Sökning: WFRF:(Gellerbring Anna) > BTK and PLCG2 remai...
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000 | 09707naa a2200913 4500 | |
001 | oai:DiVA.org:uu-511624 | |
003 | SwePub | |
008 | 230915s2023 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:kth-336055 | |
009 | oai:prod.swepub.kib.ki.se:153591476 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5116242 URI |
024 | 7 | a https://doi.org/10.1182/bloodadvances.20220088212 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-3360552 URI |
024 | 7 | a 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 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a 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 |
245 | 1 0 | a BTK and PLCG2 remain unmutated in one-third of patients with CLL relapsing on ibrutinib |
264 | c 2023-01-25 | |
264 | 1 | b 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 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Hematologi0 (SwePub)302022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Hematology0 (SwePub)302022 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Cell- och molekylärbiologi0 (SwePub)301082 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Cell and Molecular Biology0 (SwePub)301082 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng |
700 | 1 | a Sutton, Lesley-Annu Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut |
700 | 1 | a 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 |
700 | 1 | a Capasso, Antonellau IRCCS Osped San Raffaele, Strateg Res Program CLL, Milan, Italy.4 aut |
700 | 1 | a Pandzic, Tatjanau Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)tatdj291 |
700 | 1 | a Weström, Simoneu Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)simku408 |
700 | 1 | a Foroughi-Asl, Hassanu Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut |
700 | 1 | a Skaftason, Aronu Karolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut |
700 | 1 | a Gellerbring, Annau Sci Life Lab, Clin Genom Stockholm, Solna, Sweden.;Karolinska Inst, Dept Microbiol Tumor & Cell Biol, Stockholm, Sweden.4 aut |
700 | 1 | a 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 |
700 | 1 | a Gandini, Francescau IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.;Univ Vita Salute San Raffaele, Milan, Italy.4 aut |
700 | 1 | a Gaidano, Gianlucau Univ Piemonte Orientale, Dept Translat Med, Div Hematol, Novara, Italy.4 aut |
700 | 1 | a Trentin, Liviou Univ Padua, Dept Med Hematol & Clin Immunol, Padua, Italy.4 aut |
700 | 1 | a Bonello, Lisau AOU Citta Salute & Sci, Mol Pathol Unit, Turin, Italy.;Univ Torino, Dept Mol Biotechnol & Hlth Sci, Turin, TO, Italy.4 aut |
700 | 1 | a Reda, Gianluigiu Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Hematol, Milan, Italy.4 aut |
700 | 1 | a Bodor, Csabau HCEMM SU Mol Oncohematol Res Grp, Budapest, Hungary.;Semmelweis Univ, Dept Pathol & Expt Canc Res 1, Budapest, Hungary.4 aut |
700 | 1 | a Stavroyianni, Nikiu G Papanicolaou Hosp, Hematol Dept, Thessaloniki, Greece.;G Papanicolaou Hosp, HCT Unit, Thessaloniki, Greece.4 aut |
700 | 1 | a Tam, Constantine S.u Alfred Hlth, Dept Hematol, Melbourne, Vic, Australia.;Monash Univ, Cent Clin Sch, Melbourne, Vic, Australia.4 aut |
700 | 1 | a Marasca, Robertu Univ Modena & Reggio Emilia, Dept Med & Surg Sci, Hematol Unit, Modena, Italy.4 aut |
700 | 1 | a Forconi, Francescou Univ Southampton, Fac Med, Sch Canc Sci, Southampton, England.;Univ Hosp Natl Hlth Serv Trust, Dept Hematol, Southampton, England.4 aut |
700 | 1 | a Baliakas, Panagiotis,d 1977-u Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)panba345 |
700 | 1 | a Ringshausen, Ingou Univ Cambridge, Dept Hematol, Cambridge, England.4 aut |
700 | 1 | a Kaksic, Ozrenu Dubrava Univ Hosp, Zagreb, Croatia.4 aut |
700 | 1 | a Frustaci, Anna Mariau ASST Grande Osped Metropolitano Niguarda, Niguarda Canc Ctr, Dept Hematol, Milan, Italy.4 aut |
700 | 1 | a Iyengar, Sunilu Royal Marsden Hosp, Dept Haematooncol, London, England.4 aut |
700 | 1 | a Coscia, Martau Univ Torino, Dept Mol Biotechnol & Hlth Sci, Turin, TO, Italy.;AOU Citta Salute & Sci Torino, Div Hematol, Turin, Italy.4 aut |
700 | 1 | a Mulligan, Stephen P.u Univ Sydney, Royal North Shore Hosp, Dept Haematol, Sydney, Australia.4 aut |
700 | 1 | a Ysebaert, Loicu Inst Univ Canc Oncopole Toulouse, Dept Hematol, Toulouse, France.4 aut |
700 | 1 | a Strugov, Vladimiru Almazov Natl Med Res Ctr, St Petersburg, Russia.4 aut |
700 | 1 | a Pavlovsky, Carolinau FUNDALEU, Clin Res Ctr, Buenos Aires, Argentina.4 aut |
700 | 1 | a Walewska, Renetau Univ Hosp Dorset, Dept Mol Pathol, Bournemouth, England.4 aut |
700 | 1 | a Österborg, Andersu Karolinska Institutet,Karolinska Univ Hosp, Dept Hematol, Stockholm, Sweden.4 aut |
700 | 1 | a Cortese, Diegou Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.4 aut |
700 | 1 | a Ranghetti, Pamelau IRCCS Osped San Raffaele, Div Expt Oncol, B Cell Neoplasia Unit, Milan, Italy.4 aut |
700 | 1 | a Baliakas, Panagiotis,d 1977-u Uppsala universitet,Science for Life Laboratory, SciLifeLab,Cancerprecisionsmedicin4 aut0 (Swepub:uu)panba345 |
700 | 1 | a Stamatopoulos, Kostasu Karolinska Institutet,Ctr Res & Technol Hellas, Inst Appl Biosci, Thessaloniki, Greece.4 aut |
700 | 1 | a 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 |
700 | 1 | a Rosenquist, Richardu Karolinska Institutet,Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden.;Karolinska Univ Hosp, Clin Genet, Stockholm, Sweden.4 aut |
700 | 1 | a 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 |
710 | 2 | a 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 |
773 | 0 | t Blood Advancesd : American Society of Hematologyg 7:12, s. 2794-2806q 7:12<2794-2806x 2473-9529x 2473-9537 |
856 | 4 | u https://doi.org/10.1182/bloodadvances.2022008821y Fulltext |
856 | 4 | u https://uu.diva-portal.org/smash/get/diva2:1797532/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print |
856 | 4 | u https://doi.org/10.17044/scilifelab.19721998y Data set |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-511624 |
856 | 4 8 | u https://doi.org/10.1182/bloodadvances.2022008821 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-336055 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:153591476 |
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