B-cell lymphoma/leukaemia 11B (BCL11B) is an essential transcription factor for T-cell lineage commitment and maturation. We investigated BCL11B expression by immunohistochemistry in T-lymphoblastic leukaemia/lymphoma (T-ALL/LBL) (n = 115). The majority (83%) of early T-cell precursor T-ALL/LBL (ETP-ALL) cases showed negative BCL11B expression, while most (84%) of non-ETP-ALL/LBL were positive for BCL11B. A simplified three-marker [BCL11B, cluster of differentiation 5 (CD5), CD13] immunophenotypic score discriminated reliably between ETP-ALL and non-ETP-ALL/LBL. In ETP-ALL, patients with positive BCL11B expression had a better overall survival than those with negative BCL11B (P = 0·009). In summary, BCL11B is a valuable marker for T-ALL/LBL subtyping and serves as a potential prognostic marker in patients with ETP-ALL.

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http://dx.doi.org/10.1111/bjh.17681DOI Listing

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Article Synopsis
  • The deregulation of a specific transcription factor is key in the development of T cell acute lymphoblastic leukemia (T-ALL), mainly due to mutations in exon 4 that disrupt its DNA-binding ability.
  • The study highlights the role of Activation-induced cytidine deaminase (AID) in mutagenesis, showing that AID is present in T-ALL cells and creates distinct mutation patterns by binding to fragile regions in the DNA.
  • AID's binding leads to the formation of complex DNA structures that can cause errors during replication, ultimately resulting in harmful mutations that impair the transcription factor's function and contribute to the onset of T-ALL.
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University of Strasbourg, UPR CNRS 9002, ARN, IUT Louis Pasteur, Schiltigheim, France. Electronic address:

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