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Tumor-Infiltrating Normal B Cells Revealed by Immunoglobulin Repertoire Clonotype Analysis Are Highly Prognostic and Crucial for Antitumor Immune Responses in DLBCL.
Xu-Monette, Zijun Y; Li, Yong; Snyder, Thomas; Yu, Tiantian; Lu, Tingxun; Tzankov, Alexandar; Visco, Carlo; Bhagat, Govind; Qian, Wenbin; Dybkaer, Karen; Chiu, April; Tam, Wayne; Zu, Youli; Hsi, Eric D; Hagemeister, Fredrick B; Wang, Yingjun; Go, Heounjeong; Ponzoni, Maurilio; Ferreri, Andrés J M; Møller, Michael B; Parsons, Benjamin M; Fan, Xiangshan; van Krieken, J Han; Piris, Miguel A; Winter, Jane N; Au, Qingyan; Kirsch, Ilan; Zhang, Mingzhi; Shaughnessy, John; Xu, Bing; Young, Ken H.
Afiliación
  • Xu-Monette ZY; Hematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
  • Li Y; Department of Medicine, Baylor College of Medicine, Houston, Texas.
  • Snyder T; Adaptive Biotechnologies, Seattle, Washington.
  • Yu T; Hematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
  • Lu T; Hematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
  • Tzankov A; Institute of Pathology, University Hospital Basel, Basel, Switzerland.
  • Visco C; Department of Hematology, University of Verona, Verona, Italy.
  • Bhagat G; Columbia University Irving Medical Center and New York Presbyterian Hospital, New York, New York.
  • Qian W; Department of Hematology, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
  • Dybkaer K; Aalborg University Hospital, Aalborg, Denmark.
  • Chiu A; Mayo Clinic, Rochester, Minnesota.
  • Tam W; Weill Medical College of Cornell University, New York, New York.
  • Zu Y; The Methodist Hospital, Houston, Texas.
  • Hsi ED; Wake Forest University, Winston-Salem, North Carolina.
  • Hagemeister FB; Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas.
  • Wang Y; The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Go H; Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
  • Ponzoni M; San Raffaele H. Scientific Institute, Milan, Italy.
  • Ferreri AJM; San Raffaele H. Scientific Institute, Milan, Italy.
  • Møller MB; Odense University Hospital, Odense, Denmark.
  • Parsons BM; Gundersen Lutheran Health System, La Crosse, Wisconsin.
  • Fan X; Pathology Center, Anhui Medical University and the first Affiliated Hospital, Hefei, China.
  • van Krieken JH; Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
  • Piris MA; Hospital Universitario Marqués de Valdecilla, Santander, Spain.
  • Winter JN; Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
  • Au Q; NeoGenomics Laboratories, Aliso Viejo, California.
  • Kirsch I; Adaptive Biotechnologies, Seattle, Washington.
  • Zhang M; The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
  • Shaughnessy J; Myeloma Center, Winthrop P. Rockefeller Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
  • Xu B; The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
  • Young KH; Hematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
Clin Cancer Res ; 29(23): 4808-4821, 2023 12 01.
Article en En | MEDLINE | ID: mdl-37728879
PURPOSE: Tumor-infiltrating B lymphocytes (TIL-B) have demonstrated prognostic and predictive significance in solid cancers. In this study, we aimed to distinguish TIL-Bs from malignant B-cells in diffuse large B-cell lymphoma (DLBCL) and determine the clinical and biological significance. EXPERIMENTAL DESIGN: A total of 269 patients with de novo DLBCL from the International DLBCL R-CHOP Consortium Program were studied. Ultra-deep sequencing of the immunoglobulin genes was performed to determine B-cell clonotypes. The frequencies and numbers of TIL-B clonotypes in individual repertoires were correlated with patient survival, gene expression profiling (GEP) data, and frequencies of DLBCL-infiltrating immune cells quantified by fluorescent multiplex IHC at single-cell resolution. RESULTS: TIL-B abundance, evaluated by frequencies of normal B-cell clonotypes in the immunoglobulin repertoires, remarkably showed positive associations with significantly better survival of patients in our sequenced cohorts. DLBCLs with high versus low TIL-B abundance displayed distinct GEP signatures, increased pre-memory B-cell state and naïve CD4 T-cell state fractions, and higher CD4+ T-cell infiltration. TIL-B frequency, as a new biomarker in DLBCL, outperformed the germinal center (GC) B-cell-like/activated B-cell-like classification and TIL-T frequency. The identified TIL-B-high GEP signature, including genes upregulated during T-dependent B-cell activation and those highly expressed in normal GC B cells and T cells, showed significant favorable prognostic effects in several external validation cohorts. CONCLUSIONS: TIL-B frequency is a significant prognostic factor in DLBCL and plays a crucial role in antitumor immune responses. This study provides novel insights into the prognostic determinants in DLBCL and TIL-B functions with important therapeutic implications.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfocitos B / Linfoma de Células B Grandes Difuso Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Clin Cancer Res Asunto de la revista: NEOPLASIAS Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfocitos B / Linfoma de Células B Grandes Difuso Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Clin Cancer Res Asunto de la revista: NEOPLASIAS Año: 2023 Tipo del documento: Article Pais de publicación: Estados Unidos