Evidence map›Paper›PMID 34039950›Full record

ArticleBlood cancer journal2021

Genomic insights into the pathogenesis of Epstein-Barr virus-associated diffuse large B-cell lymphoma by whole-genome and targeted amplicon sequencing.

Niklas Gebauer, Axel Künstner, Julius Ketzer, Hanno M Witte, Tobias Rausch, Vladimir Benes, Jürgen Zimmermann, Judith Gebauer, Hartmut Merz, Veronica Bernard and 10 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A genetic profiling guideline to support diagnosis and clinical management of lymphomas.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Niklas Gebauer *Department of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany. Niklas.Gebauer@uksh.de.ORCID 0000-0003-0566-4554
Axel Künstner *University Cancer Center Schleswig-Holstein, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.ORCID 0000-0003-0692-2105
Julius Ketzer *Department of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.
Hanno M WitteDepartment of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.ORCID 0000-0001-5767-7125
Tobias RauschEMBL, European Molecular Biology Laboratory, Genomics Core Facility, Meyerhofstraße 1, 69117, Heidelberg, Germany.ORCID 0000-0001-5773-5620
Vladimir BenesEMBL, European Molecular Biology Laboratory, Genomics Core Facility, Meyerhofstraße 1, 69117, Heidelberg, Germany.ORCID 0000-0002-0352-2547
Jürgen ZimmermannEMBL, European Molecular Biology Laboratory, Genomics Core Facility, Meyerhofstraße 1, 69117, Heidelberg, Germany.
Judith GebauerUniversity Cancer Center Schleswig-Holstein, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.
Hartmut MerzHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Haematopathology, Lübeck, Germany.
Veronica BernardHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Haematopathology, Lübeck, Germany.
Lana HarderInstitut für Tumorgenetik Nord, Steenbeker Weg 23, 24106, Kiel, Germany.
Katharina RatjenInstitut für Tumorgenetik Nord, Steenbeker Weg 23, 24106, Kiel, Germany.
Stefan GeskInstitut für Tumorgenetik Nord, Steenbeker Weg 23, 24106, Kiel, Germany.
Wolfgang PeterHLA Typing Laboratory of the Stefan-Morsch-Foundation, 557565, Birkenfeld, Germany.
Yannik BuschHLA Typing Laboratory of the Stefan-Morsch-Foundation, 557565, Birkenfeld, Germany.
Peter TrojokHLA Typing Laboratory of the Stefan-Morsch-Foundation, 557565, Birkenfeld, Germany.
Nikolas von BubnoffDepartment of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.ORCID 0000-0001-9593-8947
Harald BiersackDepartment of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.
Hauke BuschUniversity Cancer Center Schleswig-Holstein, University Hospital of Schleswig-Holstein, Campus Lübeck, 23538, Lübeck, Germany.
Alfred C FellerHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Haematopathology, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epstein-Barr virus (EBV)-associated diffuse large B-cell lymphoma not otherwise specified (DLBCL NOS) constitute a distinct clinicopathological entity in the current World Health Organization (WHO) classification. However, its genomic features remain sparsely characterized. Here, we combine whole-genome sequencing (WGS), targeted amplicon sequencing (tNGS), and fluorescence in situ hybridization (FISH) from 47 EBV + DLBCL (NOS) cases to delineate the genomic landscape of this rare disease. Integrated WGS and tNGS analysis clearly distinguished this tumor type from EBV-negative DLBCL due to frequent mutations in ARID1A (45%), KMT2A/KMT2D (32/30%), ANKRD11 (32%), or NOTCH2 (32%). WGS uncovered structural aberrations including 6q deletions (5/8 patients), which were subsequently validated by FISH (14/32 cases). Expanding on previous reports, we identified recurrent alterations in CCR6 (15%), DAPK1 (15%), TNFRSF21 (13%), CCR7 (11%), and YY1 (6%). Lastly, functional annotation of the mutational landscape by sequential gene set enrichment and network propagation predicted an effect on the nuclear factor κB (NFκB) pathway (CSNK2A2, CARD10), IL6/JAK/STAT (SOCS1/3, STAT3), and WNT signaling (FRAT1, SFRP5) alongside aberrations in immunological processes, such as interferon response. This first comprehensive description of EBV + DLBCL (NOS) tumors substantiates the evidence of its pathobiological independence and helps stratify the molecular taxonomy of aggressive lymphomas in the effort for future therapeutic strategies.

Indexed as

AdultAgedAged, 80 and overChromosome AberrationsEpstein-Barr Virus InfectionsFemaleGene Regulatory NetworksHerpesvirus 4, HumanHigh-Throughput Nucleotide SequencingHumansIn Situ Hybridization, FluorescenceLymphoma, Large B-Cell, DiffuseMaleMiddle AgedMutationWhole Genome Sequencing

Identifiers

PMID34039950
PMCPMC8155002

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.