The Peripheral T-Cell Lymphomas

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The first text dedicated to peripheral T-cell lymphomas and their classification, diagnosis, and management  Peripheral T-cell lymphomas (PTCL) are a diverse group of lymphoid malignancies that develop from mature T cells and natural killer (NK) cells. PTCL represents 10-15% of all cases of non-Hodgkin lymphoma in the US, and up to 20-25% of cases in South America, Asia, and other regions around the world. The role of different etiologic factors and the variation of geographic distribution makes PTCL one of the most difficult types of cancer to understand and treat. 
The first book of its kind, 
 presents a far-reaching survey of this complex and rare group of blood cancers. Featuring contributions from thought-leaders concerned with all aspects of PTCL, this authoritative text covers biology, epidemiology, classification, approved and emerging drugs, molecular genetics, and more. Detailed clinical chapters address diagnosis, prognosis, and treatment of each of the major PTCL subtypes identified in the 2018 WHO Classification of Tumors of Hematopoietic and Lymphoid Tissues. This much-needed resource: 
Covers the biological basis, epidemiology, classification, and treatment of PTCL Discusses the future of the field, including global collaboration efforts and novel approaches to PCTL Explores the role of biologics in PTCL and autologous and allogeneic stem-cell transplantation Offers new insights on molecular pathogenesis, innovative therapeutics, and novel drug combinations Features contributions from the Chairs The T-Cell Lymphoma Forum: the world’s largest meeting focused on PTCL Reflecting the unique epidemiology and genetic diversity of the PTCL, 
 is an indispensable source of data, insight, and references for the medical community, particularly those working in oncology and hematology.

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4 Animal Models of T‐cell Lymphoma

Keiichiro Hattori1, Raksha Shrestha2, Tatsuhiro Sakamoto1,2, Manabu Kusakabe1,2 and Mamiko Sakata‐Yanagimoto1,2

1Department of Hematology, Faculty of Medicine, University of Tsukuba Hospital, Tsukuba, Japan

2Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan

TAKE HOME MESSAGES

Mouse models of T‐cell lymphomas have been established based on the analysis of mutational profiles or gene/protein expression profiles of human samples.

Patient‐derived xenograft models of T‐cell lymphomas have been also generated as potential preclinical tools for translational research.

Mouse models have helped to unveil the pathogenesis and signaling pathways in T‐cell lymphomas.

Mouse models provide tools to achieve higher rates of successful translation of basic research to clinical trials.

Introduction

Peripheral T‐cell lymphomas (PTCL) are a heterogeneous group of blood cancers with varying pathological and clinical features. Standard chemotherapy approaches for most PTCL are not yet well established, with the exception of anaplastic lymphoma kinase positive (ALK+) anaplastic large‐cell lymphoma (ALCL). Thus, better understanding of the molecular pathogenesis of these intractable diseases is warranted to develop effective therapies. In that effort, analysis of samples collected from patients with PTCL has been the gold standard for analysis of gene and protein expression, as well gene mutational profiles. However, it remains challenging to discover fundamental mechanisms that could be targeted based on analysis of samples with such heterogeneous backgrounds. Also, both the initiation and dynamic course of these diseases are difficult to pinpoint due to limitations on sample collection by their rarity. Nonetheless, recent analysis of patient samples has identified some mutational profiles and expression signatures for various types of PTCL that can be modeled in mice, which is an essential step in developing novel treatments.

In this chapter we describe several mouse lines established for angioimmunoblastic T‐cell lymphoma (AITL), ALCL, adult T‐cell leukemia/lymphoma (ATLL), cutaneous T‐cell lymphoma (CTCL) and enteropathy‐associated T‐cell lymphoma (EATL) (Summarized in Table 4.1). Most of the mouse lines are established by transgenic or knock‐in strategies commonly used to express oncogenes identified in patient samples. One advantage of transgenic models is that the transgene can be engineered to be expressed tissue‐specifically or responsive to a particular drug. Knock‐in models are superior to transgenic models in that oncogenic genes are expressed at physiological levels. Clustered regularly interspaced short palindromic repeats (CRISPR)‐Cas9, a powerful genome‐editing tool has begun to be incorporated in this research area. Moreover, patient‐derived xenograft (PDX models have been established by inoculating patient samples into immunodeficient mice. Ultimately, a combination of all these approaches will be necessary to understand mechanisms driving initiation and progression of PTCL.

Table 4.1 Mouse models of peripheral T‐cell lymphomas (PTCL)

Types of PTCL Models Methods Phenotypes of mice Others (downstream signaling, etc.) Reference
AITL Roquinsan Heterozygous for Roquinsan : a missense (M199R) sanroque mutation in the Roquin gene Increase of TFH cells AITL‐like disease around 4 to 15 months No ROQUIN gene alterations in human AITL Ellyard 4
Tet2 gene trap A gene‐trap vector inserted into the Tet2 second intron Development of T‐cell lymphomas with TFH‐like phenotype around 67 weeks Hypermethylation of silencer region of Bcl6 gene Muto 10
G17V RHOA G17V RHOA cKI mice crossed with CD4Cre‐ERT2 Increase of TFH cells Cortes 14
G17V RHOA transgenic mice under the Cd4 promoter Increase of TFH cells Autoimmunity Ng 15
G17V RHOA transgenic mice under the CD2 promoter No phenotype Nguyen 16
G17V RHOATet2 null Retroviral transduction of G17V RHOA mutant cDNA into Tet2 ‐null T cells Increase of TFH cells CD4 +proliferation Inactivation of FoxO1 Zang 13
G17V RHOA cKI mice crossed with CD4CreERT2 and Tet2 cKO with SRBC immunization AITL‐like disease around 25 weeks ICOSL‐ICOS signaling Activation of PI3K‐mTOR signaling Cortes 14
G17V RHOA transgenic mice crossed with Tet2 cKO x Vav‐Cre , and OT‐II mice with NP‐40‐Ovalbumin immunization AITL‐like disease around 38 weeks Activation of PI3K‐mTOR signaling Ng 15
G17V RHOA transgenic mice crossed with Tet2 cKO x Mx1‐Cre mice AITL‐like disease around 48 weeks Activation of T‐cell receptor signaling Nguyen 16
PDX Inoculation of cells from lymph nodes of AITL patients into NOD/Shi‐ scid, IL2Rgammanull (NOG) mice AITL‐like disease Detection of human immunoglobulin G/A/M in the sera Sato 18
ALCL NPM1‐ALK Retroviral transduction of NPM1‐ALK cDNA into 5‐ fluorouracil‐treated murine BM B‐lineage large cell lymphomas around 4‐6 months Kuefer 20
Retroviral transduction of NPM1‐ALK cDNA with low versus high multiplicity of infection (MOI) Plasmacytomas around 12‐16 weeks with lower MOI, Histiocytic malignancies around 3‐4 weeks with higher MOI Miething 21
Retroviral transduction of Lox‐STOP‐Lox‐ NPM1‐ALK encoding vector in BM expressing Cre under the LyzM -promotor or GrzmB ‐promotor Histiocytic malignancies around 4‐6 weeks for LyzM, Mixed phenotype of T‐cell lymphoma/ histiocytic malignancy around 4‐6 weeks for GrzmB Miething 22
NPM1‐ALK transgenic mice under the Cd4 promoter Thymic lymphomas and plasmacytomas around 18 weeks Activation of Stat3 signaling Chiarle 23,24
NPM1‐ALK transgenic mice under the Vav1 promoter Diffuse large B‐cell lymphomas with high copy number Plasmacytomas with low copy number Turner 25
NPM1‐ALK transgenic mice under the Cd2 promoter B‐cell lymphomas with variable histological features Turner 26
CRISPR‐based models to make Npm1‐Alk in HSC ALCL, ALK+‐like disease Rajan 27
PDX Cells from a patient with systemic CD30+ ALCL resistant to chemotherapy were inoculated into SCID mice ALCL, ALK+‐like disease Pfeifer 28
ATL CTCL TAX HBZ Tax transgenic mice under the control of viral promoters, HTLV‐1 LTR Mesenchymal tumors, arthritis, and osteoporosis Nerenberg 30, Habu 31, and Ruddle 32
Tax transgenic mice under the Cd3‐epsilon promoter Mesenchymal tumors, and salivary and mammary adenomas Hall 33
Tax transgenic mice under the Lck proximal promoter Thymic T‐cell lymphomas Hasegawa 34
Tax transgenic mice under the GrzmB promoter LGL and hypercalcemia Grossman 35Gao 36
HBZ transgenic mice under the Cd4 promoter Increase of effector/memory and regulatory CD4+ T cells Inflammation of lung and skin Satou 37
ATL‐like disease after long latencies
HBZ transgenic mice under the GrzmB promoter ATL‐like disease with osteoporosis and hypercalcemia around 18 months Esser 38
PDX Inoculation of cells from ATL patients to immunodeficient (SCID and NOD/SCID) mice ATL‐like disease Kawano 40
IL‐15 Transgenic mice expressing a modified IL‐15 cDNA under the MHC class I promoter A leukemic form of CTCL around 12‐30 weeks Upregulation of HDAC Fehniger 41
JAK3A572V mutant Retroviral transduction of JAK3A572V into 5‐fluorouracil-treated murine BM JAK3A572V knock‐in mouse model A leukemic form of CTCL A leukemic form of CTCL Cornejo 44Rivera‐Munoz 45
EATL Setd2 Setd2 conditional knockout mice crossed with Lck‐Cre transgenic mice Increase of the intraepithelial γδ‐positive T cells Moffitt 47

PTCL, peripheral T‐cell lymphoma; AITL, angioimmunoblastic T‐cell lymphoma; ALCL, anaplastic large cell lymphoma; ATL, adult T‐cell leukemia/lymphoma; CTCL, cutaneous T‐cell lymphoma; EATL, enter-opathy‐associated T‐cell Lymphoma; TFH, T follicular helper; cKI, conditional knock in; cKO, conditional knockout; SRBC, sheep red blood cells; PDX, patient‐derived xenograft; BM, bone marrow; LyzM, Lysozyme M; GrzmB, granzyme B; HSC, hematopoietic stem cells; SCID, severe immunodeficient mice; LTR, long terminal repeat; LGL, large granular lymphocytic leukemia

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