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Etiology & Molecular Genetics of
MALT Lymphoma
Present by: Parisa Nj; Master: Dr. Khatami; March 2018; Yazd University
a) The Peyer’s patch is a representative of the extensive MALT system
b) b) A stained tissue cross-section of Peyer’s patch lymphoid nodules in the intestinal submucosa
c) The intestinal lamina propria contains loose clusters of lymphoid cells and diff use follicles
What’s MALT?
2
The topology and function of intestinal MALT is shown.
3
B Cell Ontogeny & Lymphomagenesis
4
5
MALT Lymphoma Etiology
• Microbial Pathogens
• Molecular genetics of MALT Lymphoma (NF kappa B Signaling Pathway)
6
Microbial Pathogens
7
Helicobacter Pylori Infection
8
• Chromosomal Translocations
i. T(1;2) (p22;p12)
ii. T(1;14) (p21;q32) CNN3
iii. T (1;14) (p22;q32) BCL10
iv. T(3;14) (p14;q32) FOXP1
v. T(5;14) (q34;q32) ODZ2
vi. T(9;14) (p24;q32) JMJD2C
vii. T(x;14) (p11;q32) GPR34
viii. T (11;18) (q21;q21) BIRC2/MALT1
ix. T (14;18) (q32;q21) MALT1
Molecular Genetics  TSG
 Oncogene
9
• Numeric Chromosomal Aberration
i. Trisomy 3, 12 & 18 (FOXP1 & BCL6)
ii. Deletion TNFAIP3
• Somatic Mutations
i. Missense at PIM1 & Cmyc
ii. Frameshift & Missense at myd88; P16, 53,57
• Epigenetic Alternations
i. Hyper Methylation at P16,57,73; Hmlh1; DAPK; MINT1,2,31;A20
ii. Somatic Hyper Mutation at RhoH/TTF; Pax5; PIM1
10
Genetic alterations in MALT lymphomas
11
Incidence of Chromosomal Translation
13
NF-κB Signaling Pathway
14
BCR Signaling Pathway
15
TCR Signaling Pathway
16
Right: Normal Peyer Patch
Left: Early stage lesion of MALT lymphoma
Right: High Grade of MALT Lymphoma
Left: Low Grade of MALT Lymphoma
17
Staging of gastric MALT lymphoma: comparison of different systems
18
19
20
21
22

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Etiology & Molecular Genetics of MALT Lymphoma