Koh Jiwon, Jang Insoon, Choi Seongmin, Kim Sehui, Jang Ingeon, Ahn Hyun Kyung, Lee Cheol, Paik Jin Ho, Kim Chul Woo, Lim Megan S, Kim Kwangsoo, Jeon Yoon Kyung
Department of Pathology, Seoul National University Hospital, Seoul 03080, Korea.
Department of Pathology, Seoul National University College of Medicine, Seoul 03080, Korea.
Cancers (Basel). 2020 Jun 23;12(6):1669. doi: 10.3390/cancers12061669.
Nodal marginal zone lymphoma (NMZL) is a rare B-cell neoplasm, the genetic and transcriptomic landscape of which are unclear. Using high-throughput sequencing for whole-exome and transcriptome, we investigated the genetic characteristics of NMZL in a discovery cohort ( = 8) and validated their features in an extended cohort ( = 30). Novel mutations in and were found in 7.9% (3/38) and 13.9% (5/36), respectively, suggesting roles for the NF-κB pathway and B-cell-receptor-mediated calcium signaling pathway in the pathogenesis of NMZL. RNA-seq showed that NMZLs were characterized by an aberrant marginal zone differentiation, associated with an altered IRF4-NOTCH2 axis and the enrichment of various oncogenic pathways. Based on gene expression profile, two subgroups were identified. Compared with subgroup 1, subgroup 2 showed the following: the significant enrichment of cell cycle-associated and MYC-signaling pathways, a more diverse repertoire of upstream regulators, and higher Ki-67 proliferation indices. We designated two subgroups according to Ki-67 labeling, and subgroup 2 was significantly associated with a shorter progression-free survival ( = 0.014), a greater proportion of large cells ( = 0.009), and higher MYC expression ( = 0.026). We suggest that NMZL has unique features and, in this study, we provide information as to the heterogeneity of this enigmatic entity.
结外边缘区淋巴瘤(NMZL)是一种罕见的B细胞肿瘤,其基因和转录组特征尚不清楚。我们使用全外显子组和转录组高通量测序技术,在一个发现队列(n = 8)中研究了NMZL的遗传特征,并在一个扩展队列(n = 30)中验证了这些特征。分别在7.9%(3/38)和13.9%(5/36)的病例中发现了NOTCH1和NOTCH2的新突变,提示NF-κB途径和B细胞受体介导的钙信号通路在NMZL发病机制中发挥作用。RNA测序显示,NMZL的特征是边缘区分化异常,与IRF4-NOTCH2轴改变和多种致癌途径的富集有关。基于基因表达谱,识别出两个亚组。与亚组1相比,亚组2表现出以下特点:细胞周期相关和MYC信号通路显著富集、上游调节因子种类更多样化以及Ki-67增殖指数更高。我们根据Ki-67标记指定了两个亚组,亚组2与无进展生存期较短(P = 0.014)、大细胞比例更高(P = 0.009)和MYC表达更高(P = 0.026)显著相关。我们认为NMZL具有独特特征,在本研究中,我们提供了有关这个神秘实体异质性的信息。