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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

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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.

    Sample ID, analyte type [DNA], tumor status, and hospital diagnosis of samples obtained from participants with diffuse large B-cell lymphoma and involved in the "Whole Exome Sequencing of Diffuse Large B-Cell Lymphoma" project.

    pht002527
    Description

    pht002527

    De-identified sample ID
    Description

    SAMPLE_ID

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C1299222
    UMLS CUI [1,2]
    C4684638
    Outside hospital diagnosis as reported by the collaborator [Diffuse Large B-Cell Lymphoma (DLBCL)]
    Description

    OSH Diagnosis

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C0011900
    UMLS CUI [1,2]
    C1709908
    UMLS CUI [1,3]
    C2827395
    UMLS CUI [1,4]
    C0079744
    Indicates the tumor / normal status of a sample [Tumor, Normal]
    Description

    IS_TUMOR

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C0475752
    UMLS CUI [1,2]
    C0205307
    UMLS CUI [1,3]
    C0449438
    UMLS CUI [1,4]
    C2347026
    Molecular analyte [DNA]
    Description

    ANALYTE_TYPE

    Data type

    string

    Alias
    UMLS CUI [1,1]
    C1521991
    UMLS CUI [1,2]
    C0443354
    UMLS CUI [1,3]
    C0012854

    Similar models

    Sample ID, analyte type [DNA], tumor status, and hospital diagnosis of samples obtained from participants 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
    pht002527
    SAMPLE_ID
    Item
    De-identified sample ID
    string
    C1299222 (UMLS CUI [1,1])
    C4684638 (UMLS CUI [1,2])
    OSH Diagnosis
    Item
    Outside hospital diagnosis as reported by the collaborator [Diffuse Large B-Cell Lymphoma (DLBCL)]
    string
    C0011900 (UMLS CUI [1,1])
    C1709908 (UMLS CUI [1,2])
    C2827395 (UMLS CUI [1,3])
    C0079744 (UMLS CUI [1,4])
    IS_TUMOR
    Item
    Indicates the tumor / normal status of a sample [Tumor, Normal]
    string
    C0475752 (UMLS CUI [1,1])
    C0205307 (UMLS CUI [1,2])
    C0449438 (UMLS CUI [1,3])
    C2347026 (UMLS CUI [1,4])
    ANALYTE_TYPE
    Item
    Molecular analyte [DNA]
    string
    C1521991 (UMLS CUI [1,1])
    C0443354 (UMLS CUI [1,2])
    C0012854 (UMLS CUI [1,3])

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