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LMO2 and BCL6 are associated with improved survival in primary central nervous system lymphoma
Authors:Chen Lossos  Soley Bayraktar  Elizabeth Weinzierl  Sheren F. Younes  Peter J. Hosein  Robert J. Tibshirani  Jocelyn Sutton Posthumus  Lisa M. DeAngelis  Jeffrey Raizer  David Schiff  Lauren Abrey  Yasodha Natkunam  Izidore S. Lossos
Affiliation:1. Division of Hematology‐Oncology, Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami, , Miami, FL, USA;2. Department of Pathology, Stanford University, , Stanford, CA, USA;3. Department of Health Research and Policy and Statistics, Stanford University, , Stanford, CA, USA;4. Department of Neurology, University of Virginia, , Charlottesville, VA, USA;5. Department of Neurology, Memorial Sloan‐Kettering Cancer Center, , New York, NY, USA;6. Department of Neurology, Northwestern University, , Chicago, IL, USA;7. Department of Molecular and Cellular Pharmacology, University of Miami, , Miami, FL, USA
Abstract:Primary central nervous system lymphoma (PCNSL) is an aggressive sub‐variant of non‐Hodgkin lymphoma (NHL) with morphological similarities to diffuse large B‐cell lymphoma (DLBCL). While methotrexate (MTX)‐based therapies have improved patient survival, the disease remains incurable in most cases and its pathogenesis is poorly understood. We evaluated 69 cases of PCNSL for the expression of HGAL (also known as GCSAM), LMO2 and BCL6 – genes associated with DLBCL prognosis and pathobiology, and analysed their correlation to survival in 49 PCNSL patients receiving MTX‐based therapy. We demonstrate that PCNSL expresses LMO2, HGAL(also known as GCSAM) and BCL6 proteins in 52%, 65% and 56% of tumours, respectively. BCL6 protein expression was associated with longer progression‐free survival (P = 0·006) and overall survival (OS, P = 0·05), while expression of LMO2 protein was associated with longer OS (P = 0·027). Further research is needed to elucidate the function of BCL6 and LMO2 in PCNSL.
Keywords:   PCNSL        HGAL     BCL6  LMO2  prognosis
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