EHA Library - The official digital education library of European Hematology Association (EHA)

COMPREHENSIVE CHARACTERIZATION OF THE MUTATIONAL LANDSCAPE IN EPSTEIN-BARR VIRUS-POSITIVE DIFFUSE LARGE B-CELL LYMPHOMA BY WHOLE-GENOME AND TARGETED AMPLICON-BASED SEQUENCING
Author(s): ,
Hanno M Witte
Affiliations:
Hematology and Oncology,German Federal Armed Forces Hospital Ulm,Ulm,Germany
,
Julius Ketzer
Affiliations:
Hematology and Oncology,University Hospital Schleswig-Holstein Campus Lübeck,Lübeck,Germany
,
Tobias Dr Rausch
Affiliations:
European Molecular Biology Laboratory (EMBL),Genomics Core Facility,Heidelberg,Germany
,
Vladimir Dr Benes
Affiliations:
European Molecular Biology Laboratory (EMBL),Genomics Core Facility,Heidelberg,Germany
,
Jürgen Dr Zimmermann
Affiliations:
European Molecular Biology Laboratory (EMBL),Genomics Core Facility,Heidelberg,Germany
,
Judith Dr Gebauer
Affiliations:
Department of Internal Medicine I,University Hospital Schleswig-Holstein Campus Lübeck,Lübeck,Germany
,
Hartmut Prof Dr Merz
Affiliations:
Hämatopathologie Lübeck,Reference Centre for Lymph Node Pathology and Hematopathology,Lübeck,Germany
,
Veronica Dr Bernard
Affiliations:
Hämatopathologie Lübeck,Reference Centre for Lymph Node Pathology and Hematopathology,Lübeck,Germany
,
Lana Dr Harder
Affiliations:
Institut für Tumorgenetik Nord,Kiel,Germany
,
Katharina M. Sc. Ratjen
Affiliations:
Institut für Tumorgenetik Nord,Kiel,Germany
,
Stefan Dr Gesk
Affiliations:
Institut für Tumorgenetik Nord,Kiel,Germany
,
Wolfgang Dr Peter
Affiliations:
HLA Typing Laboratory,Stefan-Morsch-Foundation,Birkenfeld,Germany
,
Jannik Busch
Affiliations:
HLA Typing Laboratory,Stefan-Morsch-Foundation,Birkenfeld,Germany
,
Peter Trojok
Affiliations:
HLA Typing Laboratory,Stefan-Morsch-Foundation,Birkenfeld,Germany
,
Nikolas Prof Dr von Bubnoff
Affiliations:
Hematology and Oncology,University Hospital Schleswig-Holstein Campus Lübeck,Lübeck,Germany
,
Harald Dr Biersack
Affiliations:
Hematology and Oncology,University Hospital Schleswig-Holstein Campus Lübeck,Lübeck,Germany
,
Alfred C Prof Dr Feller
Affiliations:
Hämatopathologie Lübeck,Reference Centre for Lymph Node Pathology and Hematopathology,Lübeck,Germany
,
Axel Dr Künstner
Affiliations:
Medical Systems Biology Group,University of Lübeck,Lübeck,Germany
,
Hauke Prof Dr Busch
Affiliations:
Medical Systems Biology Group,University of Lübeck,Lübeck,Germany
Niklas PD Dr Gebauer
Affiliations:
Hematology and Oncology,University Hospital Schleswig-Holstein Campus Lübeck,Lübeck,Germany
EHA Library. M Witte H. 06/09/21; 325611; EP853
Dr. Hanno M Witte
Dr. Hanno M Witte
Contributions
Abstract
Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP853

Type: E-Poster Presentation

Session title: Lymphoma Biology & Translational Research

Background
The current World Health Organization (WHO) classification outlines the Epstein–Barr virus (EBV)-associated diffuse large B-cell lymphoma not otherwise specified (DLBCL NOS) as a distinct entity while its comprehensive genomic characterization remains fragmentary. 

Aims

The substantial aim of the present study was to compile an extensive genomic landscape of  EBV+ DLBCL (NOS).

Methods

In the current study, the genomic landscape of 47 cases of this rare entity has been characterized by whole-genome sequencing (WGS), targeted amplicon sequencing (tNGS) and fluorescence in-situ hybridization (FISH).

Results

Genomic data from WGS detected an accumulation of mutations with impact on WNT signalling (FRAT1, SFRP5), the nuclear factor κB (NFκB) pathway (CSNK2A2CARD10), IL-6/JAK/STAT (SOCS1/3STAT3) and alterations affecting immunological response like interferon-related signalling. Moreover, upon WGS-analysis there were several structural aberrations including 6q-deletions in 5/8 cases which underwent subsequent validation by FISH (14/32 cases). Present data reveal a distinctive genomic profile from EBV-negative DLBCL. Frequent typical DLBCL mutations could be identified in ARID1A (45%), KMT2A/D (32/30%), ANKRD11 (32%), NOTCH2 (32%) as well as EBV+ DLBCL (NOS) exclusive mutations in CCR6 (15%), DAPK1 (15%), TNFRSF21 (13%), CCR7 (11%) and YY1 (6%). 

Conclusion

We delineate the mutational landscape of EBV+ DLBCL (NOS) and comprehensively explore its pathobiological origin detecting several exclusive oncogenic drivers distinctive from other aggressive B-cell lymphoma subtypes. Moreover, we find deletions on chromosome 6 to be a highly recurrent cytogenetic feature of this rare entity. Current genomic findings contribute to the particular specification of the molecular taxonomy for aggressive B-cell lymphomas harbouring the potential to guide future treatment strategies.

Keyword(s): B cell lymphoma, Diffuse large B cell lymphoma, EBV, Genomics

Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP853

Type: E-Poster Presentation

Session title: Lymphoma Biology & Translational Research

Background
The current World Health Organization (WHO) classification outlines the Epstein–Barr virus (EBV)-associated diffuse large B-cell lymphoma not otherwise specified (DLBCL NOS) as a distinct entity while its comprehensive genomic characterization remains fragmentary. 

Aims

The substantial aim of the present study was to compile an extensive genomic landscape of  EBV+ DLBCL (NOS).

Methods

In the current study, the genomic landscape of 47 cases of this rare entity has been characterized by whole-genome sequencing (WGS), targeted amplicon sequencing (tNGS) and fluorescence in-situ hybridization (FISH).

Results

Genomic data from WGS detected an accumulation of mutations with impact on WNT signalling (FRAT1, SFRP5), the nuclear factor κB (NFκB) pathway (CSNK2A2CARD10), IL-6/JAK/STAT (SOCS1/3STAT3) and alterations affecting immunological response like interferon-related signalling. Moreover, upon WGS-analysis there were several structural aberrations including 6q-deletions in 5/8 cases which underwent subsequent validation by FISH (14/32 cases). Present data reveal a distinctive genomic profile from EBV-negative DLBCL. Frequent typical DLBCL mutations could be identified in ARID1A (45%), KMT2A/D (32/30%), ANKRD11 (32%), NOTCH2 (32%) as well as EBV+ DLBCL (NOS) exclusive mutations in CCR6 (15%), DAPK1 (15%), TNFRSF21 (13%), CCR7 (11%) and YY1 (6%). 

Conclusion

We delineate the mutational landscape of EBV+ DLBCL (NOS) and comprehensively explore its pathobiological origin detecting several exclusive oncogenic drivers distinctive from other aggressive B-cell lymphoma subtypes. Moreover, we find deletions on chromosome 6 to be a highly recurrent cytogenetic feature of this rare entity. Current genomic findings contribute to the particular specification of the molecular taxonomy for aggressive B-cell lymphomas harbouring the potential to guide future treatment strategies.

Keyword(s): B cell lymphoma, Diffuse large B cell lymphoma, EBV, Genomics

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