ID

45371

Description

Principal Investigator: Margaret A Shipp, Dana Farber Cancer Institute, Boston MA, USA MeSH: Hodgkin Disease https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/study.cgi?study_id=phs000450 Classical Hodgkin lymphoma (cHL) is composed of rare malignant Hodgkin Reed Sternberg (HRS) cells within an extensive, but ineffective, inflammatory/immune cell infiltrate. HRS cells exhibit near-universal somatic copy gains of chromosome 9p/9p24.1 which increase expression of the PD-1 ligands. To define genetic mechanisms of response and resistance to PD-1 blockade and identify complementary treatment targets, we performed whole exome sequencing of flow cytometry-sorted HRS cells from 23 excisional biopsies of newly diagnosed cHLs including 8 EBVsup+/sup tumors. We identified significantly mutated cancer candidate genes (CCGs) as well as somatic copy number alterations and structural variations and characterized their contribution to disease-defining immune evasion mechanisms and NF-KB, JAK/STAT and PI3K signaling pathways. EBV- cHLs had a higher prevalence of genetic alterations in the NF-KB and MHC class I antigen presentation pathways. In this young cHL cohort (median age of 26), we identified a predominant mutational signature of spontaneous deamination of CpGs ("Aging"), in addition to APOBEC, AID and MSI-associated hypermutation. In particular, the mutational burden in EBV- cHLs was among the highest reported, similar to that of carcinogen-induced tumors. Together, the overall high mutational burden, MSI-associated hypermutation and newly identified genetic alterations represent additional potential bases for the efficacy of PD-1 blockade in cHL. Of note, recurrent cHL alterations including *B2M, TNFAIP3, STAT6, GNA13* and *XPO1* mutations and 2p/2p15, 6p21.32, 6q23.2 and 9p/9p24.1 copy number alterations were also identified in 20% of primary mediastinal B-cell lymphomas, highlighting shared pathogenetic mechanisms in these diseases (companion manuscriptsup1/sup). Reprinted from *Blood Advances* 2019;3(23):4065-4080.PMID: 31816062.

Link

dbGap-study=phs000450

Keywords

  1. 11/4/22 11/4/22 - Chiara Middel
Copyright Holder

Margaret A Shipp, Dana Farber Cancer Institute, Boston MA, USA

Uploaded on

November 4, 2022

DOI

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License

Creative Commons BY 4.0

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dbGaP phs000450 Genomic Analyses of Flow-sorted Hodgkin Reed Sternberg Cells Reveal Complementary Mechanisms of Immune Evasion.

Subject ID, age, gender, and primary diagnosis of participants affected with diffuse large B-cell lymphoma and involved in the "Whole Exome Sequencing of Diffuse Large B-Cell Lymphoma" project.

pht002526
Description

pht002526

Unique participant identifier
Description

SUBJECT_ID

Data type

string

Alias
UMLS CUI [1,1]
C2348585
Participant's age
Description

Age

Data type

text

Measurement units
  • Years
Alias
UMLS CUI [1,1]
C0001779
Years
Participant's gender [Male or Female]
Description

Gender

Data type

string

Alias
UMLS CUI [1,1]
C0079399
The main disease(s) for which the participant has been asked to donate a sample for study [Diffuse Large B-Cell Lymphoma (DLBCL)]
Description

Primary Disease

Data type

string

Alias
UMLS CUI [1,1]
C0332137
UMLS CUI [1,2]
C0080231
UMLS CUI [1,3]
C0947630
UMLS CUI [1,4]
C0079744

Similar models

Subject ID, age, gender, and primary diagnosis of participants affected with diffuse large B-cell lymphoma and involved in the "Whole Exome Sequencing of Diffuse Large B-Cell Lymphoma" project.

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
pht002526
SUBJECT_ID
Item
Unique participant identifier
string
C2348585 (UMLS CUI [1,1])
Age
Item
Participant's age
text
C0001779 (UMLS CUI [1,1])
Gender
Item
Participant's gender [Male or Female]
string
C0079399 (UMLS CUI [1,1])
Primary Disease
Item
The main disease(s) for which the participant has been asked to donate a sample for study [Diffuse Large B-Cell Lymphoma (DLBCL)]
string
C0332137 (UMLS CUI [1,1])
C0080231 (UMLS CUI [1,2])
C0947630 (UMLS CUI [1,3])
C0079744 (UMLS CUI [1,4])

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