Integrative genomic analysis of pediatric T- cell lymphoblastic lymphoma reveals candidates of clinical significance
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Integrative genomic analysis of pediatric T- cell lymphoblastic lymphoma reveals candidates of clinical significance. / Khanam, Tasneem; Sandmann, Sarah; Seggewiss, Jochen; Ruether, Charlotte Marie; Zimmermann, Martin; Norvil, Allison B; Bartenhagen, Christoph; Randau, Gerrit; Mueller, Stephanie; Herbrüggen, Heidrun; Hoffmann, Per; Herms, Stefan; Wei, Lanying; Wöste, Marius; Wünsch, Christian; Gowher, Humaira; Oschlies, Ilske; Klapper, Wolfram; Woessmann, Wilhelm; Dugas, Martin; Burkhardt, Birgit.
in: BLOOD, Jahrgang 137, Nr. 17, 29.04.2021, S. 2347-2359.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Integrative genomic analysis of pediatric T- cell lymphoblastic lymphoma reveals candidates of clinical significance
AU - Khanam, Tasneem
AU - Sandmann, Sarah
AU - Seggewiss, Jochen
AU - Ruether, Charlotte Marie
AU - Zimmermann, Martin
AU - Norvil, Allison B
AU - Bartenhagen, Christoph
AU - Randau, Gerrit
AU - Mueller, Stephanie
AU - Herbrüggen, Heidrun
AU - Hoffmann, Per
AU - Herms, Stefan
AU - Wei, Lanying
AU - Wöste, Marius
AU - Wünsch, Christian
AU - Gowher, Humaira
AU - Oschlies, Ilske
AU - Klapper, Wolfram
AU - Woessmann, Wilhelm
AU - Dugas, Martin
AU - Burkhardt, Birgit
N1 - Copyright © 2020 American Society of Hematology.
PY - 2021/4/29
Y1 - 2021/4/29
N2 - T-cell lymphoblastic lymphoma (T-LBL) is a heterogeneous malignancy of lymphoblasts committed to T-cell lineage. The dismal outcomes (15%-30%) after T-LBL relapse warrant establishing risk-based treatment. To our knowledge, this study presents the first comprehensive, systematic, integrated, genome-wide analysis including relapsed cases that identifies molecular markers of prognostic relevance for T-LBL. NOTCH1 was identified as the putative driver for T-LBL. An activated NOTCH/PI3K-AKT signaling axis and alterations in cell cycle regulators constitute the core oncogenic program for T-LBL. Mutated KMT2D was identified as a prognostic marker. The cumulative incidence of relapse was 47% ± 17% in patients with KMT2D mutations, compared with 14% ± 3% in wild-type KMT2D. Structural analysis of the mutated domains of KMT2D revealed a plausible impact on structure and functional consequences. These findings provide new insights into the pathogenesis of T-LBL, including high translational potential. The ongoing LBL 2018 trial (www.clinicaltrials.gov #NCT04043494) allows for prospective validation and subsequent fine tuning of the stratification criteria for T-LBL risk groups to improve survival of pediatric patients.
AB - T-cell lymphoblastic lymphoma (T-LBL) is a heterogeneous malignancy of lymphoblasts committed to T-cell lineage. The dismal outcomes (15%-30%) after T-LBL relapse warrant establishing risk-based treatment. To our knowledge, this study presents the first comprehensive, systematic, integrated, genome-wide analysis including relapsed cases that identifies molecular markers of prognostic relevance for T-LBL. NOTCH1 was identified as the putative driver for T-LBL. An activated NOTCH/PI3K-AKT signaling axis and alterations in cell cycle regulators constitute the core oncogenic program for T-LBL. Mutated KMT2D was identified as a prognostic marker. The cumulative incidence of relapse was 47% ± 17% in patients with KMT2D mutations, compared with 14% ± 3% in wild-type KMT2D. Structural analysis of the mutated domains of KMT2D revealed a plausible impact on structure and functional consequences. These findings provide new insights into the pathogenesis of T-LBL, including high translational potential. The ongoing LBL 2018 trial (www.clinicaltrials.gov #NCT04043494) allows for prospective validation and subsequent fine tuning of the stratification criteria for T-LBL risk groups to improve survival of pediatric patients.
U2 - 10.1182/blood.2020005381
DO - 10.1182/blood.2020005381
M3 - SCORING: Journal article
C2 - 33152759
VL - 137
SP - 2347
EP - 2359
JO - BLOOD
JF - BLOOD
SN - 0006-4971
IS - 17
ER -