November 2024: $$ Circulating Tumor DNA Sequencing for Biologic Classification and Individualized Risk Stratification in Patients with Hodgkin Lymphoma

Journal: Journal of Clinical Oncology
Author: Jan-Michel Heger
Institution: Department I of Internal Medicine, University Hospital Cologne
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Project description:

Hodgkin lymphoma (HL) is a malignant B-cell lymphoma characterized by alterations in several signaling pathways. Clinical features and response evaluation by positron emission tomography lack sensitivity for individualized treatment guidance. Using circulating tumor DNA sequencing, we were able to describe three biological subtypes of HL with distinct genomic, clinical and tumor microenvironmental (TME) features. Inflammatory immune escape HL is characterized by copy number variations affecting immune escape variants and an inflammatory TME. Virally-driven HL is frequently associated with Epstein-Barr virus and signs of chronic inflammation in the TME. In contrast, Oncogene-driven HL is characterized by recurrent mutations in oncogenic drivers, resulting in a high tumor mutational burden. An independent clinical validation showed meaningful progression-free survival differences between subtypes.

Publication: 

Jan-Michel Heger, MD, Laman Mammadova, MD, Julia Mattlener, MD Candidate , Sophia Sobesky, MD, Melita Cirillo, MD , Janine Altmüller, PhD, Elisabeth Kirst, … , and Sven Borchmann, MD, PhD, Journal of Clinical Oncology 2024.

Paper: https://ascopubs.org/doi/10.1200/JCO.23.01867?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
 

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Anne Asschenfeldt
Anne Asschenfeldt
Scientific Funding: Ongoing Project Funding and Fellowships