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.

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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