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037 _ _ |a DKFZ-2020-00050
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Chapiro, Elise
|b 0
245 _ _ |a Genetic characterization of B-cell prolymphocytic leukemia: a prognostic model involving MYC and TP53.
260 _ _ |a Stanford, Calif.
|c 2019
|b HighWire Press
336 7 _ |a article
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520 _ _ |a B-cell prolymphocytic leukemia (B-PLL) is a rare hematological disorder whose underlying oncogenic mechanisms are poorly understood. Our cytogenetic and molecular assessments of 34 patients with B-PLL revealed several disease-specific features and potential therapeutic targets. The karyotype was complex (≥3 abnormalities) in 73% of the patients and highly complex (≥5 abnormalities) in 45%. The most frequent chromosomal aberrations were translocations involving MYC [t(MYC)] (62%), deletion (del)17p (38%), trisomy (tri)18 (30%), del13q (29%), tri3 (24%), tri12 (24%), and del8p (23%). Twenty-six (76%) of the 34 patients exhibited an MYC aberration, resulting from mutually exclusive translocations or gains. Whole-exome sequencing revealed frequent mutations in TP53, MYD88, BCOR, MYC, SF3B1, SETD2, CHD2, CXCR4, and BCLAF1. The majority of B-PLL used the IGHV3 or IGHV4 subgroups (89%) and displayed significantly mutated IGHV genes (79%). We identified 3 distinct cytogenetic risk groups: low risk (no MYC aberration), intermediate risk (MYC aberration but no del17p), and high risk (MYC aberration and del17p) (P = .0006). In vitro drug response profiling revealed that the combination of a B-cell receptor or BCL2 inhibitor with OTX015 (a bromodomain and extra-terminal motif inhibitor targeting MYC) was associated with significantly lower viability of B-PLL cells harboring a t(MYC). We concluded that cytogenetic analysis is a useful diagnostic and prognostic tool in B-PLL. Targeting MYC may be a useful treatment option in this disease.
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700 1 _ |a Pramil, Elodie
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700 1 _ |a Diop, M'boyba
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700 1 _ |a Roos-Weil, Damien
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700 1 _ |a Dillard, Clémentine
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700 1 _ |a Gabillaud, Clémentine
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700 1 _ |a Maloum, Karim
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700 1 _ |a Settegrana, Catherine
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700 1 _ |a Baseggio, Lucile
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700 1 _ |a Lesesve, Jean-François
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700 1 _ |a Yon, Mélanie
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700 1 _ |a Jondreville, Ludovic
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700 1 _ |a Lesty, Claude
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700 1 _ |a Davi, Frédéric
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700 1 _ |a Le Garff-Tavernier, Magali
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700 1 _ |a Droin, Nathalie
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700 1 _ |a Dessen, Philippe
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700 1 _ |a Algrin, Caroline
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700 1 _ |a Leblond, Véronique
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700 1 _ |a Gabarre, Jean
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700 1 _ |a Bouzy, Simon
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700 1 _ |a Eclache, Virginie
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700 1 _ |a Gaillard, Baptiste
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700 1 _ |a Callet-Bauchu, Evelyne
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700 1 _ |a Muller, Marc
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700 1 _ |a Lefebvre, Christine
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700 1 _ |a Nadal, Nathalie
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700 1 _ |a Ittel, Antoine
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700 1 _ |a Struski, Stéphanie
|b 28
700 1 _ |a Collonge-Rame, Marie-Agnès
|b 29
700 1 _ |a Quilichini, Benoit
|b 30
700 1 _ |a Fert-Ferrer, Sandra
|b 31
700 1 _ |a Auger, Nathalie
|b 32
700 1 _ |a Radford-Weiss, Isabelle
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700 1 _ |a Wagner, Lena
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700 1 _ |a Scheinost, Sebastian
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700 1 _ |a Zenz, Thorsten
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700 1 _ |a Susin, Santos A
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700 1 _ |a Bernard, Olivier A
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700 1 _ |a Nguyen-Khac, Florence
|b 39
773 _ _ |a 10.1182/blood.2019001187
|g Vol. 134, no. 21, p. blood.2019001187
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