1. Longitudinal analyses of CLL in mice identify leukemia-related clonal changes including a Myc gain predicting poor outcome in patients
- Author
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Sascha Dietrich, Irene Gil-Farina, Selcen Öztürk, Marc Zapatka, Peter Lichter, Lavinia Arseni, Manfred Schmidt, Bola S. Hanna, Philipp M. Roessner, Anna Jauch, Stephan Stilgenbauer, Peter-Martin Bruch, Saira Afzal, Yashna Paul, Martina Seiffert, and Verena Kalter
- Subjects
Cancer Research ,Adoptive cell transfer ,Chronic lymphocytic leukaemia ,Chronic lymphocytic leukemia ,Mice, Transgenic ,Biology ,Somatic evolution in cancer ,Article ,Chromosomes ,Clonal Evolution ,Proto-Oncogene Proteins c-myc ,Chromosome 15 ,Mice ,hemic and lymphatic diseases ,Proto-Oncogene Proteins ,medicine ,Cancer genomics ,Animals ,Humans ,Cancer models ,Exome ,Hematology ,medicine.disease ,Leukemia, Lymphocytic, Chronic, B-Cell ,Mice, Inbred C57BL ,Leukemia ,Oncology ,Gain of Function Mutation ,Monoclonal ,Chromosomal region ,Cancer research - Abstract
Chronic lymphocytic leukemia (CLL) is a B-cell malignancy mainly occurring at an advanced age with no single major genetic driver. Transgenic expression of TCL1 in B cells leads after a long latency to a CLL-like disease in aged Eµ-TCL1 mice suggesting that TCL1 overexpression is not sufficient for full leukemic transformation. In search for secondary genetic events and to elucidate the clonal evolution of CLL, we performed whole exome and B-cell receptor sequencing of longitudinal leukemia samples of Eµ-TCL1 mice. We observed a B-cell receptor stereotypy, as described in patients, confirming that CLL is an antigen-driven disease. Deep sequencing showed that leukemia in Eµ-TCL1 mice is mostly monoclonal. Rare oligoclonality was associated with inability of tumors to develop disease upon adoptive transfer in mice. In addition, we identified clonal changes and a sequential acquisition of mutations with known relevance in CLL, which highlights the genetic similarities and therefore, suitability of the Eµ-TCL1 mouse model for progressive CLL. Among them, a recurrent gain of chromosome 15, where Myc is located, was identified in almost all tumors in Eµ-TCL1 mice. Interestingly, amplification of 8q24, the chromosomal region containing MYC in humans, was associated with worse outcome of patients with CLL., Clonal evolution and genomic alterations in the Eµ-TCL1 mouse model mirror human CLL and identify Myc as oncogenic hit associated with disease progression in patients.
- Published
- 2021