Volume 122, Issue 5, Pages (May 2002)

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Volume 122, Issue 5, Pages 1286-1294 (May 2002) T(11;18) is a marker for all stage gastric MALT lymphomas that will not respond to H. pylori eradication  Hongxiang Liu, Hongtao Ye, Agnes Ruskone–Fourmestraux, Daphne De Jong, Stefano Pileri, Christian Thiede, Anne Lavergne, Henk Boot, Giancarlo Caletti, Thomas Wündisch, Thierry Molina, Babs G. Taal, Sabattini Elena, Togliani Thomas, Pier Luigi Zinzani, Andreas Neubauer, Manfred Stolte, Rifat A. Hamoudi, Ahmet Dogan, Peter G. Isaacson, Ming–Qing Du  Gastroenterology  Volume 122, Issue 5, Pages 1286-1294 (May 2002) DOI: 10.1053/gast.2002.33047 Copyright © 2002 American Gastroenterological Association Terms and Conditions

Fig. 1 Schematic representation of the API2 and MALT1 gene structure and primer positions. Known breakpoints are indicated by arrowheads, and nucleic acids are numbered according to cDNA sequence of the API2 (GeneBank, NM_001165) and MALT1 gene (AF130356). The frequency of individual known breakpoints was given.14–26 Arrows indicate the position of primers used. f-S and f-AS, sense and anti-sense primer for PCR from frozen tissue; p-S and p-AS, sense and anti-sense primer for PCR from paraffin-embedded tissues; BIR, baculovirus IAP repeat; CARD, caspase recruitment domain; DD, death domain.21,23 Gastroenterology 2002 122, 1286-1294DOI: (10.1053/gast.2002.33047) Copyright © 2002 American Gastroenterological Association Terms and Conditions

Fig. 2 Detection of the API2-MALT1 fusion transcript by RT-PCR. (A) Left panel: examples of RT-PCR from frozen tissue samples using primer f-S and f-AS. Cases 4 and 5 harbor an API2-MALT1 fusion with breakpoint immediately upstream of exon 5 of the MALT1 gene and show alternative splice variants of the fusion transcript. M, molecular-weight marker. Middle panel: RT-PCR with primer p-S and f-AS in case 5 shows alternative splice variants of the API2-MALT1 fusion. Deleted exons are indicated. Right panel: RT-PCR of the MALT1 gene from a gastritis tissue shows a major splice variant with deletion of exon 7. wt, wild type. (B) Examples of various API2-MALT1 fusion transcripts detected from paraffin-embedded tissues. PCR products derived from primers p-AS2 or p-AS3 show splice variants, which are indicated by arrowheads. Representative fusion products are illustrated schematically, and their breakpoint and frequency of occurrence are shown. Gastroenterology 2002 122, 1286-1294DOI: (10.1053/gast.2002.33047) Copyright © 2002 American Gastroenterological Association Terms and Conditions

Fig. 3 Correlation between response of gastric MALT lymphoma to H. pylori eradication therapy and clinical staging and presence of t(11;18)(q21;q21). Clinical staging has little value in predication of the response of stage IE gastric MALT lymphoma to H. pylori eradication therapy. In contrast, the translocation can predict 60% of H. pylori therapy NR cases at stage IE. Gastroenterology 2002 122, 1286-1294DOI: (10.1053/gast.2002.33047) Copyright © 2002 American Gastroenterological Association Terms and Conditions