关键词: A53 subtype BN2 subtype EZB subtype MCD subtype diffuse large B-cell lymphoma dyslipidemia hypertriglyceridemia molecular typing

来  源:   DOI:10.3389/fonc.2023.1172623   PDF(Pubmed)

Abstract:
UNASSIGNED: Diffuse large B-cell lymphoma (DLBCL) is a kind of highly heterogeneous non-Hodgkin lymphoma, both in clinical and genetic terms. DLBCL is admittedly categorized into six subtypes by genetics, which contain MCD, BN2, EZB, N1, ST2, and A53. Dyslipidemia is relevant to a multitude of solid tumors and has recently been reported to be associated with hematologic malignancies. We aim to present a retrospective study investigating dyslipidemia in DLBCL based on the molecular subtypes.
UNASSIGNED: This study concluded that 259 patients with newly diagnosed DLBCL and their biopsy specimens were available for molecular typing. Results show that the incidence of dyslipidemia (87.0%, p <0.001) is higher in the EZB subtype than in others, especially hypertriglyceridemia (78.3%, p = 0.001) in the EZB subtype. Based on the pathological gene-sequencing, patients with BCL2 gene fusion mutation are significantly correlative with hyperlipidemia (76.5%, p = 0.006) and hypertriglyceridemia (88.2%, p = 0.002). Nevertheless, the occurrence of dyslipidemia has no remarkable influence on prognosis.
UNASSIGNED: In summary, dyslipidemia correlates with genetic heterogeneity in DLBCL without having a significant influence on survival. This research first connects lipids and genetic subtypes in DLBCL.
摘要:
弥漫性大B细胞淋巴瘤(DLBCL)是一种高度异质性的非霍奇金淋巴瘤,在临床和遗传方面。诚然,DLBCL按遗传学分为六种亚型,含有MCD,BN2,EZB,N1、ST2和A53。血脂异常与多种实体瘤有关,最近有报道称与血液恶性肿瘤有关。我们的目的是提出一项基于分子亚型的DLBCL血脂异常的回顾性研究。
这项研究得出结论,259例新诊断的DLBCL患者及其活检标本可用于分子分型。结果表明,血脂异常的发生率(87.0%,p<0.001)在EZB亚型中高于其他亚型,尤其是高甘油三酯血症(78.3%,在EZB亚型中p=0.001)。基于病理基因测序,BCL2基因融合突变患者与高脂血症显著相关(76.5%,p=0.006)和高甘油三酯血症(88.2%,p=0.002)。然而,血脂异常的发生对预后无显著影响。
总之,血脂异常与DLBCL的遗传异质性相关,对生存无显著影响.这项研究首先将DLBCL中的脂质和遗传亚型联系起来。
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