{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:58:12Z","timestamp":1789487892182,"version":"build-2803163510"},"reference-count":105,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","award":["115\u2010SS0088"],"award-info":[{"award-number":["115\u2010SS0088"]}],"id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["pathsocjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pathology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    A significant proportion of gastric diffuse large B\u2010cell lymphoma with mucosa\u2010associated lymphoid tissue [DLBCL(MALT)] and without MALT (\u2018pure\u2019 DLBCL) can be resolved by\n                    <jats:italic>Helicobacter pylori<\/jats:italic>\n                    eradication (HPE). Gastric MALT lymphoma is an indolent lymphoma derived from memory B cells in the marginal zone. In the present study, we aimed to explore the origin of large cells in HPE\u2010responsive gastric DLBCLs (complete remission after HPE). We investigated gastric lymphoma biopsies from 31 patients with HPE\u2010responsive DLBCLs [15 \u2018pure\u2019 DLBCLs, 16 DLBCL(MALT)s]. We used the Hans algorithm (CD10, BCL\u20106, and MUM1) to define the origins of germinal center B cell (GCB) and non\u2010GCB. To further ascertain the cellular origin, 11 \u2018pure\u2019 DLBCLs were examined using an Agilent whole\u2010human genome microarray. Eleven DLBCLs [eight with \u2018pure\u2019 DLBCL and three with DLBCL(MALT)] were also assessed using Lymph2Cx. Specific GCB markers, including BACH2, AID, and\n                    <jats:italic>BCL2<\/jats:italic>\n                    rearrangement and enhancer of zeste 2 polycomb repressive complex 2 subunit (\n                    <jats:italic>EZH2<\/jats:italic>\n                    ) codon 641 mutations, were evaluated in 31 patients with HPE\u2010responsive gastric DLBCLs. According to the Hans algorithm, 53% (8\/15) of gastric \u2018pure\u2019 DLBCLs and 50% (8\/16) of DLBCL(MALT)s were of the GCB phenotype. Gene expression assays revealed that five of six patients with \u2018Hans\u2019 GCB had GCB genetic signatures, whereas four of five patients with \u2018Hans\u2019 non\u2010GCB had activated B\u2010cell genetic signatures. The Lymph2Cx assay revealed the GCB subtype in seven of eight patients with \u2018Hans\u2019 GCB. The expression patterns of BACH2 (\n                    <jats:italic>p\u2009=<\/jats:italic>\n                    \u20090.005) and AID (\n                    <jats:italic>p\u2009=<\/jats:italic>\n                    \u20090.038) closely correlated with the \u2018Hans\u2019 GCB phenotype.\n                    <jats:italic>BCL2<\/jats:italic>\n                    rearrangements and\n                    <jats:italic>EZH2<\/jats:italic>\n                    codon 641 mutations were detected in 44% (7\/16) and 13% (2\/16) of patients with \u2018Hans\u2019 GCB, respectively. In another cohort of 29 HPE\u2010unresponsive gastric DLBCLs [19 \u2018pure\u2019 DLBCLs and 10 DLBCL(MALT)s], we found a close association between the \u2018Hans\u2019 GCB subtype and the GCB subtype as determined by the Agilent whole\u2010human genome microarray and Lymph2Cx in lymphoma cells of these patients. In conclusion, more than half of HPE\u2010responsive large cell lymphoma cases in the stomach were of GCB origin. \u00a9 2026 The Pathological Society of Great Britain and Ireland.\n                  <\/jats:p>","DOI":"10.1002\/path.70091","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T08:28:11Z","timestamp":1785918491000},"page":"174-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diversified cell origin of\n                    <scp>\n                      <i>H<\/i>\n                    <\/scp>\n                    <i>elicobacter pylori<\/i>\n                    eradication\u2010responsive gastric diffuse large B\u2010cell lymphomas"],"prefix":"10.1002","volume":"270","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0054-887X","authenticated-orcid":false,"given":"Sung\u2010Hsin","family":"Kuo","sequence":"first","affiliation":[{"name":"Department of Oncology National 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