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• Whole genome and whole exome sequencing of serial biopsies of relapsed/refractory diffuse large B-cell lymphoma.

  Purpose: Diffuse large B-cell lymphoma (DLBCL) is cured in more than 60% of patients, but outcomes remain poor for patients experiencing disease progression or relapse (refractory or relapsed DLBCL [rrDLBCL]), particularly if these events occur early. Although previous studies examining cohorts of rrDLBCL have identified features that are enriched at relapse, few have directly compared serial biopsies to uncover biological and evolutionary dynamics driving rrDLBCL. Here, we sought to confirm the relationship between relapse timing and outcomes after second-line (immuno)chemotherapy and determine the evolutionary dynamics that underpin that relationship. Patients and methods: Outcomes were examined in a population-based cohort of 221 patients with DLBCL who experienced progression/relapse after frontline treatment and were treated with second-line (immuno)chemotherapy with an intention-to-treat with autologous stem-cell transplantation (ASCT). Serial DLBCL biopsies from a partially overlapping cohort of 129 patients underwent molecular characterization, including whole-genome or whole-exome sequencing in 73 patients. Results: Outcomes to second-line therapy and ASCT are superior for late relapse (>2 years postdiagnosis) versus primary refractory (<9 months) or early relapse (9-24 months). Diagnostic and relapse biopsies were mostly concordant for cell-of-origin classification and genetics-based subgroup. Despite this concordance, the number of mutations exclusive to each biopsy increased with time since diagnosis, and late relapses shared few mutations with their diagnostic counterpart, demonstrating a branching evolution pattern. In patients with highly divergent tumors, many of the same genes acquired new mutations independently in each tumor, suggesting that the earliest mutations in a shared precursor cell constrain tumor evolution toward the same genetics-based subgroups at both diagnosis and relapse. Conclusion: These results suggest that late relapses commonly represent genetically distinct and chemotherapy-naïve disease and have implications for optimal patient management.

  Study EGAS00001007053

• STOP-HCV_BOSON_HumanGeneticData

  Human genotyping data for patients infected by hepatitis C virus

  Dataset EGAD00010001202

• Makrani_SNP_genotyping

  Genome-wide SNP genotyping data for 102 Pakistani individuals by Illumina HumanOmni2.5-8 array, used in the EGAS00001002558 study

  Dataset EGAD00010001452

• HumanOrigins_SW_Angola

  The compressed file contains plink format files for the Affymetrix Human Origins SNP array data of 208 Angolan individuals

  Dataset EGAD00010002458

• SPGRX_genotype

  Cohort: Raw genotype files for SPGRX cohort. Genotype Chip: the Illumina Global Screening Array-24 v3.0 genomic build: b38

  Dataset EGAD00010002176

• SNParray_Human_blastocyst_samples

  Single blastomeres from blastocyst and familial samples for haplotyping and copy-number profiling via SNP array

  Dataset EGAD00010002220

• Normalized read counts for 84 PDAC samples

  Bulk RNAseq analysis of 84 PDAC samples : Normalized read counts

  Dataset EGAD50000000537

• IAMC adult cross sectional

  Data access committee for the manuscript "Alterations in the gut microbiome in inflammatory arthritis implicate key taxa and metabolic pathways across arthritis phenotypes"

  Dac EGAC50000000272

• DAC Clonal Evolution of PPM1D Mutations in the Spectrum of Myeloid Disorders

  Data access committee for Clonal Evolution of PPM1D Mutations in the Spectrum of Myeloid Disorders

  Dac EGAC50000000527

• Picuris Pueblo Genomic Project (Ancient Data)

  Data Access Committee for the ancient dataset of the project "Picuris Pueblo oral history and genomics reveal continuity in US Southwest".

  Dac EGAC50000000525