Rare expression of KIT (CD117) in lymphomas: a tissue microarray study of 1166 cases

A Zimpfer1, P Went, A Tzankov

  • 1Institute of Pathology, University of Basel, Basel, Switzerland.

Histopathology
|October 8, 2004
PubMed
Abstract

Insights

KIT expression is rare in non-Hodgkin's lymphoma (NHL) and absent in Hodgkin's lymphoma (HL). Aberrant KIT expression in NHL is not due to common mutations, suggesting Imatinib may not be effective for these rare cases.

Area of Science:

  • Oncology
  • Hematology
  • Molecular Biology

Background:

  • Imatinib mesylate targets KIT tyrosine kinase, proving effective in gastrointestinal stromal tumors.
  • KIT expression in other malignancies is being investigated for potential Imatinib therapy benefits.

Purpose of the Study:

  • To evaluate the distribution and expression of KIT in a large cohort of malignant lymphoma cases.
  • To determine if KIT mutations are present in KIT-expressing lymphomas.

Main Methods:

  • Immunohistochemical analysis of KIT protein expression on tissue microarrays from 1166 lymphoma cases (824 NHL, 342 HL).
  • Polymerase chain reaction sequencing of KIT-positive cases to identify gene mutations.

Main Results:

  • KIT expression was found in only 0.3% of non-Hodgkin's lymphoma (NHL) cases (1 T-cell lymphoma, 1 follicular lymphoma).
  • All Hodgkin's lymphoma (HL) cases were negative for KIT expression.
  • No KIT gene mutations were detected in the KIT-positive NHL cases.

Conclusions:

  • KIT expression is a rare phenomenon in NHL and virtually absent in HL.
  • The aberrant KIT expression observed in rare NHL cases is not associated with mutations in common 'hot-spots' of the kit gene.
  • Imatinib therapy is unlikely to be effective for the majority of lymphomas due to the rarity of KIT expression and lack of targetable mutations.

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