Recurrent mutations of the exportin 1 gene (XPO1) and their impact on selective inhibitor of nuclear export compounds sensitivity in primary mediastinal B‐cell lymphoma

  • Fabrice Jardin
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Anais Pujals
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France
  • Laura Pelletier
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France
  • Elodie Bohers
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Vincent Camus
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Sylvain Mareschal
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Sydney Dubois
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Brigitte Sola
    Departement of Hematology Normandie Univ, UNICAEN Caen EA4652 France
  • Marlène Ochmann
    Departement of Hematology Inserm U917, CHU Pontchaillou Rennes France
  • François Lemonnier
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France
  • Pierre‐Julien Viailly
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Philippe Bertrand
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Catherine Maingonnat
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Alexandra Traverse‐Glehen
    Departement of Hematology Inserm U917, CHU Pontchaillou Rennes France
  • Philippe Gaulard
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France
  • Diane Damotte
    Departement of Hematology Hospices Civils De Lyon, Lyon‐1 University Pierre Benite CNRS UMR5239 France
  • Richard Delarue
    Department of Pathology Hôpitaux Universitaires, Paris Centre, Team « Cancer, Immune Control, and Escape » INSERM U1138, Cordeliers Research Center Paris France
  • Corinne Haioun
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France
  • Christian Argueta
    Department of Hematology Necker Hospital, AP‐HP Paris France
  • Yosef Landesman
    Department of Hematology Necker Hospital, AP‐HP Paris France
  • Gilles Salles
    Karyopharm Therapeutics Newton MA
  • Jean‐Philippe Jais
    Department of Biostatistics Hopital Necker Paris France
  • Martin Figeac
    Departement of Genomics Functional Genomic Platforms, IRCL Lille France
  • Christiane Copie‐Bergman
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France
  • Thierry Jo Molina
    Department of Pathology Necker Hospital, AP‐HP Paris France
  • Jean Michel Picquenot
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Marie Cornic
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Thierry Fest
    Departement of Hematology Inserm U917, CHU Pontchaillou Rennes France
  • Noel Milpied
    Department of Hematology CHU De Bordeaux France
  • Emilie Lemasle
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Aspasia Stamatoullas
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Peter Moeller
    Department of Pathology Institute of Pathology, University of Ulm Germany
  • Martin J.S Dyer
    Department of Hematology Ernest and Helen Scott Haematological Research Institute, University of Leicester, Leicester United Kingdom
  • Christer Sundstrom
    Department of Pathology Uppsala Sweden
  • Christian Bastard
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Hervé Tilly
    Departement of Hematology Inserm U918, Centre Henri Becquerel Rouen France
  • Karen Leroy
    Departement of Hematology Inserm U955 Team 09, APHP Hospital Henri Mondor Créteil France

抄録

<jats:p>Primary mediastinal B‐cell lymphoma (PMBL) is an entity of B‐cell lymphoma distinct from the other molecular subtypes of diffuse large B‐cell lymphoma (DLBCL). We investigated the prevalence, specificity, and clinical relevance of mutations of <jats:italic>XPO1</jats:italic>, which encodes a member of the karyopherin‐β nuclear transporters, in a large cohort of PMBL. PMBL cases defined histologically or by gene expression profiling (GEP) were sequenced and the <jats:italic>XPO1</jats:italic> mutational status was correlated to genetic and clinical characteristics. The <jats:italic>XPO1</jats:italic> mutational status was also assessed in DLBCL, Hodgkin lymphoma (HL) and mediastinal gray‐zone lymphoma (MGZL).The biological impact of the mutation on Selective Inhibitor of Nuclear Export (SINE) compounds (KPT‐185/330) sensitivity was investigated <jats:italic>in vitro</jats:italic>. <jats:italic>XPO1</jats:italic> mutations were present in 28/117 (24%) PMBL cases and in 5/19 (26%) HL cases but absent/rare in MGZL (0/20) or DLBCL (3/197). A higher prevalence (50%) of the recurrent codon 571 variant (p.E571K) was observed in GEP‐defined PMBL and was associated with shorter PFS. Age, International Prognostic Index and bulky mass were similar in <jats:italic>XPO1</jats:italic> mutant and wild‐type cases. KPT‐185 induced a dose‐dependent decrease in cell proliferation and increased cell‐death in PMBL cell lines harboring wild type or <jats:italic>XPO1</jats:italic> E571K mutant alleles. Experiments in transfected U2OS cells further confirmed that the <jats:italic>XPO1</jats:italic> E571K mutation does not have a drastic impact on KPT‐330 binding. To conclude the <jats:italic>XPO1</jats:italic> E571K mutation represents a genetic hallmark of the PMBL subtype and serves as a new relevant PMBL biomarker. SINE compounds appear active for both mutated and wild‐type protein. Am. J. Hematol. 91:923–930, 2016. © 2016 Wiley Periodicals, Inc.</jats:p>

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