Abstract:
:Translocations in myeloma are thought to occur solely in mature B cells in the germinal center through class switch recombination (CSR). We used a targeted captured technique followed by massively parallel sequencing to determine the exact breakpoints in both the immunoglobulin heavy chain (IGH) locus and the partner chromosome in 61 presentation multiple myeloma samples. The majority of samples (62%) have a breakpoint within the switch regions upstream of the IGH constant genes and are generated through CSR in a mature B cell. However, the proportion of CSR translocations is not consistent between cytogenetic subgroups. We find that 100% of t(4;14) are CSR-mediated; however, 21% of t(11;14) and 25% of t(14;20) are generated through DH-JH recombination activation gene-mediated mechanisms, indicating they occur earlier in B-cell development at the pro-B-cell stage in the bone marrow. These 2 groups also generate translocations through receptor revision, as determined by the breakpoints and mutation status of the segments used in 10% and 50% of t(11;14) and t(14;20) samples, respectively. The study indicates that in a significant number of cases the translocation-based etiological events underlying myeloma may arise at the pro-B-cell hematological progenitor cell level, much earlier in B-cell development than was previously thought.
journal_name
Bloodjournal_title
Bloodauthors
Walker BA,Wardell CP,Johnson DC,Kaiser MF,Begum DB,Dahir NB,Ross FM,Davies FE,Gonzalez D,Morgan GJdoi
10.1182/blood-2012-12-471888subject
Has Abstractpub_date
2013-04-25 00:00:00pages
3413-9issue
17eissn
0006-4971issn
1528-0020pii
blood-2012-12-471888journal_volume
121pub_type
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