Characterisation of immune checkpoints in Richter syndrome identifies LAG3 as a potential therapeutic target

Autor: Costas K. Yannakou, John F. Seymour, John F. Markham, Michael Dickinson, Stephen Lade, Jennifer Lickiss, Paul J Neeson, Piers Blombery, Diego Villa, Satwica Yerneni, David Westerman, Collin K. Chin, Yamuna Kankanige, Constantine S. Tam, Graham W. Slack, Clare Gould, Niles Elizabeth Nelson, Maher K. Gandhi
Rok vydání: 2021
Předmět:
Zdroj: British Journal of Haematology. 195:113-118
ISSN: 1365-2141
0007-1048
DOI: 10.1111/bjh.17789
Popis: Richter syndrome (RS), an aggressive lymphoma occurring in the context of chronic lymphocytic leukaemia/small lymphocytic lymphoma, is associated with poor prognosis when treated with conventional immunochemotherapy, therefore, improved treatments are required. Immune checkpoint blockade has shown efficacy in some B-cell malignancies and modest responses in early clinical trials for RS. We investigated the immune checkpoint profile of RS as a basis to inform rational therapeutic investigations in RS. Formalin-fixed, paraffin-embedded biopsies of RS (n = 19), de novo diffuse large B-cell lymphoma (DLBCL; n = 58), transformed indolent lymphomas (follicular [tFL], n = 16; marginal zone [tMZL], n = 24) and non-transformed small lymphocytic lymphoma (SLL; n = 15) underwent gene expression profiling using the NanoString Human Immunology panel. Copy number assessment was performed using next-generation sequencing. Immunohistochemistry (IHC) for LAG3 and PD-1 was performed. LAG3 gene expression was higher in RS compared to DLBCL (P = 0·0002, log2FC 1·96), tFL (P
Databáze: OpenAIRE