AGATHANGELIDIS, A., A. CHATZIDIMITRIOU, K. GEMENETZI, V. GIUDICELLI, M. KARYPIDOU, Karla PLEVOVÁ, Z. DAVIS, X.J. YAN, S. JEROMIN, C. SCHNEIDER, L.B. PEDERSEN, R.C. TSCHUMPER, L.A. SUTTON, P. BALIAKAS, L. SCARFO, E.J. VAN GASTEL, M. ARMAND, E. TAUSCH, B. BIDERMAN, C. BAER, D. BAGNARA, A. NAVARRO, A.L. DE SEPTENVILLE, V. GUIDO, G. MITTERBAUER-HOHENDANNER, A. DIMOVSKI, C. BRIEGHEL, S. LAWLESS, M. MEGGENDORFER, Kamila STRÁNSKÁ, M. RITGEN, M. FACCO, C. TRESOLDI, A. VISENTIN, A. PATRIARCA, M. CATHERWOOD, L. BONELLO, A. SUDARIKOV, K. VANURA, M. ROUMELIOTI, H.S. FRANCOVA, T. MOYSIADIS, S. VERONESE, K. GIANNOPOULOS, L. MANSOURI, T. KARAN-DJURASEVIC, R. SANDALTZOPOULOS, C. BODOR, F. FAIS, A. KATER, I. PANOVSKA, D. ROSSI, S. ALSHEMMARI, P. PANAGIOTIDIS, P. COSTEAS, B. ESPINET, D. ANTIC, L. FORONI, M. MONTILLO, L. TRENTIN, N. STAVROYIANNI, G. GAIDANO, P.F. DI CELLE, C. NIEMANN, E. CAMPO, A. ANAGNOSTOPOULOS, C. POTT, K. FISCHER, M. HALLEK, D. OSCIER, S. STILGENBAUER, C. HAFERLACH, D. JELINEK, N. CHIORAZZI, Šárka POSPÍŠILOVÁ, M.P. LEFRANC, S. KOSSIDA, A.W. LANGERAK, Cx. BELESSI, F. DAVI, R. ROSENQUIST, P. GHIA and K. STAMATOPOULOS. Higher-order connections between stereotyped subsets: implications for improved patient classification in CLL. Blood. Washington DC, USA: American Society of Hematology, 2021, vol. 137, No 10, p. 1365-1376. ISSN 0006-4971. Available from: https://dx.doi.org/10.1182/blood.2020007039.
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Basic information
Original name Higher-order connections between stereotyped subsets: implications for improved patient classification in CLL
Authors AGATHANGELIDIS, A., A. CHATZIDIMITRIOU, K. GEMENETZI, V. GIUDICELLI, M. KARYPIDOU, Karla PLEVOVÁ (203 Czech Republic, belonging to the institution), Z. DAVIS, X.J. YAN, S. JEROMIN, C. SCHNEIDER, L.B. PEDERSEN, R.C. TSCHUMPER, L.A. SUTTON, P. BALIAKAS, L. SCARFO, E.J. VAN GASTEL, M. ARMAND, E. TAUSCH, B. BIDERMAN, C. BAER, D. BAGNARA, A. NAVARRO, A.L. DE SEPTENVILLE, V. GUIDO, G. MITTERBAUER-HOHENDANNER, A. DIMOVSKI, C. BRIEGHEL, S. LAWLESS, M. MEGGENDORFER, Kamila STRÁNSKÁ (203 Czech Republic, belonging to the institution), M. RITGEN, M. FACCO, C. TRESOLDI, A. VISENTIN, A. PATRIARCA, M. CATHERWOOD, L. BONELLO, A. SUDARIKOV, K. VANURA, M. ROUMELIOTI, H.S. FRANCOVA, T. MOYSIADIS, S. VERONESE, K. GIANNOPOULOS, L. MANSOURI, T. KARAN-DJURASEVIC, R. SANDALTZOPOULOS, C. BODOR, F. FAIS, A. KATER, I. PANOVSKA, D. ROSSI, S. ALSHEMMARI, P. PANAGIOTIDIS, P. COSTEAS, B. ESPINET, D. ANTIC, L. FORONI, M. MONTILLO, L. TRENTIN, N. STAVROYIANNI, G. GAIDANO, P.F. DI CELLE, C. NIEMANN, E. CAMPO, A. ANAGNOSTOPOULOS, C. POTT, K. FISCHER, M. HALLEK, D. OSCIER, S. STILGENBAUER, C. HAFERLACH, D. JELINEK, N. CHIORAZZI, Šárka POSPÍŠILOVÁ (203 Czech Republic, guarantor, belonging to the institution), M.P. LEFRANC, S. KOSSIDA, A.W. LANGERAK, Cx. BELESSI, F. DAVI, R. ROSENQUIST, P. GHIA and K. STAMATOPOULOS.
Edition Blood, Washington DC, USA, American Society of Hematology, 2021, 0006-4971.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 25.476
RIV identification code RIV/00216224:14740/21:00120185
Organization unit Central European Institute of Technology
Doi http://dx.doi.org/10.1182/blood.2020007039
UT WoS 000646099500016
Keywords in English B lymphocyte receptor; immunoglobulin; immunoglobulin heavy chain; immunoglobulin heavy chain
Tags 14110212, podil, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Pavla Foltynová, Ph.D., učo 106624. Changed: 22/12/2021 16:51.
Abstract
Chronic lymphocytic leukemia (CLL) is characterized by the existence of subsets of patients with (quasi)identical, stereotyped B-cell receptor (BcR) immunoglobulins. Patients in certain major stereotyped subsets often display remarkably consistent clinicobiological profiles, suggesting that the study of BcR immunoglobulin stereotypy in CLL has important implications for understanding disease pathophysiology and refining clinical decision-making. Nevertheless, several issues remain open, especially pertaining to the actual frequency of BcR immunoglobulin stereotypy and major subsets, as well as the existence of higher-order connections between individual subsets. To address these issues, we investigated clonotypic IGHV-IGHD-IGHJ gene rearrangements in a series of 29 856 patients with CLL, by far the largest series worldwide. We report that the stereotyped fraction of CLL peaks at 41% of the entire cohort and that all 19 previously identified major subsets retained their relative size and ranking, while 10 new ones emerged; overall, major stereotyped subsets had a cumulative frequency of 13.5%. Higher-level relationships were evident between subsets, particularly for major stereotyped subsets with unmutated IGHV genes (U-CLL), for which close relations with other subsets, termed "satellites," were identified. Satellite subsets accounted for 3% of the entire cohort. These results confirm our previous notion that major subsets can be robustly identified and are consistent in relative size, hence representing distinct disease variants amenable to compartmentalized research with the potential of overcoming the pronounced heterogeneity of CLL. Furthermore, the existence of satellite subsets reveals a novel aspect of repertoire restriction with implications for refined molecular classification of CLL.
Links
LQ1601, research and development projectName: CEITEC 2020 (Acronym: CEITEC2020)
Investor: Ministry of Education, Youth and Sports of the CR
NV19-03-00091, research and development projectName: Komplexní prognostický a prediktivní panel pro pacienty s chronickou lymfocytární leukémií: nástroj sekvenování nové generace vhodný pro klinickou praxi i studium genetického pozadí průběhu choroby
Investor: Ministry of Health of the CR
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