FBL classification based on the molecular pathogenesis. The major driving event, the IG::MYC translocation, may occur in either EBV+ or EBV− germinal center B-cell (GCBC, presumably an early centroblast). Thereafter, different additional genetic lesions (overall more abundant in EBV− cases) would contribute to BL phenotype. In EBV− cases, a major role seems to be played by SOX11 regulation, which is associated with specific gene expression as well as a mutational profile. Apparently, also the IG::MYC translocation itself is mediated by different mechanisms, namely somatic hypermutation (SHM) and class switch recombination (CSR), according to the EBV and SOX11 status.

FBL classification based on the molecular pathogenesis. The major driving event, the IG::MYC translocation, may occur in either EBV+ or EBV germinal center B-cell (GCBC, presumably an early centroblast). Thereafter, different additional genetic lesions (overall more abundant in EBV cases) would contribute to BL phenotype. In EBV cases, a major role seems to be played by SOX11 regulation, which is associated with specific gene expression as well as a mutational profile. Apparently, also the IG::MYC translocation itself is mediated by different mechanisms, namely somatic hypermutation (SHM) and class switch recombination (CSR), according to the EBV and SOX11 status.

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