FISH analysis - t(11;14) (CCND1/IGH) 11q13 and 14q32 translocation and fusion

Definition

This translocation places the CCND1 (cyclin D1) gene at 11q13 next to the strong IGH enhancer region at 14q32, leading to pathological overexpression of cyclin D1. It is the molecular diagnostic hallmark of mantle cell lymphoma and is also one of the most common IGH translocations in multiple myeloma (15 to 20%). In myeloma, patients carrying this translocation have high BCL2 protein levels, which have been associated with response to venetoclax therapy.

Method

FISH analysis

Accepted sample types

Peripheral blood, bone marrow (heparin), blood (heparin)

Description

Diagnosis and monitoring of CLL, MM and NHL.

Inheritance

Somatic; it arises in tumor cells as a result of an error in V(D)J or class-switch recombination during B-lymphocyte maturation, and is not hereditary.

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