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Updated: Jun 25, 2026

Identifying, Diagnosing, and Grading Malignant Peripheral Nerve Sheath Tumors in Genetically Engineered Mouse Models
Published on: May 17, 2024
The NF-{kappa}B negative regulator TNFAIP3 (A20) is inactivated by somatic mutations and genomic deletions in
Urban Novak1, Andrea Rinaldi, Ivo Kwee
1Institute for Cancer Genetics, Departments of Pathology and Genetics & Development, and the Herbert Irving Comprehensive Cancer Center, Columbia University, New York, NY 10032, USA.
Abstract:
Unique and shared cytogenetic abnormalities have been documented for marginal zone lymphomas (MZLs) arising at different sites. Recently, homozygous deletions of the chromosomal band 6q23, involving the tumor necrosis factor alpha-induced protein 3 (TNFAIP3, A20) gene, a negative regulator of NF-kappaB, were described in ocular adnexal MZL, suggesting a role for A20 as a tumor suppressor in this disease. Here, we investigated inactivation of A20 by DNA mutations or deletions in a panel of extranodal MZL (EMZL), nodal MZL (NMZL), and splenic MZL (SMZL). Inactivating mutations encoding truncated A20 proteins were identified in 6 (19%) of 32 MZLs, including 2 (18%) of 11 EMZLs, 3 (33%) of 9 NMZLs, and 1 (8%) of 12 SMZLs. Two additional unmutated nonsplenic MZLs also showed monoallelic or biallelic A20 deletions by fluorescent in situ hybridization (FISH) and/or SNP-arrays. Thus, A20 inactivation by either somatic mutation and/or deletion represents a common genetic aberration across all MZL subtypes, which may contribute to lymphomagenesis by inducing constitutive NF-kappaB activation.
Insights
Inactivating mutations and deletions of the TNFAIP3 (A20) gene are common in marginal zone lymphomas (MZLs). This genetic aberration may drive lymphomagenesis by promoting NF-kappaB activation.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Cytogenetic abnormalities are observed in marginal zone lymphomas (MZLs) originating from various sites.
- Homozygous deletions of TNFAIP3 (A20) at 6q23, a negative regulator of NF-kappaB, were previously identified in ocular adnexal MZL, suggesting its tumor suppressor role.
Purpose of the Study:
- To investigate the inactivation of the TNFAIP3 (A20) gene through DNA mutations or deletions across different subtypes of MZL.
- To determine the frequency and spectrum of A20 alterations in extranodal MZL (EMZL), nodal MZL (NMZL), and splenic MZL (SMZL).
Main Methods:
- Analysis of DNA mutations and deletions in a cohort of 32 MZL samples.
- Utilized fluorescent in situ hybridization (FISH) and single nucleotide polymorphism (SNP)-arrays to detect A20 deletions.
- Sequencing to identify inactivating mutations encoding truncated A20 proteins.
Main Results:
- Inactivating mutations in A20 were found in 19% (6/32) of MZLs, including EMZL (18%), NMZL (33%), and SMZL (8%).
- Two additional MZLs without mutations exhibited monoallelic or biallelic A20 deletions.
- A20 inactivation occurs across various MZL subtypes.
Conclusions:
- Inactivation of the TNFAIP3 (A20) gene, via mutation or deletion, is a frequent event in marginal zone lymphomas.
- A20 inactivation may contribute to lymphomagenesis by leading to constitutive NF-kappaB activation.
- These findings highlight A20 as a potential tumor suppressor and therapeutic target in MZL.
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07:17Wild-type Blocking PCR Combined with Sanger Sequencing for Detection of Low-frequency Somatic Mutation
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