Single gene mutations and prognosis in limited‐stage follicular lymphoma treated with radiation therapy

Author:

Hershenfeld Samantha A.1ORCID,Tobin Josuha W.D.23ORCID,Shelton Victoria1,Calvente Lourdes1,Lajkosz Katherine1,Liu Ting1,Brodtkorb Marianne4,d'Amore Francesco Annibale5,Ludvigsen Maja56ORCID,Baetz Tara7,LeBrun David8,Johnson Nathalie9,Crump Michael1ORCID,Hong Michael1,Kuruvilla John1ORCID,Tremblay‐LeMay Rosemarie1,MacManus Michael10,Tsang Richard1,Hodgson David C.1ORCID,Gandhi Maher K.23,Kridel Robert1ORCID

Affiliation:

1. Princess Margaret Cancer Center University Health Network Toronto Ontario Canada

2. Mater Research University of Queensland Brisbane Queensland Australia

3. Department of Haematology Princess Alexandra Hospital Brisbane Queensland Australia

4. Department of Oncology Oslo University Hospital Oslo Norway

5. Department of Hematology Aarhus University Hospital Aarhus Denmark

6. Department of Clinical Medicine Aarhus University Aarhus Denmark

7. Queen's University Kingston Ontario Canada

8. Department of Pathology and Molecular Medicine Queen's University Kingston Ontario Canada

9. Departments of Medicine and Oncology Jewish General Hospital Montreal Quebec Canada

10. Peter MacCallum Cancer Centre Melbourne Victoria Australia

Abstract

SummaryRadiotherapy is routinely used for management of limited‐stage follicular lymphoma (FL), yet half of patients ultimately relapse. We hypothesized that the presence of specific gene mutations may predict outcomes. We performed targeted sequencing of a 69‐gene panel in 117 limited‐stage FL patients treated with radiotherapy and identified recurrently mutated genes. CREBBP was most frequently mutated, and mutated CREBBP was associated with inferior progression‐free survival, though not after false discovery rate adjustment. This association failed to validate in an independent cohort. We conclude that recurrent gene mutations do not predict outcomes in this setting. Alternative biomarkers may offer better prognostic insight.

Funder

Leukemia and Lymphoma Society of Canada

Publisher

Wiley

Reference22 articles.

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