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Sequential karyotyping in Burkitt lymphoma reveals a linear clonal evolution with increase in karyotype complexity and a high frequency of recurrent secondary aberrations
Author(s) -
Aukema Sietse M.,
Theil Laura,
Rohde Marius,
Bauer Benedikt,
Bradtke Jutta,
Burkhardt Birgit,
Bonn Bettina R.,
Claviez Alexander,
Gattenlöhner Stefan,
Makarova Olga,
Nagel Inga,
Oschlies Ilske,
Pott Christiane,
Szczepanowski Monika,
Traulsen Arne,
Kluin Philip M.,
Klapper Wolfram,
Siebert Reiner,
Murga Penas Eva M.
Publication year - 2015
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1111/bjh.13501
Subject(s) - karyotype , lymphoma , biology , somatic evolution in cancer , medicine , genetics , oncology , virology , immunology , chromosome , cancer , gene
Summary Typical Burkitt lymphoma is characterized by an IG ‐ MYC translocation and overall low genomic complexity. Clinically, Burkitt lymphoma has a favourable prognosis with very few relapses. However, the few patients experiencing disease progression and/or relapse have a dismal outcome. Here we report cytogenetic findings of seven cases of Burkitt lymphoma in which sequential karyotyping was performed at time of diagnosis and/or disease progression/relapse(s). After case selection, karyotype re‐review and additional molecular analyses were performed in six paediatric cases, treated in Berlin‐Frankfurt‐Münster‐Non‐Hodgkin lymphoma study group trials, and one additional adult patient. Moreover, we analysed 18 cases of Burkitt lymphoma from the Mitelman database in which sequential karyotyping was performed. Our findings show secondary karyotypes to have a significant increase in load of cytogenetic aberrations with a mean number of 2, 5 and 8 aberrations for primary, secondary and third investigations. Importantly, this increase in karyotype complexity seemed to result from recurrent secondary chromosomal changes involving mainly trisomy 21, gains of 1q and 7q, losses of 6q, 11q, 13q, and 17p. In addition, our findings indicate a linear clonal evolution to be the predominant manner of cytogenetic evolution. Our data may provide a biological framework for the dismal outcome of progressive and relapsing Burkitt lymphoma.