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EB 病毒相关淋巴瘤中频繁涉及程序性死亡配体的结构变异。

Frequent structural variations involving programmed death ligands in Epstein-Barr virus-associated lymphomas.

机构信息

Department of Pathology and Tumor Biology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Division of Molecular Oncology, National Cancer Center Research Institute, Tokyo, Japan.

出版信息

Leukemia. 2019 Jul;33(7):1687-1699. doi: 10.1038/s41375-019-0380-5. Epub 2019 Jan 25.


DOI:10.1038/s41375-019-0380-5
PMID:30683910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6755969/
Abstract

Viral infection induces potent cellular immunity and activated intracellular signaling, which may dictate the driver events involved in immune escape and clonal selection of virus-associated cancers, including Epstein-Barr virus (EBV)-positive lymphomas. Here, we thoroughly interrogated PD-L1/PD-L2-involving somatic aberrations in 384 samples from various lymphoma subtypes using high-throughput sequencing, particularly focusing on virus-associated lymphomas. A high frequency of PD-L1/PD-L2-involving genetic aberrations was observed in EBV-positive lymphomas [33 (22%) of 148 cases], including extranodal NK/T-cell lymphoma (ENKTL, 23%), aggressive NK-cell leukemia (57%), systemic EBV-positive T-cell lymphoproliferative disorder (17%) as well as EBV-positive diffuse large B-cell lymphoma (DLBCL, 19%) and peripheral T-cell lymphoma-not otherwise specified (15%). Predominantly causing a truncation of the 3'-untranslated region, these alterations represented the most prevalent somatic lesions in ENKTL. By contrast, the frequency was much lower in EBV-negative lymphomas regardless of histology type [12 (5%) of 236 cases]. Besides PD-L1/PD-L2 alterations, EBV-positive DLBCL exhibited a genetic profile distinct from EBV-negative one, characterized by frequent TET2 and DNMT3A mutations and the paucity of CD79B, MYD88, CDKN2A, and FAS alterations. Our findings illustrate unique genetic features of EBV-associated lymphomas, also suggesting a potential role of detecting PD-L1/PD-L2-involving lesions for these lymphomas to be effectively targeted by immune checkpoint blockade.

摘要

病毒感染会诱导强烈的细胞免疫和激活细胞内信号,这可能决定了与病毒相关的癌症中免疫逃逸和克隆选择的驱动事件,包括 EBV(Epstein-Barr virus)阳性淋巴瘤。在这里,我们使用高通量测序技术,在 384 个来自各种淋巴瘤亚型的样本中,全面研究了 PD-L1/PD-L2 相关的体细胞异常,尤其关注与病毒相关的淋巴瘤。我们发现 EBV 阳性淋巴瘤中存在高频的 PD-L1/PD-L2 相关遗传异常[148 例中的 33 例(22%)],包括结外 NK/T 细胞淋巴瘤(ENKTL,23%)、侵袭性 NK 细胞白血病(57%)、系统性 EBV 阳性 T 细胞淋巴组织增生性疾病(17%)以及 EBV 阳性弥漫性大 B 细胞淋巴瘤(DLBCL,19%)和外周 T 细胞淋巴瘤非特指型(15%)。这些改变主要导致 3'非翻译区的截断,是 ENKTL 中最常见的体细胞病变。相比之下,无论组织学类型如何, EBV 阴性淋巴瘤中的频率都要低得多[236 例中的 12 例(5%)]。除了 PD-L1/PD-L2 改变外, EBV 阳性 DLBCL 还表现出与 EBV 阴性 DLBCL 不同的遗传特征,其特征为频繁的 TET2 和 DNMT3A 突变,以及 CD79B、MYD88、CDKN2A 和 FAS 改变的缺乏。我们的研究结果说明了 EBV 相关淋巴瘤的独特遗传特征,也表明检测 PD-L1/PD-L2 相关病变可能对这些淋巴瘤的免疫检查点阻断治疗具有潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/98f0cbbf7496/41375_2019_380_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/0f9ca5cccd74/41375_2019_380_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/f43434ead29c/41375_2019_380_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/94d49fdf52ee/41375_2019_380_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/b7b0a0d60515/41375_2019_380_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/98f0cbbf7496/41375_2019_380_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/0f9ca5cccd74/41375_2019_380_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/f43434ead29c/41375_2019_380_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/94d49fdf52ee/41375_2019_380_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/b7b0a0d60515/41375_2019_380_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac8d/6755969/98f0cbbf7496/41375_2019_380_Fig5_HTML.jpg

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本文引用的文献

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Nat Med. 2018-4-30

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J Clin Oncol. 2016-8-10

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