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October 22, 2015Clinical Cancer Research

Genomic Landscape of CXCR4 Mutations in Waldenström Macroglobulinemia

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Authors

SPStéphanie PoulainCentre National de la Recherche ScientifiqueCRChristophe RoumierCentre National de la Recherche ScientifiqueAVAurélie Venet-CaillaultInstitut de Biologie de Lille

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Implication

Genomic profiling reveals distinct CXCR4 mutations and complex chromosomal aberrations in Waldenström macroglobulinemia, suggesting distinct genomic subgroups influencing therapy resistance.

Key Points

  • To characterize the spectrum of CXCR4 mutations and investigate their associated genomic alterations in patients with Waldenström macroglobulinemia.
  • Sequenced the two coding exons of CXCR4 in 98 patients with Waldenström macroglobulinemia using deep next-generation sequencing and Sanger sequencing.
  • Integrated sequencing data with SNP array profiles and mutational analysis of eight candidate genes in the TLR, RAS, and BCR pathways.
  • Heterozygous somatic CXCR4 mutations in the C-terminal domain occurred in 25% of patients, producing a truncated receptor linked to increased CXCR4 expression.
  • CXCR4 mutations belonged to the same clone as MYD88 L265P mutations but were mutually exclusive with CD79A/CD79B mutations in the BCR pathway.
  • A specific genomic signature characterized CXCR4-mutated cases, featuring greater overall genomic complexity along with chromosome 4 gain, Xq gain, and 6q deletion.

Cite This Study

Poulain et al. (2015) studied this question.

synapsesocial.com/papers/6a79565435e7b6bcc688f771https://doi.org/10.1158/1078-0432.ccr-15-0646
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Also Consider

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  5. 5CXCR 4 WHIM ‐like frameshift and nonsense mutations promote ibrutinib resistance but do not supplant MYD 88L265P‐directed survival signalling in W aldenström macroglobulinaemia cells2014 · 109 citations