The B-cell lymphoproliferative malignancies B-cell chronic lymphocytic leukemia (B-CLL) and mantle cell lymphoma (MCL) share characteristics, including overlapping chromosomal aberrations with deletions on chromosome bands 13q14, 11q23, 17p13, and 6q21 and gains on chromosome bands 3q26, 12q13, and 8q24. To elucidate the biochemical processes involved in the pathogenesis of B-CLL and MCL, we analyzed the expression level of a set of genes that play central roles in apoptotic or cell proliferation pathways and of candidate genes from frequently altered genomic regions, namely ATM, BAX, BCL2, CCND1, CCND3, CDK2, CDK4, CDKN1A, CDKN1B, E2F1, ETV5, MYC, RB1, SELL, TFDP2, TNFSF10, and TP53. Performing real-time quantitative reverse transcription polymerase chain reaction in a panel of patients with MCL and B-CLL and control samples, significant overexpression and underexpression was observed for most of these genes. Statistical analysis of the expression data revealed the combination of CCND1 and CDK4 as the best classifier concerning separation of both lymphoma types. Overexpression in these malignancies suggests ETV5 as a new candidate for a pathogenic factor in B-cell lymphomas. Characteristic deregulation of multiple genes analyzed in this study could be combined in a comprehensive picture of 2 distinctive pathomechanisms in B-CLL and MCL. In B-CLL, the expression parameters are in strong favor of protection of the malignant cells from apoptosis but did not provide evidence for promoting cell cycle. In contrast, in MCL the impairment of apoptosis induction seems to play a minor role, whereas most expression data indicate an enhancement of cell proliferation. Both diseases are types of follicle mantle-derived lymphoproliferative malignancies. B-CLL is the most common leukemia in adults of the Western world and is associated with the accumulation of immuno-incompetent B-lymphocytes with low proliferative activity. These noncycling lymphocytes escape from the induction of programmed cell death. [1][2][3][4][5] A highly variable clinical course with a median survival time of 7 to 10 years is characteristic for B-CLL. 6 In contrast, patients with MCL have a median survival of 3 years, 7 and MCL is characterized by the (11;14)(q31;q32) translocation resulting in the up-regulation of cyclin D1 (CCND1) by the immunoglobulin heavy-chain enhancer elements. 8,9 Both malignancies are characterized by common chromosomal aberrations. Although MCL is associated with higher complexity of the karyotype, there are striking similarities between common genetic aberrations in MCL and B-CLL: deletions on chromosome bands 13q14, 11q23, 17p13, and 6q21 and gains on chromosome bands 3q26, 12q13, and 8q24. [10][11][12][13][14][15] For some chromosomal loci, the affected genes are identified, such as TP53 on 17p13 16,17 and ATM (ataxia telangiectasia mutated) on 11q23. [18][19][20][21] However, the molecular mechanisms causing B-CLL and MCL are still unknown. To determine to which degree cell cycle progression or impairment of apoptosis ind...