Significance of stromal-1 and stromal-2 signatures and biologic prognostic model in diffuse large B-

来源 :Cancer Biology & Medicine | 被引量 : 0次 | 上传用户:xin3020abc
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective:Diffuse Large B Cell Lymphoma(DLBCL)is a heterogeneous group of tumors with different biological and clinical characteristics that have diverse clinical outcomes and response to therapy.Stromal-1 signature of tumor microenvironment of DLBCL represents extracellular matrix deposition and histiocytic infiltrate,whereas stromal-2 represents angiogenesis that could affect tumor progression.Methods:The aim of the present study is to assess the significance of stromal-1 signature using SPARC-1 and stromal-2 signature using CD31 expression and then finally to construct biologic prognostic model(BPM)in 60 cases of DLBCL via immunohistochemistry.Results:Microvessel density(P<0.05)and SPARC percentage of expression(P<0.001)were higher in DLBCL,including germinal and nongerminal cases,compared with reactive follicular hyperplasia.High microvessel density was significantly associated with splenic involvement(P=0.008),high mitotic count(P=0.045),and presence of capsular invasion(P=0.035).Percentage of SPARC expression was significantly associated with splenic involvement(P=0.03).Constructing BPM showed that 42 cases(70%)were of low biologic score(0–1)and 18 cases(30%)were of high biologic score(2–3).Low BPM cases showed less probability for splenic involvement(P=0.04)and a higher rate of complete response to therapy compared with high score cases(P=0.08).Conclusions:The DLBCL microenvironment could modulate tumor progression behavior since angiogenesis and SPARC positive stromal cells promote dissemination by association with spleen involvement and capsular invasion.Biologic prognostic models,including modified BPM,which considered cell origin of DLBCL and stromal signature pathways,could determine DLBCL progression and response to therapy. Objective: Diffuse Large B Cell Lymphoma (DLBCL) is a heterogeneous group of tumors with different biological and clinical characteristics that have diverse clinical outcomes and response to therapy. Stromal-1 signature of tumor microenvironment of DLBCL represents extracellular matrix deposition and histiocytic infiltrate, whereas stromal-2 represents angiogenesis that could affect tumor progression. Methods: The aim of the present study is to assess the significance of stromal-1 signature using SPARC-1 and stromal-2 signature using CD31 expression and then finally to construct biologic prognostic model ( BPM) in 60 cases of DLBCL via immunohistochemistry. Results: Microvessel density (P <0.05) and SPARC percentage of expression (P <0.001) were higher in DLBCL, including germinal and nongerminal cases, compared with reactive follicular hyperplasia. High microvessel density was Significantly associated with splenic involvement (P = 0.008), high mitotic count (P = 0.045), and presence of capsular invasion (P = 0.035). Percentage of SPARC expression was significantly associated with splenic involvement (P = 0.03) .Constructing BPM showed that 42 cases (70%) were of low biologic score (0-1) and 18 cases (30%) were of high biologic score -3). Low BPM cases showed less probability for splenic involvement (P = 0.04) and a higher rate of complete response to therapy compared with high score cases (P = 0.08) .Conclusions: The DLBCL microenvironment could modulate tumor progression behavior since angiogenesis and SPARC positive stromal cells promote dissemination by association with spleen involvement and capsular invasion. Biologic prognostic models, including modified BPM, which considered cell origin of DLBCL and stromal signature pathways, could determine DLBCL progression and response to therapy.
其他文献
据《EuropeanPlasticsNews》1999,26(7):40报道:美国Eastman(伊斯曼)化工又增加了其线型低密度聚乙烯(LLDPE)薄膜级系列的新牌号———EastmanHiforXtremeLLDPE。Eastman公司指出,新牌号特点为有极好的落锤(D According to European Plastics
期刊
期刊
期刊
Internet的出现对中国邮政企业来说应该是机遇大于烫创新业务.从中国邮政目前面临的问题出发,分析了邮政企业开发基于Internet的创新业务的环境和优势,从十四个方面详细探讨
期刊
Non-small cell lung cancer (NSCLC) ranks as the leading cause of cancer-related death in the world.Brain metastasis (BM) is a common complication of NSCLC,with
以半消光聚酯切片为原料,在工艺优化和技术改进的基础上,通过喷丝孔截面设计、纺丝工艺调整等方法生产中空FDY.结果表明:随纺丝速度增加,中空度降低;纺丝熔体温度控制也是保
主要对影响生产低收缩纤维的工艺进行了探讨,实验结果表明:提高牵伸温度、定型温度、定型时间等工艺可以降低沸水收缩率而制得低收缩FDY.
期刊
期刊