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Table 1 Clinicopathologic and molecular characteristics of patients with DLBCL with a low or high degree of SHM in immunoglobulin variable region genes

From: Immunoglobulin somatic hypermutation has clinical impact in DLBCL and potential implications for immune checkpoint blockade and neoantigen-based immunotherapies

 

IGHV SHMlow

IGHV SHMhigh

P

IGK/LV SHMlow

IGK/LV SHMhigh

P

n (%)

n (%)

n (%)

n (%)

Age

  < 60 years

32 (44%)

25 (36%)

.31

66 (40%)

14 (37%)

.72

  ≥ 60 years

40 (56%)

45 (64%)

 

97 (60%)

24 (63%)

 

Sex

 Male

35 (49%)

41 (59%)

.24

94 (58%)

26 (68%)

.27

 Female

37 (51%)

29 (41%)

 

69 (42%)

12 (32%)

 

Stage

 I - II

29 (43%)

34 (52%)

.39

72 (46%)

14 (39%)

.58

 III - IV

39 (57%)

32 (48%)

 

86 (54%)

22 (61%)

 

B symptoms

 No

38 (56%)

43 (63%)

.48

103 (66%)

28 (78%)

.23

 Yes

30 (44%)

25 (37%)

 

53 (34%)

8 (22%)

 

Serum LDH level

 Normal

21 (33%)

29 (45%)

.20

67 (46%)

18 (55%)

.44

 Elevated

43 (67%)

35 (55%)

 

78 (54%)

15 (45%)

 

No. of extranodal sites

 0 or 1

51 (76%)

53 (82%)

.53

126 (81%)

26 (70%)

.18

  ≥ 2

16 (24%)

12 (18%)

 

30 (19%)

11 (30%)

 

ECOG performance status

 0 or 1

47 (80%)

44 (76%)

.66

113 (79%)

26 (81%)

1.0

  ≥ 2

12 (20%)

14 (24%)

 

30 (21%)

6 (19%)

 

Largest tumor size

  < 5 cm

37 (66%)

27 (53%)

.17

73 (57%)

13 (43%)

.22

  ≥ 5 cm

19 (34%)

24 (47%)

 

55 (43%)

17 (57%)

 

IPI score

 0–2

40 (60%)

42 (64%)

.72

97 (62%)

21 (57%)

.58

 3–5

27 (40%)

24 (36%)

 

60 (38%)

16 (43%)

 

Therapy response

 CR

51 (71%)

54 (77%)

.45*

126 (77%)

27 (73%)

.67*

 PR

10

8

 

21

3

 

 SD

2

3

 

4

1

 

 PD

9

5

 

12

6

 

ABC subtype/ABC subtype

 GCB

27 (39%)

39 (53%)

.094

78 (47%)

21 (57%)

.36

 ABC

43 (61%)

34 (47%)

 

88 (53%)

16 (43%)

 

BAGS classification

 CC/CB

24 (52%)

40 (75%)

.02

77 (64%)

21 (81%)

.11

 Others

22 (48%)

13 (25%)

 

43 (36%)

5 (19%)

 

BCL2 translocation

 No

55 (87%)

46 (72%)

.047

125 (81%)

22 (65%)

.042

 Yes

8 (13%)

18 (28%)

 

29 (19%)

12 (35%)

 

MYC expression

 < 70%

39 (57%)

50 (72%)

.047

117 (72%)

26 (68%)

.69

 ≥ 70%

29 (43%)

19 (28%)

 

46 (28%)

12 (32%)

 

PI3K expression

 < 70%

43 (67%)

50 (75%)

.44

112 (72%)

14 (42%)

.0018

 ≥ 70%

21 (33%)

17 (25%)

 

43 (28%)

19 (58%)

 

p63 expression

 < 10%

47 (68%)

38 (54%)

.086

93 (59%)

14 (39%)

.04

 ≥ 10%

22 (32%)

33 (46%)

 

65 (41%)

22 (61%)

 

CD30 expression

  < 20%

58 (83%)

60 (83%)

1.0

135 (82%)

37 (97%)

.012

  ≥ 20%

12 (17%)

12 (17%)

 

30 (18%)

1 (3%)

 

p65 expression

  < 10%

22 (35%)

29 (43%)

.47

61 (41%)

7 (21%)

.031

  ≥ 10%

40 (65%)

39 (57%)

 

89 (59%)

27 (79%)

 

CXCR4 expression

  < 20%

43 (73%)

47 (70%)

.84

109 (72%)

19 (53%)

.029

  ≥ 20%

16 (27%)

20 (30%)

 

42 (28%)

17 (47%)

 
  1. Abbreviations: IGHV Immunoglobulin heavy chain variable region gene, IGK/LV Immunoglobulin kappa or lambda light chain variable region gene, SHMlow Low degree of somatic hypermutation, SHMhigh High degree of somatic hypermutation, LDH Lactate dehydrogenase, ECOG Eastern Cooperative Oncology Group, IPI International Prognostic Index, CR Complete response, PR Partial response, SD Stable disease, PD Progressive disease, GCB germinal center B-cell–like, ABC Activated B-cell–like, BAGS B-cell–associated gene signature, CB Centroblast subtype, CC Centrocyte subtype
  2. Note: Not all patients had data available. Significant P values (Fisher’s exact test) are in bold. *For therapy response, P values were for comparisons between CR and non-CR cases