Coexpression of BMI-1 and EZH2 polycomb-group proteins is associated with cycling cells and degree of malignancy in B-cell non-Hodgkin lymphoma

FJ van Kemenade, FM Raaphorst… - Blood, The Journal …, 2001 - ashpublications.org
FJ van Kemenade, FM Raaphorst, T Blokzijl, E Fieret, KM Hamer, DPE Satijn, AP Otte…
Blood, The Journal of the American Society of Hematology, 2001ashpublications.org
Polycomb-group (PcG) proteins, such as BMI-1 and EZH2, form multimeric gene-repressing
complexes involved in axial patterning, hematopoiesis, and cell cycle regulation. In addition,
BMI-1 is involved in experimental lymphomagenesis. Little is known about its role in human
lymphomagenesis. Here, BMI-1 and EZH2 expression patterns are analyzed in a variety of B-
cell non-Hodgkin lymphomas (B-NHLs), including small lymphocytic lymphoma, follicular
lymphoma, large B-cell lymphoma, mantle-cell lymphoma, and Burkitt lymphoma. In contrast …
Polycomb-group (PcG) proteins, such as BMI-1 and EZH2, form multimeric gene-repressing complexes involved in axial patterning, hematopoiesis, and cell cycle regulation. In addition, BMI-1 is involved in experimental lymphomagenesis. Little is known about its role in human lymphomagenesis. Here, BMI-1 and EZH2 expression patterns are analyzed in a variety of B-cell non-Hodgkin lymphomas (B-NHLs), including small lymphocytic lymphoma, follicular lymphoma, large B-cell lymphoma, mantle-cell lymphoma, and Burkitt lymphoma. In contrast to the mutually exclusive pattern of BMI-1 and EZH2 in reactive follicles, the neoplastic cells in B-NHLs of intermediate- and high-grade malignancy showed strong coexpression of BMI-1 and EZH2. This pattern overlapped with the expression of Mib-1/Ki-67, a marker for proliferation. Neoplastic cells in B-NHL of low-grade malignancy were either BMI-1low/EZH2+ (neoplastic centroblasts) or BMI-1lowEZH2(neoplastic centrocytes). These observations show that low-, intermediate-, and high grade B-NHLs are associated with increased coexpression of the BMI-1 and EZH2 PcG proteins, whose normal expression pattern is mutually exclusive. This expression pattern is probably caused by a failure to down-regulate BMI-1 in dividing neoplastic cells, because BMI-1 expression is absent from normal dividing B cells. These observations are in agreement with findings in studies of Bmi-1 transgenic mice. The extent of BMI-1/EZH2 coexpression correlated with clinical grade and the presence of Mib-1/Ki-67 expression, suggesting that the irregular expression of BMI-1 and EZH2 is an early event in the formation of B-NHL. This points to a role for abnormal PcG expression in human lymphomagenesis.
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