2017
DOI: 10.1158/2159-8290.cd-16-0330
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The Genetic Basis of Hepatosplenic T-cell Lymphoma

Abstract: Hepatosplenic T cell lymphoma (HSTL) is a rare and lethal lymphoma; the genetic drivers of this disease are unknown. Through whole exome sequencing of 68 HSTLs, we define recurrently mutated driver genes and copy number alterations in the disease. Chromatin modifying genes including SETD2, INO80 and ARID1B were commonly mutated in HSTL, affecting 62% of cases. HSTLs manifest frequent mutations in STAT5B (31%), STAT3 (9%), and PIK3CD (9%) for which there currently exist potential targeted therapies. In addition… Show more

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Cited by 164 publications
(141 citation statements)
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“…158 The related STAT5B is mutated far less in LGL, but more commonly in T-cell prolymphocytic leukemia 159 and enteropathy-associated T-cell lymphoma, type II (renamed as monomorphic epitheliotropic intestinal T-cell lymphoma [MEITL] in the 2016 WHO revision). [160][161][162] Both STAT3 and STAT5B are also mutated in gd-hepatosplenic/cutaneous T-cell lymphoma and nasal-type NK-/ T-cell lymphoma 160,163,164 (Table 4). SETD2 mutations were recently identified in up to 90% of MEITL and 25% of gd-hepatosplenic T-cell lymphoma.…”
Section: Mature T/nk Neoplasmsmentioning
confidence: 99%
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“…158 The related STAT5B is mutated far less in LGL, but more commonly in T-cell prolymphocytic leukemia 159 and enteropathy-associated T-cell lymphoma, type II (renamed as monomorphic epitheliotropic intestinal T-cell lymphoma [MEITL] in the 2016 WHO revision). [160][161][162] Both STAT3 and STAT5B are also mutated in gd-hepatosplenic/cutaneous T-cell lymphoma and nasal-type NK-/ T-cell lymphoma 160,163,164 (Table 4). SETD2 mutations were recently identified in up to 90% of MEITL and 25% of gd-hepatosplenic T-cell lymphoma.…”
Section: Mature T/nk Neoplasmsmentioning
confidence: 99%
“…SETD2 mutations were recently identified in up to 90% of MEITL and 25% of gd-hepatosplenic T-cell lymphoma. 162,165 In addition to mutations affecting the JAK-STAT pathway and epigenetic modifiers, recurrent mutations targeting the T-cell receptor signaling pathway are also frequently observed in many types of T-cell lymphomas including adult T-cell leukemia/lymphoma, PTCL, and cutaneous T-cell lymphomas (mycosis fungoides and Sézary syndrome).…”
Section: Mature T/nk Neoplasmsmentioning
confidence: 99%
“…Most subtypes are extremely rare, which has limited efforts to understand their biology and develop targeted therapeutic approaches. In this issue of Cancer Discovery , McKinney and colleagues (2) report the genetic landscape of a poor prognostic subtype of T-cell lymphoma called hepatosplenic T-cell lymphoma (HSTL). The authors collected 68 HSTL specimens from 24 institutes in 8 countries on 3 continents, a gargantuan task of cat-herding that should be enthusiastically commended.…”
mentioning
confidence: 99%
“…McKinney and colleagues (2) first performed whole exome sequencing (WES) on a discovery set of 20 HSTLs as well as paired bone marrow cells, with the latter used as “germline” comparators. WES was then performed on the 48 HSTLs that lacked bone marrow comparators, but only genes that were found to be somatically mutated in the discovery set were considered in the other 48 tumors.…”
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confidence: 99%
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