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FältnamnIndikatorerMetadata
00009707naa a2200913 4500
001oai:DiVA.org:uu-511624
003SwePub
008230915s2023 | |||||||||||000 ||eng|
009oai:DiVA.org:kth-336055
009oai:prod.swepub.kib.ki.se:153591476
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5116242 URI
024a https://doi.org/10.1182/bloodadvances.20220088212 DOI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-3360552 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1535914762 URI
040 a (SwePub)uud (SwePub)kthd (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Bonfiglio, Silviau IRCCS Osped San Raffaele, Ctr Omics Sci, Milan, Italy.;IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.4 aut
2451 0a BTK and PLCG2 remain unmutated in one-third of patients with CLL relapsing on ibrutinib
264 c 2023-01-25
264 1b American Society of Hematology,c 2023
338 a electronic2 rdacarrier
500 a QC 20230911
520 a Patients with chronic lymphocytic leukemia (CLL) progressing on ibrutinib constitute an unmet need. Though Bruton tyrosine kinase (BTK) and PLCG2 mutations are associated with ibrutinib resistance, their frequency and relevance to progression are not fully understood. In this multicenter retrospective observational study, we analyzed 98 patients with CLL on ibrutinib (49 relapsing after an initial response and 49 still responding after ≥1 year of continuous treatment) using a next-generation sequencing (NGS) panel (1% sensitivity) comprising 13 CLL-relevant genes including BTK and PLCG2. BTK hotspot mutations were validated by droplet digital polymerase chain reaction (ddPCR) (0.1% sensitivity). By integrating NGS and ddPCR results, 32 of 49 relapsing cases (65%) carried at least 1 hotspot BTK and/or PLCG2 mutation(s); in 6 of 32, BTK mutations were only detected by ddPCR (variant allele frequency [VAF] 0.1% to 1.2%). BTK/PLCG2 mutations were also identified in 6 of 49 responding patients (12%; 5/6 VAF <10%), of whom 2 progressed later. Among the relapsing patients, the BTK-mutated (BTKmut) group was enriched for EGR2 mutations, whereas BTK-wildtype (BTKwt) cases more frequently displayed BIRC3 and NFKBIE mutations. Using an extended capture-based panel, only BRAF and IKZF3 mutations showed a predominance in relapsing cases, who were enriched for del(8p) (n = 11; 3 BTKwt). Finally, no difference in TP53 mutation burden was observed between BTKmut and BTKwt relapsing cases, and ibrutinib treatment did not favor selection of TP53-aberrant clones. In conclusion, we show that BTK/PLCG2 mutations were absent in a substantial fraction (35%) of a real-world cohort failing ibrutinib, and propose additional mechanisms contributing to resistance.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Hematologi0 (SwePub)302022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Hematology0 (SwePub)302022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Cell- och molekylärbiologi0 (SwePub)301082 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Cell and Molecular Biology0 (SwePub)301082 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
700a Sutton, Lesley-Annu Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut
700a Ljungström, Viktor,d 1986-u Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin,Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden4 aut0 (Swepub:uu)viklj600
700a Capasso, Antonellau IRCCS Osped San Raffaele, Strateg Res Program CLL, Milan, Italy.4 aut
700a Pandzic, Tatjanau Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)tatdj291
700a Weström, Simoneu Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)simku408
700a Foroughi-Asl, Hassanu Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut
700a Skaftason, Aronu Karolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut
700a Gellerbring, Annau Sci Life Lab, Clin Genom Stockholm, Solna, Sweden.;Karolinska Inst, Dept Microbiol Tumor & Cell Biol, Stockholm, Sweden.4 aut
700a Lyander, Annau KTH,Genteknologi,Science for Life Laboratory, SciLifeLab,Sci Life Lab, Clin Genom Stockholm, Solna, Sweden.;Karolinska Inst, Dept Microbiol Tumor & Cell Biol, Stockholm, Sweden.;KTH Royal Inst Technol, Sch Engn Sci Chem Biotechnol & Hlth, Stockholm, Sweden.4 aut0 (Swepub:kth)u1l0oby5
700a Gandini, Francescau IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.;Univ Vita Salute San Raffaele, Milan, Italy.4 aut
700a Gaidano, Gianlucau Univ Piemonte Orientale, Dept Translat Med, Div Hematol, Novara, Italy.4 aut
700a Trentin, Liviou Univ Padua, Dept Med Hematol & Clin Immunol, Padua, Italy.4 aut
700a Bonello, Lisau AOU Citta Salute & Sci, Mol Pathol Unit, Turin, Italy.;Univ Torino, Dept Mol Biotechnol & Hlth Sci, Turin, TO, Italy.4 aut
700a Reda, Gianluigiu Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Hematol, Milan, Italy.4 aut
700a Bodor, Csabau HCEMM SU Mol Oncohematol Res Grp, Budapest, Hungary.;Semmelweis Univ, Dept Pathol & Expt Canc Res 1, Budapest, Hungary.4 aut
700a Stavroyianni, Nikiu G Papanicolaou Hosp, Hematol Dept, Thessaloniki, Greece.;G Papanicolaou Hosp, HCT Unit, Thessaloniki, Greece.4 aut
700a Tam, Constantine S.u Alfred Hlth, Dept Hematol, Melbourne, Vic, Australia.;Monash Univ, Cent Clin Sch, Melbourne, Vic, Australia.4 aut
700a Marasca, Robertu Univ Modena & Reggio Emilia, Dept Med & Surg Sci, Hematol Unit, Modena, Italy.4 aut
700a Forconi, Francescou Univ Southampton, Fac Med, Sch Canc Sci, Southampton, England.;Univ Hosp Natl Hlth Serv Trust, Dept Hematol, Southampton, England.4 aut
700a Baliakas, Panagiotis,d 1977-u Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)panba345
700a Ringshausen, Ingou Univ Cambridge, Dept Hematol, Cambridge, England.4 aut
700a Kaksic, Ozrenu Dubrava Univ Hosp, Zagreb, Croatia.4 aut
700a Frustaci, Anna Mariau ASST Grande Osped Metropolitano Niguarda, Niguarda Canc Ctr, Dept Hematol, Milan, Italy.4 aut
700a Iyengar, Sunilu Royal Marsden Hosp, Dept Haematooncol, London, England.4 aut
700a Coscia, Martau Univ Torino, Dept Mol Biotechnol & Hlth Sci, Turin, TO, Italy.;AOU Citta Salute & Sci Torino, Div Hematol, Turin, Italy.4 aut
700a Mulligan, Stephen P.u Univ Sydney, Royal North Shore Hosp, Dept Haematol, Sydney, Australia.4 aut
700a Ysebaert, Loicu Inst Univ Canc Oncopole Toulouse, Dept Hematol, Toulouse, France.4 aut
700a Strugov, Vladimiru Almazov Natl Med Res Ctr, St Petersburg, Russia.4 aut
700a Pavlovsky, Carolinau FUNDALEU, Clin Res Ctr, Buenos Aires, Argentina.4 aut
700a Walewska, Renetau Univ Hosp Dorset, Dept Mol Pathol, Bournemouth, England.4 aut
700a Österborg, Andersu Karolinska Institutet,Karolinska Univ Hosp, Dept Hematol, Stockholm, Sweden.4 aut
700a Cortese, Diegou Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut
700a Ranghetti, Pamelau IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.4 aut
700a Baliakas, Panagiotis,d 1977-u Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)panba345
700a Stamatopoulos, Kostasu Karolinska Institutet,Ctr Res & Technol Hellas, Inst Appl Biosci, Thessaloniki, Greece.4 aut
700a Scarfò, Lydiau IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.;IRCCS Osped San Raffaele, Strateg Res Program CLL, Milan, Italy.;Univ Vita Salute San Raffaele, Milan, Italy.4 aut
700a Rosenquist, Richardu Karolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.;Karolinska Univ Hosp, Clin Genet, Stockholm, Sweden.4 aut
700a Ghia, Paolou IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.;IRCCS Osped San Raffaele, Strateg Res Program CLL, Milan, Italy.;Univ Vita Salute San Raffaele, Milan, Italy.4 aut
710a IRCCS Osped San Raffaele, Ctr Omics Sci, Milan, Italy.;IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.b Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 org
773t Blood Advancesd : American Society of Hematologyg 7:12, s. 2794-2806q 7:12<2794-2806x 2473-9529x 2473-9537
856u https://doi.org/10.1182/bloodadvances.2022008821y Fulltext
856u https://uu.diva-portal.org/smash/get/diva2:1797532/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u https://doi.org/10.17044/scilifelab.19721998y Data set
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-511624
8564 8u https://doi.org/10.1182/bloodadvances.2022008821
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-336055
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:153591476

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