Publications
papers.ssrn.comAug 2023 DOI:
10.2139/ssrn.4529648

A Patient-Derived T-Cell Lymphoma Biorepository Uncovers New Pathogenetic Mechanisms and Host-Related Therapeutic Vulnerabilities

Fiore, Danilo; Cappelli, Luca Vincenzo; Zhaoqi, Liu; Kotlov, Nikita; Sorokina, Maria; Phillip, Jude; Zumbo, Paul; Yoffe, Liron; Ghione, Paola; Wang, Anqi; Han, Xueshuai; Chiu, William; Fragliasso, Valentina; Tabbò, Fabrizio; Zamponi, Nahuel; Kayembe, Clarisse; Gaudiano, Marcello; Machiorlatti, Rodolfo; Astone, Giuseppina; Cacciapuoti, Maria Teresa; Patel, Sanjay; Zammarchi, Francesca; Zanettini, Claudio; Queiroz, Lucio; Nikitina, Anastasia; Kudryashova, Olga; Karelin, Anton; Nikitin, Daniil; Tychinin, Dmitry; Postovalova, Ekaterina; Bagaev, Alexander; Svekolkin, Viktor; Belova, Ekaterina; Tikhonova, Katerina; Degryse, Sandrine; Novero, Domenico; Ponzoni, Maurilio; Tiacci, Enrico; Falini, Brunangelo; Song, Joo Y.; Khodos, Inna; De Stanchina, Elisa; Macari, Gabriele; Cafforio, Luciana; Gardini, Simone; Piva, Roberto; Medico, Enzo; NG, Samuel Y.; Moskowitz, Allison; Epstein, Zachary; Intlekofer, Andrew M.; Ahmed, Dogan; Martin, Peter; Ruan, Jia; Bertoni, Francesco; Foà, Robin; Brody, Joshua; Osan, Jaspreet; Santambrogio, Laura; Betel, Doron; Chan, John C.; Tam, Wayne; Weinstock, David M.; Cerchietti, Leandro; Rabadan, Raul; Horwitz, Steven; Inghirami, Giorgio G.A.
Product Used
Variant Libraries
Abstract
T-cell lymphomas (TCLs) comprise a heterogeneous group of malignancies. Current therapeutic options remain limited, partly given the scarcity of representative preclinical models. To uncover targetable vulnerabilities, we created a collection of TCL patient-derived-tumor-xenografts (PDXs) retaining molecular and histomorphology donor tumor features over serial xeno-grafting while capturing their mechanisms of lymphomagenesis and evolution. Ex-vivo cultures and in-vivo experiments demonstrated remarkable heterogeneity, complex intra-tumor genomic architecture, and stepwise genomic trajectories. The transcriptional representation of primary and PDXs led to a new classification comprising four novel microenvironment-based TCL subtypes. The library identified a unique subset expressing T-cell receptors recognizing Epstein-Barr Virus (EBV) peptides supporting a novel EBV-mediated tumorigenic mechanism. Mechanistically, we uncovered a pro-tumorigenic role of stromal elements and elucidated bidirectional lymphoma-microenvironment interactions. Importantly, PDXs captured individual vulnerabilities, mirrored donor patients clinical responses, and defined effective patient-tailored treatments. This platform represents a public resource for discovering and validating oncogenic drivers and new drugs/combinations.
Product Used
Variant Libraries

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