iScience (Jul 2023)

IGH rod-like tracer: An AlphaFold2 structural similarity extraction-based predictive biomarker for MRD monitoring in pre-B-ALL

  • Zhongling Zhuo,
  • Qingchen Wang,
  • Chang Li,
  • Lili Zhang,
  • Lanxin Zhang,
  • Ran You,
  • Yan Gong,
  • Ying Hua,
  • Linzi Miao,
  • Jiefei Bai,
  • Chunli Zhang,
  • Ru Feng,
  • Meng Chen,
  • Fei Su,
  • Chenxue Qu,
  • Fei Xiao

Journal volume & issue
Vol. 26, no. 7
p. 107107

Abstract

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Summary: Sequence variation resulting from the evolution of IGH clones and immunophenotypic drift makes it difficult to track abnormal B cells in children with precursor B cell acute lymphoblastic leukemia (pre-B-ALL) by flow cytometry, qPCR, or next-generation sequencing (NGS). The V-(D)-J regions of immunoglobulin and T cell receptor of 47 pre-B-ALL samples were sequenced using the Illumina NovaSeq platform. The IGH rod-like tracer consensus sequence was extracted based on its rod-like alpha-helices structural similarity predicted by AlphaFold2. Additional data from published 203 pre-B-ALL samples were applied for validation. NGS-IGH (+) patients with pre-B-ALL had a poor prognosis. Consistent CDR3-coded protein structures in NGS-IGH (+) samples could be extracted as a potential follow-up marker for pre-B-ALL children during treatment. IGH rod-like tracer from quantitative immune repertoire sequencing may serve as a class of biomarker with significant predictive values for the dynamic monitoring of MRD in pre-B-ALL children.

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