Details

Autor(en) / Beteiligte

• Wahnschaffe, Linus
• Braun, Till
• Timonen, Sanna
• Giri, Anil K
• Schrader, Alexandra
• Wagle, Prerana
• Almusa, Henrikki
• Johansson, Patricia
• Bellanger, Dorine
• López, Cristina
• Haferlach, Claudia
• Stern, Marc-Henri
• Dürig, Jan
• Siebert, Reiner
• Mustjoki, Satu
• Aittokallio, Tero
• Herling, Marco

Titel

JAK/STAT-Activating Genomic Alterations Are a Hallmark of T-PLL

Ist Teil von

• Cancers, 2019-11, Vol.11 (12), p.1833

Ort / Verlag

Switzerland: MDPI AG

Erscheinungsjahr

2019

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• T-cell prolymphocytic leukemia (T-PLL) is a rare and poor-prognostic mature T-cell leukemia. Recent studies detected genomic aberrations affecting and genes in T-PLL. Due to the limited number of primary patient samples available, genomic analyses of the JAK/STAT pathway have been performed in rather small cohorts. Therefore, we conducted-via a primary-data based pipeline-a meta-analysis that re-evaluated the genomic landscape of T-PLL. It included all available data sets with sequence information on or gene loci in 275 T-PLL. We eliminated overlapping cases and determined a cumulative rate of 62.1% of cases with mutated or genes. Most frequently, (6.3%), (36.4%), and (18.8%) carried somatic single-nucleotide variants (SNVs), with missense mutations in the SH2 or pseudokinase domains as most prevalent. Importantly, these lesions were predominantly subclonal. We did not detect any strong association between mutations of a or gene with clinical characteristics. Irrespective of the presence of gain-of-function (GOF) SNVs, basal phosphorylation of STAT5B was elevated in all analyzed T-PLL. Fittingly, a significant proportion of genes encoding for potential negative regulators of STAT5B showed genomic losses (in 71.4% of T-PLL in total, in 68.4% of T-PLL without any or mutations). They included and . Overall, considering such losses of negative regulators and the GOF mutations in and genes, a total of 89.8% of T-PLL revealed a genomic aberration potentially explaining enhanced STAT5B activity. In essence, we present a comprehensive meta-analysis on the highly prevalent genomic lesions that affect genes encoding JAK/STAT signaling components. This provides an overview of possible modes of activation of this pathway in a large cohort of T-PLL. In light of new advances in JAK/STAT inhibitor development, we also outline translational contexts for harnessing active JAK/STAT signaling, which has emerged as a 'secondary' hallmark of T-PLL.