Lohr JG, Stojanov P, Lawrence MS, Auclair D, Chapuy B, Sougnez C, Cruz-Gordillo P, Knoechel B, Asmann YW, Slager SL, et al. Discovery and prioritization of somatic mutations in diffuse large B-cell lymphoma (DLBCL) by whole-exome sequencing. Proc Natl Acad Sci U S A. 2012;109:3879–84.
NOTES
Lohr, Jens GStojanov, PetarLawrence, Michael SAuclair, DanielChapuy, BjoernSougnez, CarrieCruz-Gordillo, PeterKnoechel, BirgitAsmann, Yan WSlager, Susan LNovak, Anne JDogan, AhmetAnsell, Stephen MLink, Brian KZou, LihuaGould, JoshuaSaksena, GordonStransky, NicolasRangel-Escareno, ClaudiaFernandez-Lopez, Juan CarlosHidalgo-Miranda, AlfredoMelendez-Zajgla, JorgeHernandez-Lemus, EnriqueSchwarz-Cruz y Celis, AngelaImaz-Rosshandler, IvanOjesina, Akinyemi IJung, JoonilPedamallu, Chandra SLander, Eric SHabermann, Thomas MCerhan, James RShipp, Margaret AGetz, GadGolub, Todd RengU54 HG003067/HG/NHGRI NIH HHS/P01 CA092625/CA/NCI NIH HHS/T32 CA009172/CA/NCI NIH HHS/Howard Hughes Medical Institute/P50 CA097274/CA/NCI NIH HHS/5P01 CA092625-07/CA/NCI NIH HHS/P50 CA97274/CA/NCI NIH HHS/Research Support, N.I.H., ExtramuralResearch Support, Non-U.S. Gov'tProc Natl Acad Sci U S A. 2012 Mar 6;109(10):3879-84. doi: 10.1073/pnas.1121343109. Epub 2012 Feb 17.
Abstract
To gain insight into the genomic basis of diffuse large B-cell lymphoma (DLBCL), we performed massively parallel whole-exome sequencing of 55 primary tumor samples from patients with DLBCL and matched normal tissue. We identified recurrent mutations in genes that are well known to be functionally relevant in DLBCL, including MYD88, CARD11, EZH2, and CREBBP. We also identified somatic mutations in genes for which a functional role in DLBCL has not been previously suspected. These genes include MEF2B, MLL2, BTG1, GNA13, ACTB, P2RY8, PCLO, and TNFRSF14. Further, we show that BCL2 mutations commonly occur in patients with BCL2/IgH rearrangements as a result of somatic hypermutation normally occurring at the IgH locus. The BCL2 point mutations are primarily synonymous, and likely caused by activation-induced cytidine deaminase-mediated somatic hypermutation, as shown by comprehensive analysis of enrichment of mutations in WRCY target motifs. Those nonsynonymous mutations that are observed tend to be found outside of the functionally important BH domains of the protein, suggesting that strong negative selection against BCL2 loss-of-function mutations is at play. Last, by using an algorithm designed to identify likely functionally relevant but infrequent mutations, we identify KRAS, BRAF, and NOTCH1 as likely drivers of DLBCL pathogenesis in some patients. Our data provide an unbiased view of the landscape of mutations in DLBCL, and this in turn may point toward new therapeutic strategies for the disease.
Last updated on 02/17/2021