Scientific publications

Genomic Profiling for Clinical Decision Making in Lymphoid Neoplasms. Scientific Publication

Aug 24, 2022 | Magazine: Blood

Laurence de Leval  1 , Ash A Alizadeh  2 , P Leif Bergsagel  3 , Elias Campo  4 , Andrew John Davies  5 , Ahmet Dogan  6 , Jude Fitzgibbon  7 , Steven M Horwitz  8 , Ari M Melnick  9 , William George Morice  10 , Ryan D Morin  11 , Bertrand Nadel  12 , Stefano A Pileri  13 , Richard Rosenquist  14 , Davide Rossi  15 , Itziar Salaverria  16 , Christian Steidl  17 , Steven P Treon  18 , Andrew D Zelenetz  8 , Ranjana Advani  19 , Carl E Allen  20 , Stephen M Ansell  10 , Wing C Chan  21 , James R Cook  22 , Lucy B Cook  23 , Francesco d'Amore  24 , Stefan Dirnhofer  25 , Martin Dreyling  26 , Kieron Dunleavy  27 , Andrew Feldman  10 , Falko Fend  28 , Philippe Gaulard  29 , Paolo Ghia  30 , John G Gribben  31 , Olivier Hermine  32 , Daniel J Hodson  33 , Eric D Hsi  34 , Giorgio Ga Inghirami  35 , Elaine S Jaffe  36 , Kennosuke Karube  37 , Keisuke Kataoka  38 , Wolfram Klapper  39 , Won Seog Kim  40 , Rebecca L King  41 , Young Hyeh Ko  42 , Ann S LaCasce  43 , Georg Lenz  44 , Iñaki Martin-Subero  45 , Miguel A Piris  46 , Stefania Pittaluga  36 , Laura Pasqualucci  47 , Leticia Quintanilla-Martinez  48 , Scott J Rodig  49 , Andreas Rosenwald  50 , Gilles A Salles  8 , Jesus San-Miguel  51 , Kerry J Savage  52 , Laurie H Sehn  17 , Gianpietro Semenzato  53 , Louis M Staudt  36 , Steven Howard Swerdlow  54 , Constantine S Tam  55 , Judith Trotman  56 , Julie Vose  57 , Oliver Weigert  58 , Wyndham H Wilson  59 , Jane N Winter  60 , Catherine J Wu  61 , Pier Luigi Zinzani  62 , Emanuele Zucca  63 , Adam Bagg  64 , David W W Scott  17


Abstract

With the introduction of large-scale molecular profiling methods and high-throughput sequencing technologies, the genomic features of most lymphoid neoplasms have been characterized at an unprecedented scale.

While the principles for the classification and diagnosis of these disorders, founded on a multidimensional definition of disease entities, have been consolidated over the past 25 years, novel genomic data have markedly enhanced our understanding of lymphomagenesis and enriched the description of disease entities at the molecular level. Yet the current diagnosis of lymphoid tumors is largely based on morphological assessment and immunophenotyping, with only few entities being defined by genomic criteria.

This paper, which accompanies the International Consensus Classification of mature lymphoid neoplasms, will address how established assays and newly developed technologies for molecular testing already complement clinical diagnoses and provide a novel lens on disease classification. More specifically, their contributions to diagnosis refinement, risk stratification and therapy prediction will be considered for the main categories of lymphoid neoplasms.

The potential of whole-genome sequencing, circulating tumor DNA analyses, single-cell analyses and epigenetic profiling will be discussed, as these will likely become important future tools for implementing precision medicine approaches in clinical decision-making for patients with lymphoid malignancies.

CITATION  Blood. 2022 Aug 24;blood.2022015854.  doi: 10.1182/blood.2022015854