Artigo Acesso aberto

The Genetic Basis of Hepatosplenic T-cell Lymphoma

2017; American Association for Cancer Research; Volume: 7; Issue: 4 Linguagem: Inglês

10.1158/2159-8290.cd-16-0330

ISSN

2159-8290

Autores

Matthew McKinney, Andrea B. Moffitt, Philippe Gaulard, Marion Travert, Laurence de Leval, Alina Nicolae, Mark Raffeld, Elaine S. Jaffe, Stefania Pittaluga, Liqiang Xi, Tayla B. Heavican, Javeed Iqbal, Karim Belhadj, Marie‐Hélène Delfau‐Larue, Virginie Fataccioli, Magdalena Czader, Izidore S. Lossos, Jennifer R. Chapman‐Fredricks, Kristy L. Richards, Yuri Fedoriw, Sarah L. Ondrejka, Eric D. Hsi, Lawrence K. Low, Dennis D. Weisenburger, Wing C. Chan, Neha Mehta‐Shah, Steven M. Horwitz, Leon Bernal‐Mizrachi, Christopher R. Flowers, Anne Beaven, Mayur Parihar, Lucile Baseggio, Marie Parrens, Philippe Moreau, Pierre Sujobert, Monika Pilichowska, Andrew M. Evens, Amy Chadburn, Rex Au-Yeung, Gopesh Srivastava, William W.L. Choi, John R. Goodlad, Igor Aurer, Sandra Bašić‐Kinda, Randy D. Gascoyne, Nicholas S. Davis, Guojie Li, Jenny Zhang, Deepthi Rajagopalan, Anupama Reddy, Cassandra Love, Shawn Levy, Yuan Zhuang, Jyotishka Datta, David B. Dunson, Sandeep S. Davé,

Tópico(s)

Immune Cell Function and Interaction

Resumo

Abstract Hepatosplenic T-cell lymphoma (HSTL) is a rare and lethal lymphoma; the genetic drivers of this disease are unknown. Through whole-exome sequencing of 68 HSTLs, we define recurrently mutated driver genes and copy-number alterations in the disease. Chromatin-modifying genes, including SETD2, INO80, and ARID1B, were commonly mutated in HSTL, affecting 62% of cases. HSTLs manifest frequent mutations in STAT5B (31%), STAT3 (9%), and PIK3CD (9%), for which there currently exist potential targeted therapies. In addition, we noted less frequent events in EZH2, KRAS, and TP53. SETD2 was the most frequently silenced gene in HSTL. We experimentally demonstrated that SETD2 acts as a tumor suppressor gene. In addition, we found that mutations in STAT5B and PIK3CD activate critical signaling pathways important to cell survival in HSTL. Our work thus defines the genetic landscape of HSTL and implicates gene mutations linked to HSTL pathogenesis and potential treatment targets. Significance: We report the first systematic application of whole-exome sequencing to define the genetic basis of HSTL, a rare but lethal disease. Our work defines SETD2 as a tumor suppressor gene in HSTL and implicates genes including INO80 and PIK3CD in the disease. Cancer Discov; 7(4); 369–79. ©2017 AACR. See related commentary by Yoshida and Weinstock, p. 352. This article is highlighted in the In This Issue feature, p. 339

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