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Tumor Engraftment in a Xenograft Mouse Model of Human Mantle Cell Lymphoma
Published on: March 30, 2018
Mantle cell lymphoma: a lymphoproliferative disorder associated with aberrant function of the cell cycle
1Lymphoma Section, MD Anderson Cancer Center, Houston, TX 77030, USA.
Insights
Mantle cell lymphoma, a B cell disorder, is defined by t(11;14) translocation and CD5+/CD20+ immunophenotype. The diffuse subtype indicates a poor prognosis, with limited treatment efficacy.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Mantle cell lymphoma (MCL) is a B cell lymphoproliferative neoplasm.
- It is characterized by the t(11;14) chromosomal translocation involving the cyclin D1 gene (CCND1).
- Immunophenotypically, MCL typically expresses CD5 and CD20, while being negative for CD23.
Purpose of the Study:
- To elucidate the cytogenetic, molecular, and immunophenotypic characteristics of Mantle Cell Lymphoma.
- To describe the different histological patterns and their prognostic implications.
- To review the impact of current therapeutic regimens and explore experimental treatments.
Main Methods:
- Cytogenetic analysis to identify the t(11;14) translocation.
- Molecular studies to confirm Bcl-1/PRAD-1 gene involvement and cyclin D1 overexpression.
- Immunohistochemistry to determine antigen expression (CD5, CD20, CD23).
- Histopathological examination of tissue samples to classify patterns (diffuse, mantle zone, nodular).
Main Results:
- The t(11;14) translocation leading to cyclin D1 overexpression drives cell proliferation by affecting the Rb protein pathway.
- The diffuse histological pattern is the most common and associated with a poor prognosis.
- Standard anthracycline-based chemotherapy regimens show limited impact on survival for nodular or diffuse MCL.
- Five-year survival rates are below 30% in some series.
Conclusions:
- Mantle cell lymphoma is a distinct entity with specific molecular drivers of proliferation.
- Histological patterns significantly influence patient outcomes.
- Current treatment strategies have limitations, necessitating further research into intensive therapies and transplantation.
Abstract:
Mantle cell lymphoma is a B cell lymphoproliferative disorder cytogenetically characterized by the t(11;14)(q13;q32) which at molecular level involves the Bcl-1/PRAD-1 gene. Immunophenotypically it is characterized by co-expression of CD5+/CD20+ and CD23- antigens. Histologic patterns are recognized as: diffuse, mantle zone and nodular. Diffuse mantle lymphoma is the most frequent and is associated with a poor prognosis. The rearrangement of the Bcl-1/PRAD-1 increases the synthesis of cyclin D1. Cyclin D1 binds to Cdk4 and forms a complex, then binds to and phosphorylates Rb protein thus triggering cells to progress from G0/G1 to S and thus drives cellular proliferation. The 5-year survival in the MD Anderson series was less than 30% and anthracycline regimens do not appear to have any major impact on the outcomes of cases with nodular or diffuse histopathological patterns. Intensive therapeutic programs and first line autologous or allogeneic bone marrow transplantation remains experimental.
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