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Genome-wide discovery of somatic coding and noncoding mutations in pediatric endemic and sporadic Burkitt lymphoma.


ABSTRACT: Although generally curable with intensive chemotherapy in resource-rich settings, Burkitt lymphoma (BL) remains a deadly disease in older patients and in sub-Saharan Africa. Epstein-Barr virus (EBV) positivity is a feature in more than 90% of cases in malaria-endemic regions, and up to 30% elsewhere. However, the molecular features of BL have not been comprehensively evaluated when taking into account tumor EBV status or geographic origin. Through an integrative analysis of whole-genome and transcriptome data, we show a striking genome-wide increase in aberrant somatic hypermutation in EBV-positive tumors, supporting a link between EBV and activation-induced cytidine deaminase (AICDA) activity. In addition to identifying novel candidate BL genes such as SIN3A, USP7, and CHD8, we demonstrate that EBV-positive tumors had significantly fewer driver mutations, especially among genes with roles in apoptosis. We also found immunoglobulin variable region genes that were disproportionally used to encode clonal B-cell receptors (BCRs) in the tumors. These include IGHV4-34, known to produce autoreactive antibodies, and IGKV3-20, a feature described in other B-cell malignancies but not yet in BL. Our results suggest that tumor EBV status defines a specific BL phenotype irrespective of geographic origin, with particular molecular properties and distinct pathogenic mechanisms. The novel mutation patterns identified here imply rational use of DNA-damaging chemotherapy in some patients with BL and targeted agents such as the CDK4/6 inhibitor palbociclib in others, whereas the importance of BCR signaling in BL strengthens the potential benefit of inhibitors for PI3K, Syk, and Src family kinases among these patients.

SUBMITTER: Grande BM 

PROVIDER: S-EPMC6428665 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Genome-wide discovery of somatic coding and noncoding mutations in pediatric endemic and sporadic Burkitt lymphoma.

Grande Bruno M BM   Gerhard Daniela S DS   Jiang Aixiang A   Griner Nicholas B NB   Abramson Jeremy S JS   Alexander Thomas B TB   Allen Hilary H   Ayers Leona W LW   Bethony Jeffrey M JM   Bhatia Kishor K   Bowen Jay J   Casper Corey C   Choi John Kim JK   Culibrk Luka L   Davidsen Tanja M TM   Dyer Maureen A MA   Gastier-Foster Julie M JM   Gesuwan Patee P   Greiner Timothy C TC   Gross Thomas G TG   Hanf Benjamin B   Harris Nancy Lee NL   He Yiwen Y   Irvin John D JD   Jaffe Elaine S ES   Jones Steven J M SJM   Kerchan Patrick P   Knoetze Nicole N   Leal Fabio E FE   Lichtenberg Tara M TM   Ma Yussanne Y   Martin Jean Paul JP   Martin Marie-Reine MR   Mbulaiteye Sam M SM   Mullighan Charles G CG   Mungall Andrew J AJ   Namirembe Constance C   Novik Karen K   Noy Ariela A   Ogwang Martin D MD   Omoding Abraham A   Orem Jackson J   Reynolds Steven J SJ   Rushton Christopher K CK   Sandlund John T JT   Schmitz Roland R   Taylor Cynthia C   Wilson Wyndham H WH   Wright George W GW   Zhao Eric Y EY   Marra Marco A MA   Morin Ryan D RD   Staudt Louis M LM  

Blood 20190107 12


Although generally curable with intensive chemotherapy in resource-rich settings, Burkitt lymphoma (BL) remains a deadly disease in older patients and in sub-Saharan Africa. Epstein-Barr virus (EBV) positivity is a feature in more than 90% of cases in malaria-endemic regions, and up to 30% elsewhere. However, the molecular features of BL have not been comprehensively evaluated when taking into account tumor EBV status or geographic origin. Through an integrative analysis of whole-genome and tran  ...[more]

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