c-Maf expression in angioimmunoblastic T-cell lymphoma

Am J Surg Pathol. 2007 Nov;31(11):1695-702. doi: 10.1097/PAS.0b013e318054dbcf.

Abstract

The oncogene c-Maf was recently found to be overexpressed in approximately 50% of multiple myeloma cases, and a role for c-Maf in promoting cyclin D2 expression has been postulated. We previously examined c-Maf expression in various T-cell lymphomas by reverse-transcription polymerase chain reaction and found extremely elevated c-Maf levels in angioimmunoblastic T-cell lymphoma (AILT). In this study, we examined T-cell lymphomas for c-Maf and cyclin expression immunohistochemically. Of 93 cases of T-cell lymphomas we investigated in the current study, c-Maf expression was seen in 23 out of 31 cases of AILT, 3 out of 11 of adult T-cell leukemia/lymphoma, 4 out of 19 of peripheral T-cell lymphoma, unspecified [PTCL(U)], and 0 out of 11 cases of mycosis fungoides, 0 out of 11 of anaplastic large cell lymphoma, and 1 out of 10 of extranodal NK/T-cell lymphoma, nasal type. Double immunostaining in AILT revealed that the majority of c-Maf-positive cells were also positive for CD43 (MT1), CD45RO (UCHL-1), and CD4 but were negative for CD20 (L26). Additionally, cyclins D1 and D2, which stimulate cell cycle progression, were overexpressed in a large number of the c-Maf-positive AILT samples. Quantitative reverse-transcription polymerase chain reaction analysis also showed that c-Maf was overexpressed in 8/31 cases of AILT, 0/19 cases of PTCL(U), 0/11 cases of anaplastic large cell lymphoma, 0/10 cases of extranodal NK/T-cell lymphoma, nasal type, and 2/8 cases of multiple myeloma, presenting significant difference between AILT and PTCL(U) (P=0.016, chi test). These findings strongly suggest that CD4-positive neoplastic T cells in AILT show c-Maf expression and provide new insight into the pathogenesis of AILT suggesting c-Maf to be a useful diagnostic marker for AILT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antigens, CD20 / analysis
  • Biomarkers, Tumor / analysis*
  • Biomarkers, Tumor / genetics
  • CD4 Antigens / analysis
  • Cyclin D
  • Cyclin D2
  • Cyclins / analysis
  • Humans
  • Immunoblastic Lymphadenopathy / genetics
  • Immunoblastic Lymphadenopathy / metabolism*
  • Immunoblastic Lymphadenopathy / pathology
  • Immunohistochemistry
  • Leukocyte Common Antigens / analysis
  • Leukosialin / analysis
  • Lymphoma, T-Cell / chemistry*
  • Lymphoma, T-Cell / genetics
  • Lymphoma, T-Cell / pathology
  • Proto-Oncogene Proteins c-maf / analysis*
  • Proto-Oncogene Proteins c-maf / genetics
  • RNA, Messenger / analysis
  • Reverse Transcriptase Polymerase Chain Reaction
  • Up-Regulation

Substances

  • Antigens, CD20
  • Biomarkers, Tumor
  • CCND2 protein, human
  • CD4 Antigens
  • Cyclin D
  • Cyclin D2
  • Cyclins
  • Leukosialin
  • MAF protein, human
  • Proto-Oncogene Proteins c-maf
  • RNA, Messenger
  • SPN protein, human
  • Leukocyte Common Antigens