PO.ET06.06 · 实验与分子治疗
基于LymphGen的DLBCL PDX模型分层反映了临床肿瘤的复杂性
LymphGen-based stratification of DLBCL PDX models mirrors clinical tumor complexity
作者与单位 Authors & Affiliations
摘要 Abstract
中文摘要
弥漫性大B细胞淋巴瘤(DLBCL)是一种高度异质性的恶性肿瘤,其生物学多样性最好通过现代分子分类来体现。细胞起源(COO)系统将肿瘤分为生发中心B细胞样(GCB)和活化B细胞样(ABC)两组,反映了分化状态、信号依赖性和临床行为方面的根本差异。在COO基础上,LymphGen分类通过定义遗传学上连贯的亚型提供了更精细的视角,例如:MCD,由MYD88 L265P和CD79B病变驱动,促进慢性活化的BCR信号传导;BN2,以典型边缘区样生物学特征的BCL6易位和NOTCH2突变为特征;N1,以NOTCH1活化为标志;A53,富集TP53缺失和染色体不稳定;EZB,以EZH2突变、BCL2重排和生发中心相关的表观遗传重塑为定义;以及其他组别如ST2,携带SOCS1突变和JAK-STAT通路改变。这些基因组聚类揭示了不同的致癌回路和潜在的治疗脆弱性。在本研究中,LymphGen 2.0分类器整合了体细胞突变、拷贝数改变和结构变异,将样本分配到七种基因组亚型。为对Champions Oncology的淋巴瘤PDX和离体模型进行分子表征,我们将LymphGen应用于所生成的突变、CNV和融合数据。
40个具有完整基因组分析的淋巴瘤模型按照LymphGen 2.0的要求进行格式化,并通过在线数据门户提交。模型被分配到以下类别:MCD、BN2、N1、EZB、ST2、A53、混合亚型或其他/未分类。亚型分配在可用的临床元数据和功能数据集的背景下进行了检查。
在所分析的40个淋巴瘤模型中,其分布表现出显著的能力,不仅重现了LymphGen亚型的完整分布,还重现了临床肿瘤中观察到的结构变异、驱动突变和通路病变的详细组合。多个混合判定的存在反映了重叠的基因组特征或规则满足不完全,这与既往关于LymphGen在异质性或部分改变样本中行为的报告一致。这种分层突出了淋巴瘤模型队列中具有生物学代表性的多样性,从而能够为转化研究进行亚型感知的模型选择,包括在MCD样背景中评估BTK抑制剂以及在EZB判定模型中评估EZH2导向疗法。
将LymphGen应用于Champions Oncology的淋巴瘤模型提供了稳健的亚型分辨率,反映了临床观察到的分子异质性。这种整合支持合理的临床前模型选择,增强了药物反应研究的可解释性,并为在血液学管线中扩展多组学亚型精细化奠定了基础。
查看英文原文 English abstract
Diffuse Large B-Cell Lymphoma (DLBCL) is a highly heterogeneous malignancy whose biological diversity is best captured by modern molecular classifications. The Cell of Origin (COO) system divides tumors into Germinal Center B-cell-like (GCB) & Activated B-cell-like (ABC) groups, reflecting fundamental differences in differentiation state, signaling reliance, & clinical behavior. Building on COO, the LymphGen classification provides a more granular view by defining genetically coherent subtypes such as MCD, driven by MYD88L265P & CD79B lesions that promote chronic active BCR signaling; BN2, characterized by BCL6 translocations & NOTCH2 mutations typical of marginal-zone-like biology; N1, marked by NOTCH1 activation; A53, enriched for TP53 loss & chromosomal instability; EZB, defined by EZH2 mutation, BCL2 rearrangement, & germinal-center-associated epigenetic rewiring; & additional groups such as ST2, harboring SOCS1 mutations & JAK-STAT pathway alterations. These genomic clusters reveal distinct oncogenic circuits, & potential therapeutic vulnerabilities. In this study, the LymphGen 2.0 classifier integrates somatic mutations, copy-number alterations, & structural variants to assign samples to seven genomic subtypes. To molecularly characterize Champions Oncology's lymphoma PDX & ex vivo models, we applied LymphGen to generated mutation, CNV, & fusion data.
Forty lymphoma models with complete genomic profiling were formatted according to LymphGen 2.0 requirements & submitted via the online data portal. Models were assigned to the following categories: MCD, BN2, N1, EZB, ST2, A53, hybrid subtypes, or Other/Unclassified. Subtype assignments were examined in the context of available clinical metadata & functional datasets.
Among the 40 lymphoma models analyzed, the distribution demonstrate a remarkable ability to reproduce not only the full distribution of LymphGen subtypes but also the detailed combinations of structural variants, driver mutations, & pathway lesions observed in clinical tumors. The presence of multiple hybrid calls reflects either overlapping genomic features or incomplete rule satisfaction, consistent with prior reports on LymphGen behavior in heterogeneous or partially altered samples. This stratification highlights biologically representative diversity across the lymphoma models cohort, enabling subtype-aware selection of models for translational studies, including evaluation of BTK inhibitors in MCD-like backgrounds & EZH2-directed therapies in EZB-assigned models.
Application of LymphGen to Champions Oncology's lymphoma models provides robust subtype resolution that mirrors clinically observed molecular heterogeneity. This integration supports rational preclinical model selection, enhances interpretability of drug-response studies, & lays the foundation for expanded multi-omic subtype refinement across the hematologic pipeline.
利益披露 Disclosure
M. Zipeto, None..
M. Ritchie, None..
M. Hippich, None..
G. Henry, None..
S. Cairo, None..
G. Silberberg, None.