Molecular subsets of mantle cell lymphoma defined by the IGHV mutational status and SOX11 expression have distinct biological and clinical features

Mantle cell lymphoma (MCL) is a heterogeneous disease with most patients following an aggressive clinical course while others have an indolent behavior. We performed an integrative and multidisciplinary analysis of 177 MCL to determine whether the immunogenetic features of the clonotypic B cell rece...

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Veröffentlicht in:Cancer research (Chicago, Ill.) Ill.), 2012-08, Vol.72 (20), p.5307-5316
Hauptverfasser: Navarro, Alba, Clot, Guillem, Royo, Cristina, Jares, Pedro, Hadzidimitriou, Anastasia, Agathangelidis, Andreas, Bikos, Vasilis, Darzentas, Nikos, Papadaki, Theodora, Salaverria, Itziar, Pinyol, Magda, Puig, Xavier, Palomero, Jara, Vegliante, Maria Carmela, Amador, Virgina, Martinez-Trillos, Alejandra, Stefancikova, Lenka, Wiestner, Adrian, Wilson, Wyndham, Pott, Christiane, Calasanz, Maria Jose, Trim, Nicola, Erber, Wendy, Sander, Birgitta, Ott, German, Rosenwald, Andreas, Colomer, Dolors, Giné, Eva, Siebert, Reiner, Lopez-Guillermo, Armando, Stamatopoulos, Kostas, Beà, Sílvia, Campo, Elías
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container_issue 20
container_start_page 5307
container_title Cancer research (Chicago, Ill.)
container_volume 72
creator Navarro, Alba
Clot, Guillem
Royo, Cristina
Jares, Pedro
Hadzidimitriou, Anastasia
Agathangelidis, Andreas
Bikos, Vasilis
Darzentas, Nikos
Papadaki, Theodora
Salaverria, Itziar
Pinyol, Magda
Puig, Xavier
Palomero, Jara
Vegliante, Maria Carmela
Amador, Virgina
Martinez-Trillos, Alejandra
Stefancikova, Lenka
Wiestner, Adrian
Wilson, Wyndham
Pott, Christiane
Calasanz, Maria Jose
Trim, Nicola
Erber, Wendy
Sander, Birgitta
Ott, German
Rosenwald, Andreas
Colomer, Dolors
Giné, Eva
Siebert, Reiner
Lopez-Guillermo, Armando
Stamatopoulos, Kostas
Beà, Sílvia
Campo, Elías
description Mantle cell lymphoma (MCL) is a heterogeneous disease with most patients following an aggressive clinical course while others have an indolent behavior. We performed an integrative and multidisciplinary analysis of 177 MCL to determine whether the immunogenetic features of the clonotypic B cell receptors may identify different subsets of tumors. ‘Truly unmutated’ (100% identity) IGHV genes were found in 24% cases, 40% were ‘minimally/borderline mutated’ (99.9-97%), 19% ‘significantly mutated’ (96.9-95%) and 17% ‘hypermutated’ (
doi_str_mv 10.1158/0008-5472.CAN-12-1615
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We performed an integrative and multidisciplinary analysis of 177 MCL to determine whether the immunogenetic features of the clonotypic B cell receptors may identify different subsets of tumors. ‘Truly unmutated’ (100% identity) IGHV genes were found in 24% cases, 40% were ‘minimally/borderline mutated’ (99.9-97%), 19% ‘significantly mutated’ (96.9-95%) and 17% ‘hypermutated’ (&lt;95%). Tumors with high (≥97%) or low (&lt;97%) mutational load used different IGHV genes and their gene expression profiles were also different for several gene pathways. A gene set enrichment analysis showed that MCL with high and low IGHV mutations were enriched in memory and naïve B-cell signatures, respectively. Furthermore, the highly mutated tumors displayed less genomic complexity, were preferentially SOX11 negative, and showed more frequently non-nodal disease. The best cut-off of germline identity of IGHV genes to predict survival was 3%. Patients with high and low mutational load had significant different outcome with 5-year overall survival of 59% and 40%, respectively ( P =0.004). Nodal presentation and SOX11 expression also predicted for poor overall survival. In a multivariate analysis, IGHV gene status and SOX11 expression were independent risk factors. 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Patients with high and low mutational load had significant different outcome with 5-year overall survival of 59% and 40%, respectively ( P =0.004). Nodal presentation and SOX11 expression also predicted for poor overall survival. In a multivariate analysis, IGHV gene status and SOX11 expression were independent risk factors. 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title Molecular subsets of mantle cell lymphoma defined by the IGHV mutational status and SOX11 expression have distinct biological and clinical features
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