Transformation to aggressive disease histologies generates formidable clinical challenges across cancers, but biological insights remain few. We modeled the genetic heterogeneity of chronic lymphocytic leukemia (CLL) through multiplexed in vivo CRISPR-Cas9 B-cell editing of recurrent CLL loss-of-function drivers in mice and recapitulated the process of transformation from indolent CLL into large cell lymphoma [i.e., Richter syndrome (RS)]. Evolutionary trajectories of 64 mice carrying diverse combinatorial gene assortments revealed coselection of mutations in Trp53, Mga, and Chd2 and the dual impact of clonal Mga/Chd2 mutations on E2F/MYC and interferon signaling dysregulation. Comparative human and murine RS analyses demonstrated tonic PI3K signaling as a key feature of transformed disease, with constitutive activation of the AKT and S6 kinases, downmodulation of the PTEN phosphatase, and convergent activation of MYC/PI3K transcriptional programs underlying enhanced sensitivity to MYC/mTOR/PI3K inhibition. This robust experimental system presents a unique framework to study lymphoid biology and therapy.
Pubmed ID: 36468984 RIS Download
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View all literature mentionsThis monoclonal targets IRF-4
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View all literature mentionsThis monoclonal targets PAX5
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View all literature mentionsThis monoclonal targets Human, Mouse, Rat, Monkey
View all literature mentionsThis monoclonal targets p70S6K
View all literature mentionsThis monoclonal targets Phospho-Akt (Ser473)
View all literature mentionsThis monoclonal targets Phospho-Stat3 (Tyr705)
View all literature mentionsThis monoclonal targets Stat1, phospho (Tyr701)
View all literature mentionsThis unknown targets Rat IgG2b k Isotype Control PerCP / Cy5.5 Clone RTK4530
View all literature mentionsThis isotype control targets
View all literature mentionsThis monoclonal targets I-A/I-E
View all literature mentionsThis monoclonal targets H-2Kb
View all literature mentionsThis monoclonal targets Ig light chain kappa
View all literature mentionsThis monoclonal targets CD5
View all literature mentionsThis monoclonal targets CD3
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View all literature mentionsThis monoclonal targets CD45R
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View all literature mentionsThis monoclonal targets CD117
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View all literature mentionsThis monoclonal targets Pacific Blue anti-mouse Lineage Cocktail
View all literature mentions