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</script>Follicular lymphoma (FL) is an indolent disease, but 30-40% of cases undergo histologic transformation to an aggressive malignancy, typically represented by diffuse large B cell lymphoma (DLBCL). The pathogenesis of this process remains largely unknown. Using whole- exome sequencing and copy-number analysis, here we show that the dominant clone of FL and transformed FL (tFL) arise by divergent evolution from a common mutated precursor through the acquisition of distinct genetic events. Mutations in epigenetic modifiers and anti-apoptotic genes are introduced early in the common precursor, while tFL is specifically associated with alterations deregulating cell-cycle progression and DNA-damage responses (CDKN2A/B, MYC, TP53), as well as with aberrant somatic hypermutation. The genomic profile of tFL shares similarities with that of germinal center B-cell-type de novo DLBCL, but also displays unique combinations of altered genes, with diagnostic and therapeutic implications.
QH301-705.5, Carcinogenesis, Genes, p16, Genes, myc, 610, 600, Apoptosis, Genomics, Genes, p53, Epigenesis, Genetic, Evolution, Molecular, FOS: Biological sciences, Mutation, Genetics, Humans, Lymphomas, Biology (General), Lymphoma, Follicular
QH301-705.5, Carcinogenesis, Genes, p16, Genes, myc, 610, 600, Apoptosis, Genomics, Genes, p53, Epigenesis, Genetic, Evolution, Molecular, FOS: Biological sciences, Mutation, Genetics, Humans, Lymphomas, Biology (General), Lymphoma, Follicular
| citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 507 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 0.1% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 1% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 0.1% |
