PMID- 37522711 OWN - NLM STAT- MEDLINE DCOM- 20240326 LR - 20240326 IS - 1543-2165 (Electronic) IS - 0003-9985 (Linking) VI - 148 IP - 4 DP - 2024 Apr 1 TI - Evaluation of Novel Targets, Including CC-Chemokine Receptor 4, in Adult T-Cell Acute Lymphoblastic Leukemia/Lymphoma: A Mayo Clinic Clinical and Pathologic Study. PG - 471-475 LID - 10.5858/arpa.2022-0482-OA [doi] AB - CONTEXT.-: Unlike B-cell acute lymphoblastic leukemia/lymphoma (ALL/LBL), there have been few therapeutic advances in T-cell ALL (T-ALL)/LBL, an aggressive ALL/LBL subtype. OBJECTIVE.-: To perform a focused tissue array study to elucidate tumor markers of therapeutic potential in T-ALL/LBL. DESIGN.-: Using immunohistochemistry, we evaluated expression of leukemic antigens of interest, specifically CC-chemokine receptor 4 (CCR4), among others, on available remnant diagnostic material, including tumor tissue slides obtained from formalin-fixed, paraffin-embedded preserved tissues. RESULTS.-: Our analysis identified, for the first time, expression of CCR4 in T-ALL/LBL in 11 of 27 cases (40.7%) and confirmed common expression of BCL2, CD38, and CD47, as reported previously. We also identified the expression of CD123 in 4 of 26 cases (15.4%), whereas BCL6 and PDL1 were expressed in a small number of T-ALL/LBL cases. The potential novel target CCR4 was significantly more common in the Pre/Pro-T immunophenotypic subtype, 6 of 9 (66.7%, P = .01). No additional differences in clinical and epidemiologic variables were noted among positive or negative CCR4 cases. CONCLUSIONS.-: These findings support preclinical and clinical testing of therapies targeting CCR4, CD47, BCL2, CD38, and CD123 in T-ALL/LBL, and may help guide the development of targeted clinical trials in T-ALL/LBL, a rare disease in urgent need of novel therapies. CI - (c) 2024 College of American Pathologists. FAU - Khurana, Sharad AU - Khurana S AD - From the Division of Hematology/Oncology, University of Arizona Cancer Center, Tucson (Khurana). FAU - Heckman, Michael G AU - Heckman MG AD - the Departments of Biomedical Statistics and Informatics (Heckman, Cochuyt) and Laboratory Medicine and Pathology (Jiang), and the Division of Hematology and Medical Oncology (Foran), Mayo Clinic Florida, Jacksonville. FAU - Craig, Fiona E AU - Craig FE AD - the Divisions of Hematopathology (Craig) and Hematology and Medical Oncology (Sproat), Mayo Clinic Arizona, Phoenix. FAU - Cochuyt, Jordan J AU - Cochuyt JJ AD - the Departments of Biomedical Statistics and Informatics (Heckman, Cochuyt) and Laboratory Medicine and Pathology (Jiang), and the Division of Hematology and Medical Oncology (Foran), Mayo Clinic Florida, Jacksonville. FAU - Greipp, Patricia AU - Greipp P AD - the Divisions of Laboratory Genetics (Greipp) and Hematology (Litzow), Mayo Clinic, Rochester, Minnesota. FAU - Rahman, Zaid Abdel AU - Rahman ZA AD - the Division of Hematology and Medical Oncology, Sanford Roger Maris Cancer Center, Fargo, North Dakota (Rahman). FAU - Sproat, Lisa Z AU - Sproat LZ AD - the Divisions of Hematopathology (Craig) and Hematology and Medical Oncology (Sproat), Mayo Clinic Arizona, Phoenix. FAU - Litzow, Mark AU - Litzow M AD - the Divisions of Laboratory Genetics (Greipp) and Hematology (Litzow), Mayo Clinic, Rochester, Minnesota. FAU - Foran, James M AU - Foran JM AD - the Departments of Biomedical Statistics and Informatics (Heckman, Cochuyt) and Laboratory Medicine and Pathology (Jiang), and the Division of Hematology and Medical Oncology (Foran), Mayo Clinic Florida, Jacksonville. FAU - Jiang, Liuyan Jennifer AU - Jiang LJ AD - the Departments of Biomedical Statistics and Informatics (Heckman, Cochuyt) and Laboratory Medicine and Pathology (Jiang), and the Division of Hematology and Medical Oncology (Foran), Mayo Clinic Florida, Jacksonville. LA - eng PT - Journal Article PL - United States TA - Arch Pathol Lab Med JT - Archives of pathology & laboratory medicine JID - 7607091 RN - 0 (CD47 Antigen) RN - 0 (Receptors, CCR4) RN - 0 (Interleukin-3 Receptor alpha Subunit) RN - 0 (Proto-Oncogene Proteins c-bcl-2) SB - IM MH - Adult MH - Humans MH - *Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis/pathology MH - CD47 Antigen MH - Receptors, CCR4 MH - Interleukin-3 Receptor alpha Subunit MH - *Lymphoma MH - *Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis/pathology MH - *Lymphoma, B-Cell MH - T-Lymphocytes/pathology MH - Proto-Oncogene Proteins c-bcl-2 EDAT- 2023/07/31 13:09 MHDA- 2024/03/26 06:44 CRDT- 2023/07/31 09:02 PHST- 2023/04/20 00:00 [accepted] PHST- 2024/03/26 06:44 [medline] PHST- 2023/07/31 13:09 [pubmed] PHST- 2023/07/31 09:02 [entrez] AID - 494632 [pii] AID - 10.5858/arpa.2022-0482-OA [doi] PST - ppublish SO - Arch Pathol Lab Med. 2024 Apr 1;148(4):471-475. doi: 10.5858/arpa.2022-0482-OA.