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Oncogenic CARD11 Mutations in Human Diffuse Large B Cell Lymphoma
Georg Lenz,1*R. Eric Davis,1*Vu N. Ngo,1Lloyd Lam,1Thaddeus C. George,2George W. Wright,3Sandeep S. Dave,1Hong Zhao,1Weihong Xu,1Andreas Rosenwald,4German Ott,4,5Hans Konrad Muller-Hermelink,4Randy D. Gascoyne,6Joseph M. Connors,6Lisa M. Rimsza,7Elias Campo,8Elaine S. Jaffe,9Jan Delabie,10Erlend B. Smeland,11,12Richard I. Fisher,13,14Wing C. Chan,15Louis M. Staudt1
Diffuse large B cell lymphoma (DLBCL) is the most common formof non-Hodgkin's lymphoma. In the least curable (ABC) subtypeof DLBCL, survival of the malignant cells is dependent on constitutiveactivation of the nuclear factor–B (NF-B) signaling pathway.In normal B cells, antigen receptor–induced NF-B activationrequires CARD11, a cytoplasmic scaffolding protein. To determinewhether CARD11 contributes to tumorigenesis, we sequenced theCARD11 gene in human DLBCL tumors. We detected missense mutationsin 7 of 73 ABC DLBCL biopsies (9.6%), all within exons encodingthe coiled-coil domain. Experimental introduction of CARD11coiled-coil domain mutants into lymphoma cell lines resultedin constitutive NF-B activation and enhanced NF-B activity uponantigen receptor stimulation. These results demonstrate thatCARD11 is a bona fide oncogenein DLBCL, providing a geneticrationale for the development of pharmacological inhibitorsof the CARD11 pathway for DLBCL therapy.
1 Metabolism Branch, Division of Cancer Treatment and Diagnosis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA 2 Amnis Corporation, Seattle, WA 98121, USA. 3 Biometric Research Branch, Division of Cancer Treatment and Diagnosis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. 4 Department of Pathology, University of Würzburg, 97080 Würzburg, Germany. 5 Department of Clinical Pathology, Robert-Bosch-Krankenhaus, 70376 Stuttgart, Germany. 6 British Columbia Cancer Agency, Vancouver, British Columbia V5Z 4E6, Canada. 7 Department of Pathology, University of Arizona, Tucson, AZ 85724, USA. 8 Hospital Clinic, University of Barcelona, 08036 Barcelona, Spain. 9 Laboratory of Pathology, Division of Cancer Treatment and Diagnosis, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA. 10 Department of Immunology, Rikshospitalet-Radiumhospitalet Medical Center, N-0310 Oslo, Norway. 11 Institute for Cancer Research, Rikshospitalet University Hospital, N-0310 Oslo, Norway. 12 Centre for Cancer Biomedicine, Faculty Division, Norwegian Radium Hospital, University of Oslo, N-0310 Oslo, Norway. 13 Southwest Oncology Group, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106, USA. 14 James P. Wilmot Cancer Center, University of Rochester School of Medicine, Rochester, NY 14642, USA. 15 Departments of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE 68198, USA.
* These authors contributed equally to this work.
To whom correspondence should be addressed. E-mail: lstaudt{at}mail.nih.gov
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