Mosaic chromosomal alterations detected in men living with HIV and the relationship to non-Hodgkin lymphoma

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OBJECTIVES: People with HIV (PWH) have an elevated risk of non-Hodgkin lymphoma (NHL) and other diseases. Studying clonal hematopoiesis (CH), the clonal expansion of mutated hematopoietic stem cells, could provide insights regarding elevated NHL risk.

DESIGN: Cohort analysis of participants in the Multicenter AIDS Cohort Study ( N  = 5979).

METHODS: Mosaic chromosomal alterations (mCAs), a type of CH, were detected from genotyping array data using MoChA. We compared CH prevalence in men with HIV (MWH) to HIV-uninfected men using logistic regression, and among MWH, assessed the associations of CH with NHL incidence and overall mortality using Poisson regression.

RESULTS: Comparing MWH to HIV-uninfected men, we observed no difference in the frequency of autosomal mCAs (3.9% vs. 3.6%, P -value = 0.09) or mosaic loss of the Y chromosome (mLOY) (1.4% vs. 2.9%, P -value = 0.13). Autosomal mCAs involving copy-neutral loss of heterozygosity (CN-LOH) of chromosome 14q were more common in MWH. Among MWH, mCAs were not associated with subsequent NHL incidence (autosomal mCA P -value = 0.65, mLOY P -value = 0.48). However, two MWH with diffuse large B-cell lymphoma had overlapping CN-LOH mCAs on chromosome 19 spanning U2AF2 (involved in RNA splicing), and one MWH with Burkitt lymphoma had high-frequency mCAs involving chromosome 1 gain and chromosome 17 CN-LOH (cell fractions 22.1% and 25.0%, respectively). mCAs were not associated with mortality among MWH (autosomal mCA P -value = 0.52, mLOY P -value = 0.93).

CONCLUSIONS: We found limited evidence for a relationship between HIV infection and mCAs. Although mCAs were not significantly associated with NHL, mCAs detected in several NHL cases indicate a need for further investigation.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

AIDS (London, England) - 37(2023), 8 vom: 01. Juli, Seite 1307-1313

Sprache:

Englisch

Beteiligte Personen:

Lin, Shu-Hong [VerfasserIn]
Khan, Sairah M [VerfasserIn]
Zhou, Weiyin [VerfasserIn]
Brown, Derek W [VerfasserIn]
Vergara, Candelaria [VerfasserIn]
Wolinsky, Steven M [VerfasserIn]
Martínez-Maza, Otoniel [VerfasserIn]
Margolick, Joseph B [VerfasserIn]
Martinson, Jeremy J [VerfasserIn]
Hussain, Shehnaz K [VerfasserIn]
Engels, Eric A [VerfasserIn]
Machiela, Mitchell J [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, N.I.H., Intramural

Anmerkungen:

Date Completed 07.11.2023

Date Revised 16.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1097/QAD.0000000000003545

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354331310