Molecular heterogeneity in peripheral T-cell lymphoma, not otherwise specified revealed by comprehensive genetic profiling
LEUKEMIA
Authors: Watatani, Yosaku; Sato, Yasuharu; Miyoshi, Hiroaki; Sakamoto, Kana; Nishida, Kenji; Gion, Yuka; Nagata, Yasunobu; Shiraishi, Yuichi; Chiba, Kenichi; Tanaka, Hiroko; Zhao, Lanying; Ochi, Yotaro; Takeuchi, Yasuhide; Takeda, June; Ueno, Hiroo; Kogure, Yasunori; Shiozawa, Yusuke; Kakiuchi, Nobuyuki; Yoshizato, Tetsuichi; Nakagawa, Masahiro M.; Nanya, Yasuhito; Yoshida, Kenichi; Makishima, Hideki; Sanada, Masashi; Sakata-Yanagimoto, Mamiko; Chiba, Shigeru; Matsuoka, Ryota; Noguchi, Masayuki; Hiramoto, Nobuhiro; Ishikawa, Takayuki; Kitagawa, Junichi; Nakamura, Nobuhiko; Tsurumi, Hisashi; Miyazaki, Tatsuhiko; Kito, Yusuke; Miyano, Satoru; Shimoda, Kazuya; Takeuchi, Kengo; Ohshima, Koichi; Yoshino, Tadashi; Ogawa, Seishi; Kataoka, Keisuke
Abstract
Peripheral T-cell lymphoma, not otherwise specified (PTCL, NOS) is a diagnosis of exclusion, being the most common entity in mature T-cell neoplasms, and its molecular pathogenesis remains significantly understudied. Here, combining whole-exome and targeted-capture sequencing, gene-expression profiling, and immunohistochemical analysis of tumor samples from 133 cases, we have delineated the entire landscape of somatic alterations, and discovered frequently affected driver pathways in PTCL, NOS, with and without a T-follicular helper (TFH) cell phenotype. In addition to previously reported mutational targets, we identified a number of novel recurrently altered genes, such as KMT2C, SETD1B, YTHDF2, and PDCD1. We integrated these genetic drivers using hierarchical clustering and identified a previously undescribed molecular subtype characterized by TP53 and/or CDKN2A mutations and deletions in non-TFH PTCL, NOS. This subtype exhibited different prognosis and unique genetic features associated with extensive chromosomal instability, which preferentially affected molecules involved in immune escape and transcriptional regulation, such as HLA-A/B and IKZF2. Taken together, our findings provide novel insights into the molecular pathogenesis of PTCL, NOS by highlighting their genetic heterogeneity. These results should help to devise a novel molecular classification of PTCLs and to exploit a new therapeutic strategy for this group of aggressive malignancies.
Recent findings on genes associated with inflammatory disease
MUTATION RESEARCH-FUNDAMENTAL AND MOLECULAR MECHANISMS OF MUTAGENESIS
Authors: Yamada, R; Ymamoto, K
Abstract
Inflammatory diseases encompass a variety of medical conditions. In this chapter, autoimmune diseases and allergic disorders will be our focus. The autoimmune diseases include organ-specific autoimmunities, such as type I diabetes mellitus and autoimmune thyroiditis (AITD), and organ non-specific disorders such as systemic lupus erythematosus (SLE). All of them seem to share aspects of aberrant immunologic tolerance toward self-antigens. Asthma and atopic diathesis are among the allergies. Crohn disease and SLE are relatively rare with a prevalence of 10-50 per 100,000, and rheumatoid arthritis (RA), psoriasis, AITD and asthma are commoner with a prevalence of 500 per 100,000 or much higher. The difference among ethnic groups is not prominent for rheumatoid arthritis, psoriasis, AITD or asthma. but Crohn disease and SLE affect some ethnic populations more than others. Although all of these disorders have some environmental component, asthma and atopy seem most affected by environmental factors, as is suggested by the significant increase in their incidence over the last several decades with changes in various environmental factors, especially in developed countries. Over the last 10 years, multiple linkage studies revealed many disease-linked loci throughout the genome with various consistencies. As implicated by some pathophysiological studies of inflammatory immune system related disorders, certain loci are involved in multiple disorders. In the following sections, reports on the identification of disease-associated genes or markers will be summarized for individual diseases (cytotoxic T lymphocyte-associated 4 (CTLA4), CARD 15, DLG5, SLC22A4/A5, programmed cell death 1 (PDCD1), RUNX1, SLC9A3R1/NAT9, PAD14, ADAM33, DPP10, PHF11 and GPRA), followed by a discussion of the genes that have been implicated in multiple disorders. © 2005 Elsevier B.V. All rights reserved.