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