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Atlas of Genetics and Cytogenetics in Oncology and Haematology INIST-CNRS OPEN ACCESS JOURNAL Leukaemia Section Short Communication t(3;9)(q27;p13) GRHPR/BCL6 Jean-Loup Huret Genetics, Dept Medical Information, University of Poitiers, CHU Poitiers Hospital, F-86021 Poitiers, France (JLH) Published in Atlas Database: November 2012 Online updated version : http://AtlasGeneticsOncology.org/Anomalies/t0309q27p13ID2132.html DOI: 10.4267/2042/48764 This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence. © 2013 Atlas of Genetics and Cytogenetics in Oncology and Haematology Prot) which mediates homodimerization and proteinprotein interactions with other corepressors (including HDAC1 and NCOR2/SMRT to constitute a large repressing complex, another transcription repression domain (191-386), PEST sequences (300-417) with a KKYK motif (375-379), and six zinc finger at the Cterm (518-541, 546-568, 574-596, 602-624, 630-652, 658-681), responsible for sequence specific DNA binding. Transcription repressor; recognizes the consensus sequence: TTCCT(A/C)GAA (AlbagliCuriel, 2003). Role in germinal centers of lymphoid follicles. BCL6 prevents ATM and TP53 to induce apoptosis in response to DNA rearrangements such as somatic hypermutation and class switch recombination. Therefore essential for normal B cell development. Clinics and pathology Disease Non Hodgkin lymphoma Clinics The t(3;9)(q27;p13) was found in a case of follicular lymphoma transformed to diffuse aggressive lymphoma, from a study with no individual data (Akasaka et al., 2003), in a 71-year-old female patient with a diagnosis of diffuse large B-cell lymphoma (DLBCL) of stomach, which evolved to a nodular lymphocyte-predominant Hodgkin's lymphoma 3 years later, and to a nodal DLBCL nine years after the initial diagnosis (Wlodarska et al., 2004), in a 47-year-old male patient with Burkitt lymphoma, who died of progressive disease 2 months after diagnosis (Bacher et al., 2011), and in a female patient with a follicular lymphoma (Cheung et al., 2012). GRHPR Location 9p13.2 Note GRHPR was found involved in the translocation reported in the Akasaka's case, and Wlodarska et al., 2004 also point to its possible involvement. Protein GRHPR is an enzyme which catalyzes the reduction of hydroxy-pyruvate to D-glycerate, glyoxylate to glycolate and the oxidation of D-glycerate to hydroxypyruvate. Primary hyperoxaluria type 2 is an autosomal recessive disease caused by mutations in GRHPR (Cramer et al., 1999). Cytogenetics Cytogenetics morphological The Burkitt lymphoma case showed the characteristic t(8;14)(q24;q32) and a complex karyotype, the follicular lymphoma case showed the t(14;18)(q32;q21). In the DLBCL case, no specific translocation accompanied the t(3;9). Genes involved and proteins BCL6 Result of the chromosomal anomaly Location 3q27.3 Protein 706 amino acids; composed of a NH2-term BTB/POZ domain (amino acids 1-130 (32-99 according to Swiss- Atlas Genet Cytogenet Oncol Haematol. 2013; 17(3) Hybrid gene Description Breakpoint in BCL6 first intron. 204 t(3;9)(q27;p13) GRHPR/BCL6 Huret JL References predominant Hodgkin's Aug;89(8):965-72 Cramer SD, Ferree PM, Lin K, Milliner DS, Holmes RP. The gene encoding hydroxypyruvate reductase (GRHPR) is mutated in patients with primary hyperoxaluria type II. Hum Mol Genet. 1999 Oct;8(11):2063-9 Bacher U, Haferlach T, Alpermann T, Kern W, Schnittger S, Haferlach C. Several lymphoma-specific genetic events in parallel can be found in mature B-cell neoplasms. Genes Chromosomes Cancer. 2011 Jan;50(1):43-50 Akasaka T, Lossos IS, Levy R. BCL6 gene translocation in follicular lymphoma: a harbinger of eventual transformation to diffuse aggressive lymphoma. Blood. 2003 Aug 15;102(4):1443-8 Cheung KJ, Rogic S, Ben-Neriah S, Boyle M, Connors JM, Gascoyne RD, Horsman DE. SNP analysis of minimally evolved t(14;18)(q32;q21)-positive follicular lymphomas reveals a common copy-neutral loss of heterozygosity pattern. Cytogenet Genome Res. 2012;136(1):38-43 Albagli-Curiel O. Ambivalent role of BCL6 in cell survival and transformation. Oncogene. 2003 Jan 30;22(4):507-16 Haematologica. 2004 This article should be referenced as such: Wlodarska I, Stul M, De Wolf-Peeters C, Hagemeijer A. Heterogeneity of BCL6 rearrangements in nodular lymphocyte Atlas Genet Cytogenet Oncol Haematol. 2013; 17(3) lymphoma. Huret JL. t(3;9)(q27;p13) GRHPR/BCL6. Atlas Cytogenet Oncol Haematol. 2013; 17(3):204-205. 205 Genet