Evidence map›Paper›PMID 34788985›Full record

ArticleHaematologica2022

Mutational landscape of high-grade B-cell lymphoma with

Axel Künstner, Hanno M Witte, Jörg Riedl, Veronica Bernard, Stephanie Stölting, Hartmut Merz, Vito Olschewski, Wolfgang Peter, Julius Ketzer, Yannik Busch and 5 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% of its field
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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. RHOA controls oncogenic B cell receptor signaling in aggressive lymphoma.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Article
  8. High-grade B-cell lymphomas: high difficulties to diagnose and treat?Hematology. American Society of Hematology. Education Program · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Genetic alterations in mature B- and T-cell lymphomas - a practical guide to WHO-HAEM5.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2024
    Article
  18. Article
  19. Performance ofFrontiers in oncology · 2024
    Article
  20. Article
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

15 authors at 3 institutions in 3 countries.

Axel KünstnerMedical Systems Biology Group, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; Institute for Cardiogenetics, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; University Cancer Center Schleswig-Holstein, University Hospital of Schleswig- Holstein, Campus Lübeck, 23538 Lübeck.
Hanno M WitteDepartment of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; Department of Hematology and Oncology, Federal Armed Forces Hospital Ulm, Oberer Eselsberg 40, 89081 Ulm.
Jörg RiedlDepartment of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; Hämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Hematopathology, Lübeck.
Veronica BernardHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Hematopathology, Lübeck.
Stephanie StöltingHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Hematopathology, Lübeck.
Hartmut MerzHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Hematopathology, Lübeck.
Vito OlschewskiDepartment of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck.
Wolfgang PeterHLA Typing Laboratory of the Stefan-Morsch-Foundation, 557565 Birkenfeld, Germany; University of Cologne, Faculty of Medicine and University Hospital Cologne, Institute for Transfusion Medicine, 50937 Cologne.
Julius KetzerDepartment of Paediatrics, University Hospital of Schleswig-Holstein, Campus Luebeck, 23538 Luebeck.
Yannik BuschHLA Typing Laboratory of the Stefan-Morsch-Foundation, 557565 Birkenfeld.
Peter TrojokHLA Typing Laboratory of the Stefan-Morsch-Foundation, 557565 Birkenfeld.
Nikolas von BubnoffUniversity Cancer Center Schleswig-Holstein, University Hospital of Schleswig- Holstein, Campus Lübeck, 23538 Lübeck, Germany; Department of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck.
Hauke BuschMedical Systems Biology Group, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; Institute for Cardiogenetics, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany; University Cancer Center Schleswig-Holstein, University Hospital of Schleswig- Holstein, Campus Lübeck, 23538 Lübeck.
Alfred C FellerHämatopathologie Lübeck, Reference Centre for Lymph Node Pathology and Hematopathology, Lübeck.
Niklas GebauerUniversity Cancer Center Schleswig-Holstein, University Hospital of Schleswig- Holstein, Campus Lübeck, 23538 Lübeck, Germany; Department of Hematology and Oncology, University Hospital of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538 Lübeck. Niklas.Gebauer@uksh.de.
University Hospital Schleswig-Holstein · DEUniversity of Lübeck · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-grade B-cell lymphoma accompanied with double/triple-hit MYC and BCL2 and/or BCL6 rearrangements (HGBLDH/ TH) poses a cytogenetically-defined provisional entity among aggressive B-cell lymphomas that is traditionally associated with unfavorable prognosis. In order to better understand the mutational and molecular landscape of HGBLDH/ TH we here performed whole-exome sequencing and deep panel next-generation sequencing of 47 clinically annotated cases. Oncogenic drivers, mutational signatures and perturbed pathways were compared with data from follicular lymphoma (FL), diffuse large B-cell lymphoma (DLBCL) and Burkitt lymphoma (BL). We find an accumulation of oncogenic mutations in NOTCH, IL6/JAK/STAT and NFκB signaling pathways and delineate the mutational relationship within the continuum between FL/DLBCL, HGBL-DH/TH and BL. Further, we provide evidence of a molecular divergence between BCL2 and BCL6 rearranged HGBL-DH. Beyond a significant congruency with the C3/EZB DLBCL cluster in BCL2 rearranged cases on an exome-wide level, we observe an enrichment of the SBS6 mutation signature in BCL6 rearranged cases. Differential gene set enrichment and subsequent network propagation analysis according to cytogenetically defined subgroups revealed an impairment of TP53 and MYC pathway signaling in BCL2 rearranged cases, whereas BCL6 rearranged cases lacked this enrichment, but instead showed impairment of E2F targets. Intriguingly, HGBL-TH displayed intermediate mutational features considering all three aspects. This study elucidates a recurrent pattern of mutational events driving FL into MYC-driven BCL2-rearranged HGBL, unveiling the mutational pathogenesis of this provisional entity. Through this refinement of the molecular taxonomy for aggressive, germinal center-derived B-cell lymphomas, this calls into question the current World Health Organization classification system, especially regarding the status of MYC/BCL6- rearranged HGBL.

Indexed as

Lymphoma, FollicularLymphoma, Large B-Cell, DiffuseExome SequencingGene RearrangementHumansMutationProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-bcl-6Proto-Oncogene Proteins c-mycBCL2 protein, humanBCL6 protein, humanProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-bcl-6Proto-Oncogene Proteins c-myc

Identifiers

PMID34788985
PMCPMC9335106
OpenAlexW3213260823

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.