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- W2623197926 abstract "Introduction: The mutational profile of cHL is poorly characterized, and the genetics of refractory disease is unknown. This study aims at: i) providing the evidence that the mutational profile of cHL can be tracked by using plasma cfDNA; and ii) characterizing the genetics of newly diagnosed cHL and, for comparative purposes, refractory cHL. Methods: The study includes 29 newly diagnosed and 15 chemorefractory cHL provided with plasma cfDNA and germline gDNA. Paired gDNA from tumor tissue biopsies was available for 17 patients, including 3 cases for which Reed-Sternberg (RS) enriched areas were macrodissected. Plasma cfDNA, normal gDNA and tumor gDNA were subjected to targeted ultra-deep next generation sequencing by using the CAPP-seq strategy and Illumina platforms (sensitivity of 3x10-3). Results: In newly diagnosed cHL patients, genotyping of plasma cfDNA identified non-synonymous somatic mutations in STAT6 (45%), TNFAIP3 (45%), ITPKB(31%), B2M (21%), GNA13 (17%) and XPO1 (10%) among the most recurrent genes. In refractory cHL patients, genotyping of plasma cfDNA identified non-synonymous somatic mutations in GNA13 (36%), ITPKB (29%), ATM (29%), B2M (21%), STAT6 (21%),KMT2D (21%), XPO1 (21%), TET2 (21%) and TNFAIP3 (14%) (Figure 1A-B). Mutations of TET2 were enriched in refractory cHL patients compared to newly diagnosed cases, suggesting that they contributed to the chemorefractory phenotype. Consistently, genotyping of longitudinal samples disclosed the acquisition of TET2 mutations in one refractory patient. By using highly sensitive techniques, most of the mutations discovered in cfDNA were also identified in paired tumor DNA from the tissue biopsy and/or macrodissected RS cells, thus confirming their tumor origin (Figure 1C). By pathway analysis, the mutational profile pointed to the involvement of PI3K/AKT signaling, cytokines signaling, NF-kB signaling and immune escape in cHL. ITPKB (a negative regulator of PI3K) was specifically mutated in cHL across aggressive B cell lymphomas. In RS cells from wild type cases, the ITPKB protein showed a nucleo-cytoplasmic pattern. Conversely, in RS cells from mutated cases, ITPKB localized only in the cytoplasm, pointing to a functional impact of mutations on the subcellular localization of the protein. Consistent with the involvement of ITPKB in PI3K signaling, the L-1236 cHL cell line, that harbored a truncating mutation of ITPKB, was resistant to PI3K inhibitors (RP6530 and AEZS136). Conversely, cHL cell lines harboring a wild type ITPKB (L-540, L-428, KM-H2) maintained sensitivity to these compounds (Figure 1D). Keywords: Hodgkin lymphoma (HL); molecular genetics; Reed-Sternberg cells." @default.
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- W2623197926 date "2017-06-01" @default.
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- W2623197926 title "Genotyping of Classical Hodgkin Lymphoma on the Liquid Biopsy" @default.
- W2623197926 doi "https://doi.org/10.1002/hon.2437_51" @default.
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