MYD88, CARD11, and CD79B Oncogenic Mutations are Rare Events in the Indian Cohort of De Novo Nodal Diffuse Large B-Cell Lymphoma

Appl Immunohistochem Mol Morphol. 2019 Apr;27(4):311-318. doi: 10.1097/PAI.0000000000000585.

Abstract

Diffuse large B-cell lymphoma (DLBCL) has a heterogenous biological behavior, and the western literature has reported activating oncogenic mutations in myeloid differentiation primary response gene 88 (MYD88), in conjunction with B-cell receptor signaling pathway genes, CARD11 and CD79B as the driving force for activating the NF-κB pathway implicated in the pathogenesis of DLBCL. The mutation profile of MYD88 genes was evaluated by Sanger sequencing in a cohort of 97 patients [DLBCL (N=55), non-DLBCL lymphomas (N=30), reactive lymphadenopathy (N=10), and 2 cases of lymphoplasmacytic lymphoma (positive control)]. The mutation profile of CARD11 and CD79B were evaluated in 70 patients [DLBCL (N=30), non-DLBCL lymphomas (N=30), and reactive lymphadenopathy (N=10). MYD88 and NF-κB mRNA expression was also evaluated by quantitative reverse transcriptase polymerase chain reaction. These 55 cases of DLBCL were classified into germinal center B-cell and activated B-cell phenotypes using Hans algorithm, of which 58% were of activated B-cell phenotype and 42% were of germinal center B-cell phenotype. MYD88 mutation was seen in 3.6% (2/55) of DLBCL cases, indicating a lower frequency in Indian de novo DLBCL. The mutations detected were novel 33 bp deletion g.7735_7767del (p.V294_S305del) and a splice-acceptor site mutation in exon 5 of MYD88, different from the reported hotspot mutation MYD88 L265P. CARD11 and CD79B mutations were absent in DLBCL and other lymphoma subtypes. MYD88 transcript expression did not correlate with mutational status. NF-κB showed significant overexpression in MYD88 mutation-negative (P=0.004) DLBCL cases indicating that its regulation is independent of MYD88, CARD11, and CD79B mutations, implying the existence of alternative activating pathways. In silico analysis of 2 novel mutations predicted disruptive structural changes in the B-B loop of the translated protein whose biological significance needs further evaluation.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • CARD Signaling Adaptor Proteins* / genetics
  • CARD Signaling Adaptor Proteins* / metabolism
  • CD79 Antigens* / genetics
  • CD79 Antigens* / metabolism
  • Cohort Studies
  • Female
  • Guanylate Cyclase* / genetics
  • Guanylate Cyclase* / metabolism
  • Humans
  • India
  • Lymphoma, Large B-Cell, Diffuse* / genetics
  • Lymphoma, Large B-Cell, Diffuse* / metabolism
  • Lymphoma, Large B-Cell, Diffuse* / pathology
  • Male
  • Middle Aged
  • Mutation*
  • Myeloid Differentiation Factor 88* / genetics
  • Myeloid Differentiation Factor 88* / metabolism
  • Neoplasm Proteins* / genetics
  • Neoplasm Proteins* / metabolism

Substances

  • CARD Signaling Adaptor Proteins
  • CD79 Antigens
  • CD79B protein, human
  • MYD88 protein, human
  • Myeloid Differentiation Factor 88
  • Neoplasm Proteins
  • CARD11 protein, human
  • Guanylate Cyclase