Recurrent mutations in epigenetic regulators,
Whole exome sequencing of 12 tumor-normal DNA pairs, RNAseq analysis and targeted deep sequencing identified new genetic alterations in PTCL transformation. These analyses identified highly recurrent epigenetic factor mutations in TET2, DN-MT3A and IDH2 as well as a new highly prevalent RHOA p.Gly17Val (NM_001664) mutation present in 22/35 (67%) of angioimmunoblastic T-cell lymphomas (AITL) and in 8/44 (18%) not otherwise specified PTCL (PTCL NOS) samples. Mechanistically, the RHOA Gly17Val protein interferes with RHOA signaling in biochemical and cellular assays, an effect potentially mediated by the sequestration of activated Guanine Exchange Factor (GEF) proteins. In addition, new and recurrent, genetic defects are described including mutations in FYN, ATM, B2M and CD58 implicating SRC signaling, impaired DNA damage response and escape from immune surveillance mechanisms in the pathogenesis of PTCL.
1. A method, comprising
(a) providing a biological sample from a subject that has lymphoma;
(b) analyzing the biological sample to detect for presence of RHOA p.Glyl7Val mutation,
(c) determining that the subject has Peripheral T-Cell Lymphoma if RHOA p.Glyl7Val mutation, is detected in the biological sample and
(d) if it is determined that the subject has an increased risk of developing Peripheral T-Cell Lymphoma due to the presence of a mutation selected from the group consisting of FYN p.Leu174Arg, FYN p.Arg176Cys, and FYN p.Tyr531His, then prophylactically treating the subject for Peripheral T-Cell Lymphoma by administering a therapeutically effective amount of an SRC kinase inhibitor.
2. The method of claim 1 , wherein the biological sample is selected from the group consisting of lymphoma tumor, bone marrow, serum, blood, cerebrospinal fluid and plasma.
3. The method of claim 1 , wherein the subject is human.
4. The method of claim 1 , wherein the SRC kinase inhibitor is selected from the group consisting of Bosutinib (SKI-606); Saracatinib (AZD0530); Dasatinib (BMS354825); KX2-391; XL-228, JNJ-26483327, A 419259 trihydrochloride; AZM 475271; Damnacanthal, Herbimycin A, Lavendustin A, MNS, 1-Naphthyl PP1 D 166285 dihydrochloride, PP 1, PP 2, SRC I1, KX2-391 (KX01); and NVP-BHG712.
5. The method of claim 1 , further comprising:
(e) if it is determined that subject has Peripheral T-Cell Lymphoma and if the RHOA p.Glyl7Val mutation is present then determining that the Peripheral T-Cell Lymphoma has a 70% change of being angioimmunoblastic T-cell lymphoma.