Distinct MYC translocation architectures in lymphomas with sole MYC translocations vs double-hit lymphomas with BCL2 and MYC translocations. In Burkitt lymphomas and diffuse large B-cell lymphomas with sole MYC translocations, these translocations are mostly targeted to the nonproductively rearranged IGH locus, either into or near to a nonproductively rearranged IGHV gene as a mistake of SHM (A), or into one of the switch regions (often switch-μ) as a mistake of class switching (B). In double-hit high-grade lymphomas with MYC and IGH::BCL2 translocations, the MYC gene is in most instances either translocated to a nonimmunoglobulin gene, for example BCL6, coming under control of the strong BCL6 super enhancer (C), or to a downstream switch region (often switch-ε) on either the allele with the productive IGHV gene (as shown in D), or the allele with the IGH::BCL2 rearrangement. Importantly, in all these constellations of MYC translocations in HGBCL-DH-BCL2, expression of the BCR and of the translocated BCL2 gene is retained. The Eμ and the 2 IGH locus 3′ RR enhancers (red squares) drive the expression of the genes juxtaposed to them. Only 4 of the 9 IGH constant region genes are shown as yellow squares. Arrows indicate the transcriptional orientation of the genes. chr, chromosome.

Distinct MYC translocation architectures in lymphomas with sole MYC translocations vs double-hit lymphomas with BCL2 and MYC translocations. In Burkitt lymphomas and diffuse large B-cell lymphomas with sole MYC translocations, these translocations are mostly targeted to the nonproductively rearranged IGH locus, either into or near to a nonproductively rearranged IGHV gene as a mistake of SHM (A), or into one of the switch regions (often switch-μ) as a mistake of class switching (B). In double-hit high-grade lymphomas with MYC and IGH::BCL2 translocations, the MYC gene is in most instances either translocated to a nonimmunoglobulin gene, for example BCL6, coming under control of the strong BCL6 super enhancer (C), or to a downstream switch region (often switch-ε) on either the allele with the productive IGHV gene (as shown in D), or the allele with the IGH::BCL2 rearrangement. Importantly, in all these constellations of MYC translocations in HGBCL-DH-BCL2, expression of the BCR and of the translocated BCL2 gene is retained. The Eμ and the 2 IGH locus 3′ RR enhancers (red squares) drive the expression of the genes juxtaposed to them. Only 4 of the 9 IGH constant region genes are shown as yellow squares. Arrows indicate the transcriptional orientation of the genes. chr, chromosome.

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