Identification of cell-type-specific mutations in nodal T-cell lymphomas

Blood Cancer J. 2017 Jan 6;7(1):e516. doi: 10.1038/bcj.2016.122.

Abstract

Recent genetic analysis has identified frequent mutations in ten-eleven translocation 2 (TET2), DNA methyltransferase 3A (DNMT3A), isocitrate dehydrogenase 2 (IDH2) and ras homolog family member A (RHOA) in nodal T-cell lymphomas, including angioimmunoblastic T-cell lymphoma and peripheral T-cell lymphoma, not otherwise specified. We examined the distribution of mutations in these subtypes of mature T-/natural killer cell neoplasms to determine their clonal architecture. Targeted sequencing was performed for 71 genes in tumor-derived DNA of 87 cases. The mutations were then analyzed in a programmed death-1 (PD1)-positive population enriched with tumor cells and CD20-positive B cells purified by laser microdissection from 19 cases. TET2 and DNMT3A mutations were identified in both the PD1+ cells and the CD20+ cells in 15/16 and 4/7 cases, respectively. All the RHOA and IDH2 mutations were confined to the PD1+ cells, indicating that some, including RHOA and IDH2 mutations, being specific events in tumor cells. Notably, we found that all NOTCH1 mutations were detected only in the CD20+ cells. In conclusion, we identified both B- as well as T-cell-specific mutations, and mutations common to both T and B cells. These findings indicate the expansion of a clone after multistep and multilineal acquisition of gene mutations.

MeSH terms

  • Alleles
  • Amino Acid Substitution
  • B-Lymphocytes / metabolism
  • B-Lymphocytes / pathology
  • Biomarkers, Tumor*
  • DNA Methyltransferase 3A
  • Gene Rearrangement, T-Lymphocyte
  • Genetic Predisposition to Disease
  • Humans
  • Immunoglobulin Heavy Chains / genetics
  • Immunohistochemistry
  • Immunophenotyping
  • Lymphoma, Extranodal NK-T-Cell / genetics*
  • Lymphoma, Extranodal NK-T-Cell / metabolism
  • Lymphoma, Extranodal NK-T-Cell / pathology
  • Mutation*
  • Organ Specificity / genetics
  • Phenotype
  • Sequence Analysis, DNA
  • V(D)J Recombination
  • rhoA GTP-Binding Protein / genetics
  • rhoA GTP-Binding Protein / metabolism

Substances

  • Biomarkers, Tumor
  • DNMT3A protein, human
  • Immunoglobulin Heavy Chains
  • DNA Methyltransferase 3A
  • rhoA GTP-Binding Protein