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Continuous MYD88 Activation Is Associated With Expansion and Then Transformation of IgM Differentiating Plasma Cells

Authors: Ouk, Catherine; Roland, Lilian; Gachard, Nathalie; Poulain, Stéphanie; Oblet, Christelle; Rizzo, David; Saintamand, Alexis; +11 Authors

Continuous MYD88 Activation Is Associated With Expansion and Then Transformation of IgM Differentiating Plasma Cells

Abstract

Activating mutations of MYD88 (MYD88L265P being the far most frequent) are found in most cases of Waldenström macroglobulinemia (WM) as well as in various aggressive B-cell lymphoma entities with features of plasma cell (PC) differentiation, such as activated B-cell type diffuse large B-cell lymphoma (DLBCL). To understand how MYD88 activation exerts its transformation potential, we developed a new mouse model in which the MYD88L252P protein, the murine ortholog of human MYD88L265P, is continuously expressed in CD19 positive B-cells together with the Yellow Fluorescent Protein (Myd88L252P mice). In bone marrow, IgM B and plasma cells were expanded with a CD138 expression continuum from IgMhigh CD138low to IgMlow CD138high cells and the progressive loss of the B220 marker. Serum protein electrophoresis (SPE) longitudinal analysis of 40 Myd88L252P mice (16 to 56 weeks old) demonstrated that ageing was first associated with serum polyclonal hyper gammaglobulinemia (hyper Ig) and followed by a monoclonal immunoglobulin (Ig) peak related to a progressive increase in IgM serum levels. All Myd88L252P mice exhibited spleen enlargement which was directly correlated with the SPE profile and was maximal for monoclonal Ig peaks. Myd88L252P mice exhibited very early increased IgM PC differentiation. Most likely due to an early increase in the Ki67 proliferation index, IgM lymphoplasmacytic (LP) and plasma cells continuously expanded with age being first associated with hyper Ig and then with monoclonal Ig peak. This peak was consistently associated with a spleen LP-like B-cell lymphoma. Clonal expression of both membrane and secreted µ chain isoforms was demonstrated at the mRNA level by high throughput sequencing. The Myd88L252P tumor transcriptomic signature identified both proliferation and canonical NF-κB p65/RelA activation. Comparison with MYD88L265P WM showed that Myd88L252P tumors also shared the typical lymphoplasmacytic transcriptomic signature of WM bone marrow purified tumor B-cells. Altogether these results demonstrate for the first time that continuous MYD88 activation is specifically associated with clonal transformation of differentiating IgM B-cells. Since MYD88L252P targets the IgM PC differentiation continuum, it provides an interesting preclinical model for development of new therapeutic approaches to both WM and aggressive MYD88 associated DLBCLs.

Keywords

[SDV.MHEP.HEM] Life Sciences [q-bio]/Human health and pathology/Hematology, lymphoplasmacytic lymphoma/Waldenstrom’s macroglobulinemia, [SDV.IMM] Life Sciences [q-bio]/Immunology, plasma cell, Immunology, Plasma Cells, Mutation, Missense, 610, [SDV.CAN]Life Sciences [q-bio]/Cancer, Mice, Transgenic, [SDV.BBM.GTP]Life Sciences [q-bio]/Biochemistry, Mice, [SDV.CAN] Life Sciences [q-bio]/Cancer, Animals, Humans, MYD88 L265P mutation;lymphoplasmacytic lymphoma/Waldenstrom’s macroglobulinemia;IgM secretion;monoclonal Ig peak;B-cell lymphoma;plasma cell, monoclonal Ig peak, Molecular Biology/Genomics [q-bio.GN], B-cell lymphoma, IgM secretion, [SDV.MHEP.HEM]Life Sciences [q-bio]/Human health and pathology/Hematology, Cell Differentiation, RC581-607, Neoplasm Proteins, [SDV] Life Sciences [q-bio], MYD88 L265P mutation, Amino Acid Substitution, Immunoglobulin M, Myeloid Differentiation Factor 88, [SDV.IMM]Life Sciences [q-bio]/Immunology, [SDV.BBM.GTP] Life Sciences [q-bio]/Biochemistry, Molecular Biology/Genomics [q-bio.GN], Lymphoma, Large B-Cell, Diffuse, Immunologic diseases. Allergy

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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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