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靶向基因扩增检测套细胞淋巴瘤和滤泡性淋巴瘤的分子标志物。

Targeted locus amplification to detect molecular markers in mantle cell and follicular lymphoma.

机构信息

Department of Molecular Biotechnology and Health Sciences, Division of Hematology, University of Torino, Torino, Italy.

Cergentis B.V., Utrecht, The Netherlands.

出版信息

Hematol Oncol. 2021 Aug;39(3):293-303. doi: 10.1002/hon.2864. Epub 2021 Mar 31.

Abstract

Minimal residual disease (MRD) monitoring by PCR methods is a strong and standardized predictor of clinical outcome in mantle cell lymphoma (MCL) and follicular lymphoma (FL). However, about 20% of MCL and 40% of FL patients lack a reliable molecular marker, being thus not eligible for MRD studies. Recently, targeted locus amplification (TLA), a next-generation sequencing (NGS) method based on the physical proximity of DNA sequences for target selection, identified novel gene rearrangements in leukemia. The aim of this study was to test TLA in MCL and FL diagnostic samples lacking a classical, PCR-detectable, t(11; 14) MTC (BCL1/IGH), or t(14; 18) major breakpoint region and minor cluster region (BCL2/IGH) rearrangements. Overall, TLA was performed on 20 MCL bone marrow (BM) or peripheral blood (PB) primary samples and on 20 FL BM, identifying a novel BCL1 or BCL2/IGH breakpoint in 16 MCL and 8 FL patients (80% and 40%, respectively). These new breakpoints (named BCL1-TLA and BCL2-TLA) were validated by ASO primers design and compared as MRD markers to classical IGH rearrangements in eight MCL: overall, MRD results by BCL1-TLA were superimposable (R Pearson = 0.76) to the standardized IGH-based approach. Moreover, MRD by BCL2-TLA reached good sensitivity levels also in FL and was predictive of a primary refractory case. In conclusion, this study offers the proof of principle that TLA is a promising and reliable NGS-based technology for the identification of novel molecular markers, suitable for further MRD analysis in previously not traceable MCL and FL patients.

摘要

通过聚合酶链反应 (PCR) 方法进行微小残留病灶 (MRD) 监测是套细胞淋巴瘤 (MCL) 和滤泡性淋巴瘤 (FL) 临床预后的强有力且标准化的预测指标。然而,大约 20%的 MCL 和 40%的 FL 患者缺乏可靠的分子标志物,因此不符合 MRD 研究的条件。最近,靶向基因座扩增 (TLA) 作为一种基于 DNA 序列物理邻近性选择目标的下一代测序 (NGS) 方法,在白血病中鉴定了新的基因重排。本研究旨在测试 TLA 在缺乏经典、PCR 可检测的 t(11;14) MTC (BCL1/IGH) 或 t(14;18) 主要断裂区和次要簇区 (BCL2/IGH) 重排的 MCL 和 FL 诊断样本中的应用。总体而言,对 20 例 MCL 骨髓 (BM) 或外周血 (PB) 原发样本和 20 例 FL BM 进行了 TLA,在 16 例 MCL 和 8 例 FL 患者中发现了新的 BCL1 或 BCL2/IGH 断点 (分别为 80%和 40%)。通过 ASO 引物设计验证了这些新的断点 (命名为 BCL1-TLA 和 BCL2-TLA),并将其与 8 例 MCL 中的经典 IGH 重排进行比较作为 MRD 标志物:总体而言,BCL1-TLA 的 MRD 结果与基于标准化 IGH 的方法具有高度一致性 (R Pearson=0.76)。此外,BCL2-TLA 的 MRD 在 FL 中也达到了良好的敏感性水平,并且可以预测原发性难治性病例。总之,本研究证明 TLA 是一种很有前途和可靠的基于 NGS 的技术,可用于鉴定以前无法追踪的 MCL 和 FL 患者的新型分子标志物,并进行进一步的 MRD 分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/651d/8451873/7c4f6a77c1d5/HON-39-293-g001.jpg

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