Mutation landscape in Chinese nodal diffuse large B-cell lymphoma by targeted next generation sequencing and their relationship with clinicopathological characteristics

© 2024. The Author(s)..

BACKGROUND: Diffuse large B-cell lymphoma (DLBCL), an aggressive and heterogenic malignant entity, is still a challenging clinical problem, since around one-third of patients are not cured with primary treatment. Next-generation sequencing (NGS) technologies have revealed common genetic mutations in DLBCL. We devised an NGS multi-gene panel to discover genetic features of Chinese nodal DLBCL patients and provide reference information for panel-based NGS detection in clinical laboratories.

METHODS: A panel of 116 DLBCL genes was designed based on the literature and related databases. We analyzed 96 Chinese nodal DLBCL biopsy specimens through targeted sequencing.

RESULTS: The most frequently mutated genes were KMT2D (30%), PIM1 (26%), SOCS1 (24%), MYD88 (21%), BTG1 (20%), HIST1H1E (18%), CD79B (18%), SPEN (17%), and KMT2C (16%). SPEN (17%) and DDX3X (6%) mutations were highly prevalent in our study than in Western studies. Thirty-three patients (34%) were assigned as genetic classification by the LymphGen algorithm, including 12 cases MCD, five BN2, seven EZB, seven ST2, and two EZB/ST2 complex. MYD88 L265P mutation, TP53 and BCL2 pathogenic mutations were unfavorable prognostic biomarkers in DLBCL.

CONCLUSIONS: This study presents the mutation landscape in Chinese nodal DLBCL, highlights the genetic heterogeneity of DLBCL and shows the role of panel-based NGS to prediction of prognosis and potential molecular targeted therapy in DLBCL. More precise genetic classification needs further investigations.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

BMC medical genomics - 17(2024), 1 vom: 13. Apr., Seite 84

Sprache:

Englisch

Beteiligte Personen:

Cao, Bing [VerfasserIn]
Sun, Chenbo [VerfasserIn]
Bi, Rui [VerfasserIn]
Liu, Zebing [VerfasserIn]
Jia, Yijun [VerfasserIn]
Cui, Wenli [VerfasserIn]
Sun, Menghong [VerfasserIn]
Yu, Baohua [VerfasserIn]
Li, Xiaoqiu [VerfasserIn]
Zhou, Xiaoyan [VerfasserIn]

Links:

Volltext

Themen:

Diffuse large B-cell lymphoma
Genetic subtype
Interleukin-1 Receptor-Like 1 Protein
Journal Article
Mutation
Myeloid Differentiation Factor 88
Next-generation sequencing
Targeted sequencing

Anmerkungen:

Date Completed 15.04.2024

Date Revised 25.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12920-024-01866-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37099308X