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Wenzl, K.1; Manske, M.1; Hartert, K.1; Krull, J.1; Sarangi, V.2; Greipp, P.3; Maurer, M.4; Feldman, A.5; Ansell, S.1; Cerhan, J.2; Novak, A.1

Poster Session I: Lymphoma biology & translational research

1Division of Hematology

2Department of Health Sciences Research

3Division of Laboratory Genetics and Genomics

4Health Sciences Research

5Division of Hematopathology, Mayo Clinic, Rochester, United States

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Recent large next generation sequencing studies have redefined the genomic landscape of diffuse large B-cell lymphoma (DLBCL). While many of the more common genetic variants, primarily mutations, have been biologically characterized, little is known about newly emerging genetic aberrations. In particular, somatic copy number alterations remain poorly studied due to the large genomic regions they cover and the number of genes involved. This, in combination with lack of remission or early relapse in a portion of DLBCL, opens new opportunities to explore yet unidentified genetic contributions to lymphomagenesis.

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The goal of this study was to identify variants associated with failure to achieve event free survival at 24 months (EFS24) and define their biologic significance in DLBCL.

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Newly diagnosed DLBCL treated with standard immunochemotherapy were included in this study (n = 246). Copy number data was generated by using the molecular inversion probe OncoScan™ FFPE Assay Kit (Affymetrix, Santa Clara, CA, USA). OncoScan OSCHP files were analyzed using Nexus Copy Number 9.0 software (Biodiscovery, El Segundo, USA). Data interpretation and copy number calling was done using the human reference genome GRCh37/hg19. Files were analyzed using the Nexus FASST2-Segmentation algorithm, which is based on a Hidden Markov Model approach for calling genetic events. For functional analysis, SOCS6 was overexpressed and studied in GCB-DLBCL cell lines.

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Upon review of genomic copy number data from DLBCL cases (n = 246), loss of 18q22.1-q23 was a significant event in our cohort (p = 0.018), is found in 11% (n = 27) of DLBCL, and is enriched in germinal center DLBCL (GCB-DLBCL) patients (18/107, 17%, p < 0.05) compared to activated B-cell (ABC)/non-GCB DLBCL patients (1/93, 1%). Furthermore, GCB-DLBCL patients with a loss of 18q22.1-q23 were significantly more likely to fail EFS24 (50%, p < 0.05) compared to GCB-DLBCL patients without the loss (29%). Genes located at 18q22.1-q23 include, TMX3, DOK6 and SOCS6. SOCS family proteins have been shown to play an important role in tumor biology, although little is known about SOCS6. SOCS6 gene expression is downregulated in a variety of solid tumors and is hypermethylated in some hematological malignancies. RNASeq data from DLBCL suggest variable expression across tumors. Using a panel of GCB cell lines we found that SOCS6 expression was low to negative, and publically available cell line data suggests this region is hypermethylated. Expression of SOCS6 was higher in a panel of mantle cell lymphoma and ABC-DLBCL cell lines and this again correlated with their cell line methylation data, where no hypermethylation was found in those cell lines. Together, this data suggests that downregulation of SOCS6 through genomic loss or hypermethylation may have biologic importance. To explore the role of SOCS6, we restored expression in GCB cell lines and immuno-fluorescence staining suggest localization to the nucleus and cytoplasm, as previously reported in other cell types. Studies to explore the role of SOCS6 in cytokine signaling and STAT family protein regulation are ongoing.

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Using genome copy number data from 246 DLBCL, we have found that loss of 18q22.1-q23 (p = 0.018) is associated with GCB-DLBCL and failure to achieve EFS24. Furthermore, we have identified that SOCS6 may have clinical and biologic significance in GCB-DLBCL.

Copyright © 2019 The Authors. Published by Wolters Kluwer Health Inc., on behalf of the European Hematology Association.