Discover BCL6 translocations partner gene in diffuse large b-cell lymphoma by target-captured next generation sequencing.

Authors

null

Hui Zhou

Hunan Cancer Hospital, Changsha, China

Hui Zhou , Xinhua Du , Youhong Tang , Jianqiu Wu , Wei Liu , Yuting Yi , Lian Dai , Zhou Ouyang , Mingyang Deng , Yan-Fang Guan , Xin Yi , Ling Yang , Xuefeng Xia

Organizations

Hunan Cancer Hospital, Changsha, China, Geneplus-Beijing Institute, Beijing, China, Xiangya Hospital Central South University, Changsha, China, Jiangsu Cancer Hospital; Jiangsu Institute of Cancer Research; Nanjing Medical University Affiliated Cancer Hospital, Nanjing, China, The Second Xiangya Hospital of Central South University, Changsha, China, Houston Methodist Research Institute, Weill Cornell School of Medicine, Houston, TX

Research Funding

Other

Background: BCL6 translocations (3q27) are the most common chromosomal abnormalities in diffuse large B-cell lymphoma (DLBCL), with numerous immunoglobulin (Ig) and non-Ig genes as partners. Contrary to Ig/BCL6 fusions typical by high BCL6 gene expression, in non-Ig/BCL6 fusions were observed unexpectedly low BCL6 mRNA levels. From the clinical point of view, the survival rate of DLBCL patients with non-Ig partners is inferior to those with Ig/BCL6 fusions. Consequently, the BCL6 translocation pattern is a potential prognostic indicator. Methods: A total of 21 DLBCL patients were enrolled in the study. Target-captured next generation sequencing was performed on circulating tumor DNA or tumor tissue genomic DNA, which enables simultaneously assess somatic single-nucleotide variants, insertions/deletions and copy-number alterations across 612 genes, and detects rearrangements across 35 genes. Results: In total, we identified 251 genetic alterations with a median of 10 (1-33) mutations per patient. PCLO (33.3%), TP53 (23.8%) and PRDM1 (23.8%) were commonly mutated in DLBCL. The manifest frequent mutations in TP53, CD79B (14.3%), CREBBP (14.3%), ATM (9.5%) and MYD88 (9.5%) for which there currently exist potential targeted therapies. 47.6% (10/21) of patients exhibit gene rearrangements, including BCL6, BCL2, ALK and MLL. 33.3% (7/21) of patients acquired BCL6 translocations. Three patients (42.9%) were Ig/BCL6 fusions, the partner gene of non-Ig/BCL6 fusions patients was EIF4A2, IKZF1, HIST1H4I, respectively (Table 1). Conclusions: Target-captured next-generation sequencing can be used to discover the BCL6 gene breakpoints and partner gene in DLBCL.

The breakpoints of the BCL6 gene translocation

No.Gene1Breakpoint 1Gene2Breakpoint 2
#03BCL63:187459697IgH14:106325612; 14:106325561; 14:106325171
#08BCL63:187462592IKZF17:50350549
#09BCL63:187462705IgH14:106326064
#11BCL63:187462751EIF4A23:186501730
#12BCL63:187462678; 3:187462685HIST1H4I6:27107174; 6:27107163
#18BCL63:187462109; 3:187462161EIF4A23:186502930; 3:186502945
#19BCL63:187462687IgK2:89544822

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Track

Hematologic Malignancies—Lymphoma and Chronic Lymphocytic Leukemia

Sub Track

Non-Hodgkin Lymphoma

Citation

J Clin Oncol 36, 2018 (suppl; abstr e19527)

DOI

10.1200/JCO.2018.36.15_suppl.e19527

Abstract #

e19527

Abstract Disclosures

Similar Abstracts

Abstract

2020 ASCO Virtual Scientific Program

Molecular predictors of central nervous system (CNS) recurrence in diffuse large B-cell lymphoma (DLBCL).

First Author: Jozal Waroich

First Author: Dehong Huang

First Author: Franck Morschhauser