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Status |
Public on Mar 13, 2019 |
Title |
Multiple myeloma immunoglobulin lambda translocations portend poor prognosis |
Organism |
Homo sapiens |
Experiment type |
Genome binding/occupancy profiling by high throughput sequencing
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Summary |
Multiple myeloma is a malignancy of antibody-secreting plasma cells. Most patients benefit from current therapies, however, 20% of patients relapse or die within two years. To better understand and identify these ‘high-risk’ cases, we analyzed the translocation landscape of myeloma from 795 newly-diagnosed patients by whole genome sequencing from the CoMMpass study. Translocations involving the immunoglobulin lambda (IgL) locus were identified in 10% of patients, and were indicative of poor prognosis. Importantly, 70% of IgL translocations co-occurred with hyperdiploid disease, a marker of standard risk, potentially resulting in the misclassification of IgL-translocated myeloma. Most IgL-translocations coincided with focal amplifications that were centered on the 3’ enhancer. Patients with IgL-translocations failed to benefit from immunomodulatory imide drugs (IMiDs), which target the lymphocyte-specific transcription factor IKZF1 that is bound to the IgL 3’ enhancer at some of the highest levels in the myeloma epigenome. These data implicate IgL-translocation as a driver of poor prognosis which may be due in part to IMID resistance.
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Overall design |
Several myeloma cell lines were characterized for chromatin accessibility
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Contributor(s) |
Barwick BG |
Citation(s) |
31015454, 33649772 |
Submission date |
Oct 29, 2018 |
Last update date |
Mar 12, 2021 |
Contact name |
Benjamin G Barwick |
E-mail(s) |
benjamin.barwick@emory.edu
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Phone |
(404) 285-2964
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Organization name |
Emory University
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Department |
Hematology and Medical Oncology
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Lab |
Boise and Vertino Labs
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Street address |
1701 Uppergate Drive WCI 4060C Vertino Lab
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City |
Atlanta |
State/province |
GA |
ZIP/Postal code |
30322 |
Country |
USA |
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Platforms (1) |
GPL24676 |
Illumina NovaSeq 6000 (Homo sapiens) |
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Samples (28)
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Relations |
BioProject |
PRJNA499054 |
SRA |
SRP167124 |