Array comparative genomic hybridization identifies genetic regions associated with outcome in aggressive diffuse large B‐cell lymphomas |
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| Authors: | Cristina Robledo PhD Juan L. García PhD Dolores Caballero MD PhD Eulogio Conde MD PhD Reyes Arranz MD PhD Teresa Flores MD PhD Carlos Grande MD PhD José Rodríguez MD PhD Eva García PhD Ana I. Sáez MD PhD Marcos González MD PhD Norma C. Gutiérrez MD PhD Miguel A. Piris MD PhD Jesús M. Hernández MD PhD |
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| Affiliation: | 1. Institute of Molecular and Cellular Biology of Cancer, Cancer Research Center, University of Salamanca, Salamanca, Spain;2. The first two authors contributed equally to this article.;3. Institute for Health Science Studies of Castilla and León, Castilla and León, Spain;4. University Hospital of Salamanca, Salamanca, Spain;5. Marqués de Valdecilla Hospital and University of Cantabria, Santander, Spain;6. La Princesa Hospital, Madrid, Spain;7. Doce de Octubre Hospital, Madrid, Spain;8. Leganés Hospital, Madrid, Spain;9. Genomics Unit, Cancer Research Center, University of Salamanca, Salamanca, Spain;10. Tumor Bank Network of Andalusia, Granada, Spain;11. National Cancer Research Center (CNIO), Madrid, Spain;12. Fax: (011) 34‐92‐329‐4624 |
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| Abstract: | BACKGROUND: Diffuse large B‐cell lymphomas (DLBCLs) are the most common type of non‐Hodgkin lymphomas. With chemotherapy and progenitor stem cell transplantation, about 60% of patients with DLBCL are long‐term survivors. The International Prognostic Index identifies patients with different outcomes. However, biologic characteristics also may help to discriminate different treatments groups. METHODS: DNA copy number changes identified by array comparative genomic hybridization (array‐CGH) were studied in 40 patients who had DLBCL with a poor prognosis and who were treated uniformly with dose‐escalated cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) and intensification before high‐dose chemotherapy with autologous stem cell transplantation. RESULTS: In total, 722 copy number changes were observed (median, 5 copy number changes per patient; range, 0‐75 copy number changes per patient), with a predominance of gains. Gains on 2p16 were present only in patients who failed to achieve a complete response after escalated CHOP therapy (P < .05). In univariate analysis, gains on 2p16 and losses on 17p13 (the tumor protein p53 gene TP53 gene) were associated with a poor response to the therapy. Furthermore, age >60 years and losses on 10q23.31 (the phosphatase and tensin homolog gene PTEN) or on 17p13 were associated with short survival. In multivariate analysis, only advanced age and losses on 10q23.31 retained an adverse prognostic impact. CONCLUSIONS: Array‐CGH identified multiple regions with common copy number changes, some of which were associated with outcome in patients with DLBCL. Cancer 2009. © 2009 American Cancer Society. |
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| Keywords: | array comparative genomic hybridization diffuse large B‐cell lymphoma fluorescence in situ hybridization dose‐escalated cyclophosphamide, doxorubicin, vincristine, and prednisone outcome |
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