TRAF3 alterations are frequent in del-3'IGH chronic lymphocytic leukemia patients and define a specific subgroup with adverse clinical features

[EN]Interstitial 14q32 deletions involving IGH gene are infrequent events in chronic lymphocytic leukemia (CLL), affecting less than 5% of patients. To date, little is known about their clinical impact and molecular underpinnings, and its mutational landscape is currently unknown. In this work, a to...

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Detalles Bibliográficos
Autores: Pérez-Carretero, Claudia, Hernández-Sánchez, María, González, Teresa, Quijada Álamo, Miguel, Martín Izquierdo, Marta, Santos-Mínguez, Sandra, Miguel-García, Cristina, Vidal, María-Jesús, García-De-Coca, Alfonso, Galende, Josefina, Pardal, Emilia, Aguilar, Carlos, Vargas-Pabón, Manuel, Dávila, Julio, Gascón-Y-Marín, Isabel, Hernández-Rivas, José-Ángel, Benito Sánchez, Rocío, Hernández-Rivas, Jesús-María, Rodríguez Vicente, Ana E.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:dnet:gredos______::97caea53fc22db75389299a630a620f4
Acceso en línea:http://hdl.handle.net/10366/171344
Access Level:acceso abierto
Palabra clave:B-Cell
Chronic
Lymphocytic
Leukemia
Genes
Immunoglobulin Heavy Chain
Humans
Mutation
Prognosis
TNF Receptor-Associated Factor 3
Biología Molecular
Molecular Biology
24 Ciencias de la Vida
genes
pronóstico
biología molecular
humanos
mutación
leucemia
factor 3 asociado a receptores TNF
Descripción
Sumario:[EN]Interstitial 14q32 deletions involving IGH gene are infrequent events in chronic lymphocytic leukemia (CLL), affecting less than 5% of patients. To date, little is known about their clinical impact and molecular underpinnings, and its mutational landscape is currently unknown. In this work, a total of 871 CLLs were tested for the IGH break-apart probe, and 54 (6.2%) had a 300 kb deletion of 3'IGH (del-3'IGH CLLs), which contributed to a shorter time to first treatment (TFT). The mutational analysis by next-generation sequencing of 317 untreated CLLs (54 del-3'IGH and 263 as the control group) showed high mutational frequencies of NOTCH1 (30%), ATM (20%), genes involved in the RAS signaling pathway (BRAF, KRAS, NRAS, and MAP2K1) (15%), and TRAF3 (13%) within del-3'IGH CLLs. Notably, the incidence of TRAF3 mutations was significantly higher in del-3'IGH CLLs than in the control group (p < .001). Copy number analysis also revealed that TRAF3 loss was highly enriched in CLLs with 14q deletion (p < .001), indicating a complete biallelic inactivation of this gene through deletion and mutation. Interestingly, the presence of mutations in the aforementioned genes negatively refined the prognosis of del-3'IGH CLLs in terms of overall survival (NOTCH1, ATM, and RAS signaling pathway genes) and TFT (TRAF3). Furthermore, TRAF3 biallelic inactivation constituted an independent risk factor for TFT in the entire CLL cohort. Altogether, our work demonstrates the distinct genetic landscape of del-3'IGH CLL with multiple molecular pathways affected, characterized by a TRAF3 biallelic inactivation that contributes to a marked poor outcome in this subgroup of patients.

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