A targeted mutational landscape of angioimmunoblastic T-cell lymphoma

O Odejide, O Weigert, AA Lane… - Blood, The Journal …, 2014 - ashpublications.org
O Odejide, O Weigert, AA Lane, D Toscano, MA Lunning, N Kopp, S Kim, D Van Bodegom…
Blood, The Journal of the American Society of Hematology, 2014ashpublications.org
The genetics of angioimmunoblastic T-cell lymphoma (AITL) are very poorly understood. We
defined the mutational landscape of AITL across 219 genes in 85 cases from the United
States and Europe. We identified≥ 2 mutations in 34 genes, nearly all of which were not
previously implicated in AITL. These included loss-of-function mutations in TP53 (n= 4),
ETV6 (n= 3), CCND3 (n= 2), and EP300 (n= 5), as well as gain-of-function mutations in JAK2
(n= 2) and STAT3 (n= 4). TET2 was mutated in 65 (76%) AITLs, including 43 that harbored 2 …
Abstract
The genetics of angioimmunoblastic T-cell lymphoma (AITL) are very poorly understood. We defined the mutational landscape of AITL across 219 genes in 85 cases from the United States and Europe. We identified ≥2 mutations in 34 genes, nearly all of which were not previously implicated in AITL. These included loss-of-function mutations in TP53 (n = 4), ETV6 (n = 3), CCND3 (n = 2), and EP300 (n = 5), as well as gain-of-function mutations in JAK2 (n = 2) and STAT3 (n = 4). TET2 was mutated in 65 (76%) AITLs, including 43 that harbored 2 or 3 TET2 mutations. DNMT3A mutations occurred in 28 (33%) AITLs; 100% of these also harbored TET2 mutations (P < .0001). Seventeen AITLs harbored IDH2 R172 substitutions, including 15 with TET2 mutations. In summary, AITL is characterized by high frequencies of overlapping mutations in epigenetic modifiers and targetable mutations in a subset of cases.
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