دورية أكاديمية

Molecular classification and identification of an aggressive signature in low‐grade B‐cell lymphomas.

التفاصيل البيبلوغرافية
العنوان: Molecular classification and identification of an aggressive signature in low‐grade B‐cell lymphomas.
المؤلفون: Hopper, Melissa A., Wenzl, Kerstin, Hartert, Keenan T., Krull, Jordan E., Dropik, Abigail R., Novak, Joseph P., Manske, Michelle K., Serres, MaKayla R., Sarangi, Vivekananda, Larson, Melissa C., Maurer, Matthew J., Yang, Zhi‐Zhang, Paludo, Jonas, McPhail, Ellen D., Habermann, Thomas M., Link, Brian K., Rimsza, Lisa M., Ansell, Stephen M., Cerhan, James R., Jevremovic, Dragan
المصدر: Hematological Oncology; Oct2023, Vol. 41 Issue 4, p644-654, 11p
مصطلحات موضوعية: LYMPHOMAS, GENE expression, RNA sequencing, MACHINE learning, CELL cycle
مستخلص: Non‐follicular low‐grade B‐cell lymphomas (LGBCL) are biologically diverse entities that share clinical and histologic features that make definitive pathologic categorization challenging. While most patients with LGBCL have an indolent course, some experience aggressive disease, highlighting additional heterogeneity across these subtypes. To investigate the potential for shared biology across subtypes, we performed RNA sequencing and applied machine learning approaches that identified five clusters of patients that grouped independently of subtype. One cluster was characterized by inferior outcome, upregulation of cell cycle genes, and increased tumor immune cell content. Integration of whole exome sequencing identified novel LGBCL mutations and enrichment of TNFAIP3 and BCL2 alterations in the poor survival cluster. Building on this, we further refined a transcriptomic signature associated with early clinical failure in two independent cohorts. Taken together, this study identifies unique clusters of LGBCL defined by novel gene expression signatures and immune profiles associated with outcome across diagnostic subtypes. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index