Novel chimeric PD-L1::PD-L2 fusion and immune evasion in lymphoma

We report a novel in-frame CD274::PDCD1LG2 fusion in primary mediastinal B-cell lymphoma. Functional studies using expression constructs and CRISPR-engineered lymphoma cells confirmed formation of a PD-L1::PD-L2 chimeric protein and marked upregulation of PD-L1 surface expression, consistent with loss of 3′-UTR-mediated repression. These findings expand the genomic landscape of structural mechanisms driving PD-L1 activation and may inform variant interpretation and patient selection for PD-1 blockade in lymphoma.

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Publication Details

Journal
npj Precision Oncology
Published
2026-08-18
DOI
https://doi.org/10.1038/s41698-026-01654-0
Primary Topic
Lymphoma Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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Novel chimeric PD-L1::PD-L2 fusion and immune evasion in lymphoma

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npj Precision Oncology
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Novel chimeric PD-L1::PD-L2 fusion and immune evasion in lymphoma

Fatimah Jalud, Ing Soo Tiong, Teresa Sadras, Satwica Yerneni, Joshua Casan, Kaitlyn Kew, Francesca Watts, Barbara Withers, Jesse A. Rudd-Schmidt, Piers Blombery, Scott A. Williams
article en

Abstract

We report a novel in-frame CD274::PDCD1LG2 fusion in primary mediastinal B-cell lymphoma. Functional studies using expression constructs and CRISPR-engineered lymphoma cells confirmed formation of a PD-L1::PD-L2 chimeric protein and marked upregulation of PD-L1 surface expression, consistent with loss of 3′-UTR-mediated repression. These findings expand the genomic landscape of structural mechanisms driving PD-L1 activation and may inform variant interpretation and patient selection for PD-1 blockade in lymphoma.

npj Precision Oncology
The University of Melbourne (AU), La Trobe University (AU), Peter MacCallum Cancer Centre (AU), St Vincent's Hospital Sydney (AU), AGRF Ltd (AU), Olivia Newton-John Cancer Wellness & Research Centre (AU), Olivia Newton-John Cancer Research Institute (AU)
Openalex Percentile: Top 10%
Lymphoma Diagnosis and Treatment
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