Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features

Epigenetic changes during B-cell differentiation generate distinct DNA methylation signatures specific for B-cell subsets, including memory B cells (MBCs) and plasma cells (PCs). Waldenström macroglobulinemia (WM) is a B-cell malignancy uniquely comprising a mixture of lymphocytic and plasm...

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Main Authors: Roos-Weil, D, Giacopelli, B, Armand, M, Della-Valle, V, Ghamlouch, H, Decaudin, C, Metzner, M, Lu, J, Le Garff-Tavernier, M, Leblond, V, Vyas, P, Zenz, T, Nguyen-Khac, F, Bernard, OA, Oakes, CC
Format: Journal article
Language:English
Published: American Society of Hematology 2020
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author Roos-Weil, D
Giacopelli, B
Armand, M
Della-Valle, V
Ghamlouch, H
Decaudin, C
Metzner, M
Lu, J
Le Garff-Tavernier, M
Leblond, V
Vyas, P
Zenz, T
Nguyen-Khac, F
Bernard, OA
Oakes, CC
author_facet Roos-Weil, D
Giacopelli, B
Armand, M
Della-Valle, V
Ghamlouch, H
Decaudin, C
Metzner, M
Lu, J
Le Garff-Tavernier, M
Leblond, V
Vyas, P
Zenz, T
Nguyen-Khac, F
Bernard, OA
Oakes, CC
author_sort Roos-Weil, D
collection OXFORD
description Epigenetic changes during B-cell differentiation generate distinct DNA methylation signatures specific for B-cell subsets, including memory B cells (MBCs) and plasma cells (PCs). Waldenström macroglobulinemia (WM) is a B-cell malignancy uniquely comprising a mixture of lymphocytic and plasmacytic phenotypes. Here, we integrated genome-wide DNA methylation, transcriptome, mutation, and phenotypic features of tumor cells from 35 MYD88-mutated WM patients in relation to normal plasma and B-cell subsets. Patients naturally segregate into 2 groups according to DNA methylation patterns, related to normal MBC and PC profiles, and reminiscent of other memory and PC-derived malignancies. Concurrent analysis of DNA methylation changes in normal and WM development captured tumor-specific events, highlighting a selective reprogramming of enhancer regions in MBC-like WM and repressed and heterochromatic regions in PC-like WM. MBC-like WM hypomethylation was enriched in motifs belonging to PU.1, TCF3, and OCT2 transcription factors and involved elevated MYD88/TLR pathway activity. PC-like WM displayed marked global hypomethylation and selective overexpression of histone genes. Finally, WM subtypes exhibited differential genetic, phenotypic, and clinical features. MBC-like WM harbored significantly more clonal CXCR4 mutations (P = .015), deletion 13q (P = .006), splenomegaly (P = .02), and thrombocytopenia (P = .004), whereas PC-like WM harbored more deletion 6q (P = .012), gain 6p (P = .033), had increased frequencies of IGHV3 genes (P = .002), CD38 expression (P = 4.1e-5), and plasmacytic differentiation features (P = .008). Together, our findings illustrate a novel approach to subclassify WM patients using DNA methylation and reveal divergent molecular signatures among WM patients.
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spelling oxford-uuid:9239b8ad-7c59-4dca-8127-cd3a68f6edb92022-03-26T23:24:00ZIdentification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell featuresJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9239b8ad-7c59-4dca-8127-cd3a68f6edb9EnglishSymplectic ElementsAmerican Society of Hematology2020Roos-Weil, DGiacopelli, BArmand, MDella-Valle, VGhamlouch, HDecaudin, CMetzner, MLu, JLe Garff-Tavernier, MLeblond, VVyas, PZenz, TNguyen-Khac, FBernard, OAOakes, CCEpigenetic changes during B-cell differentiation generate distinct DNA methylation signatures specific for B-cell subsets, including memory B cells (MBCs) and plasma cells (PCs). Waldenström macroglobulinemia (WM) is a B-cell malignancy uniquely comprising a mixture of lymphocytic and plasmacytic phenotypes. Here, we integrated genome-wide DNA methylation, transcriptome, mutation, and phenotypic features of tumor cells from 35 MYD88-mutated WM patients in relation to normal plasma and B-cell subsets. Patients naturally segregate into 2 groups according to DNA methylation patterns, related to normal MBC and PC profiles, and reminiscent of other memory and PC-derived malignancies. Concurrent analysis of DNA methylation changes in normal and WM development captured tumor-specific events, highlighting a selective reprogramming of enhancer regions in MBC-like WM and repressed and heterochromatic regions in PC-like WM. MBC-like WM hypomethylation was enriched in motifs belonging to PU.1, TCF3, and OCT2 transcription factors and involved elevated MYD88/TLR pathway activity. PC-like WM displayed marked global hypomethylation and selective overexpression of histone genes. Finally, WM subtypes exhibited differential genetic, phenotypic, and clinical features. MBC-like WM harbored significantly more clonal CXCR4 mutations (P = .015), deletion 13q (P = .006), splenomegaly (P = .02), and thrombocytopenia (P = .004), whereas PC-like WM harbored more deletion 6q (P = .012), gain 6p (P = .033), had increased frequencies of IGHV3 genes (P = .002), CD38 expression (P = 4.1e-5), and plasmacytic differentiation features (P = .008). Together, our findings illustrate a novel approach to subclassify WM patients using DNA methylation and reveal divergent molecular signatures among WM patients.
spellingShingle Roos-Weil, D
Giacopelli, B
Armand, M
Della-Valle, V
Ghamlouch, H
Decaudin, C
Metzner, M
Lu, J
Le Garff-Tavernier, M
Leblond, V
Vyas, P
Zenz, T
Nguyen-Khac, F
Bernard, OA
Oakes, CC
Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features
title Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features
title_full Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features
title_fullStr Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features
title_full_unstemmed Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features
title_short Identification of 2 DNA methylation subtypes of Waldenström macroglobulinemia with plasma and memory B-cell features
title_sort identification of 2 dna methylation subtypes of waldenstrom macroglobulinemia with plasma and memory b cell features
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