specimens as
tissue source. Furthermore, real-time RT-PCR may help to identify
subgroups of B-NHLs according to cyclin D1 mRNA copy numbers and to
investigate the possible influence of different chromosomal breakpoints
on cyclin D1 expression.