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
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.
No. | Gene1 | Breakpoint 1 | Gene2 | Breakpoint 2 |
---|---|---|---|---|
#03 | BCL6 | 3:187459697 | IgH | 14:106325612; 14:106325561; 14:106325171 |
#08 | BCL6 | 3:187462592 | IKZF1 | 7:50350549 |
#09 | BCL6 | 3:187462705 | IgH | 14:106326064 |
#11 | BCL6 | 3:187462751 | EIF4A2 | 3:186501730 |
#12 | BCL6 | 3:187462678; 3:187462685 | HIST1H4I | 6:27107174; 6:27107163 |
#18 | BCL6 | 3:187462109; 3:187462161 | EIF4A2 | 3:186502930; 3:186502945 |
#19 | BCL6 | 3:187462687 | IgK | 2:89544822 |
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