Abstract
Background
Diffuse
large
B-cell
lymphomas
(DLBCLs)
display
high
molecular
heterogeneity,
but
the
International
Prognostic
Index
(IPI)
considers
only
clinical
indicators
and
has
not
been
updated
to
include
data.
Therefore,
we
developed
a
widely
applicable
novel
scoring
system
with
screened
by
artificial
intelligence
(AI)
that
achieves
accurate
prognostic
stratification
promotes
individualized
treatments.
Methods
We
retrospectively
enrolled
cohort
of
401
patients
DLBCL
from
our
hospital,
covering
period
January
2015
2019.
included
22
variables
in
analysis
assigned
them
weights
using
random
survival
forest
method
establish
new
predictive
model
combining
bidirectional
long-short
term
memory
(Bi-LSTM)
logistic
hazard
techniques.
compared
performance
“molecular-contained
model”
(McPM)
IPI.
In
addition,
simplified
version
McPM
(sMcPM)
enhance
its
practical
applicability
settings.
also
demonstrated
improved
risk
capabilities
sMcPM.
Results
Our
showed
superior
accuracy,
as
indicated
C-index
low
integrated
Brier
score
(IBS),
for
both
overall
(OS)
progression-free
(PFS).
The
was
better
than
IPI
based
on
receiver
operating
characteristic
(ROC)
curve
fitting.
selected
five
key
indicators,
including
extranodal
involvement
sites,
lactate
dehydrogenase
(LDH),
MYC
gene
status,
absolute
monocyte
count
(AMC),
platelet
(PLT)
sMcPM,
which
is
more
suitable
applications.
sMcPM
similar
OS
results
(
P
<
0.0001
both)
significantly
PFS
vs.
=
0.44
IPI).
Conclusions
McPM,
variables,
IPI,
rendering
it
era.
Moreover,
may
become
used
effective
tool
guide
individual
precision
treatments
drive
drug
development.
Cancer Letters,
Год журнала:
2024,
Номер
597, С. 217076 - 217076
Опубликована: Июнь 19, 2024
Understanding
of
the
metabolic
reprogramming
has
revolutionized
our
insights
into
tumor
progression
and
potential
treatment.
This
review
concentrates
on
aberrant
pathways
in
cancer
cells
within
microenvironment
(TME).
Cancer
differ
from
normal
their
processing
glucose,
amino
acids,
lipids
order
to
adapt
heightened
biosynthetic
energy
needs.
These
shifts,
which
crucially
alter
lactic
acid,
acid
lipid
metabolism,
affect
not
only
cell
proliferation
but
also
TME
dynamics.
explores
various
immune
TME.
From
a
therapeutic
standpoint,
targeting
these
alterations
represents
novel
treatment
strategy.
discusses
approaches
regulation
metabolism
different
nutrients
influencing
enhance
response.
In
summary,
this
summarizes
its
as
target
for
innovative
strategies,
offering
fresh
perspectives
Experimental Hematology and Oncology,
Год журнала:
2023,
Номер
12(1)
Опубликована: Авг. 21, 2023
Chimeric
antigen
receptor
(CAR)-T
cell
therapy
is
one
of
the
most
promising
advances
in
cancer
treatment.
It
based
on
genetically
modified
T
cells
to
express
a
CAR,
which
enables
recognition
specific
tumour
interest.
To
date,
CAR-T
therapies
approved
for
commercialisation
are
designed
treat
haematological
malignancies,
showing
impressive
clinical
efficacy
patients
with
relapsed
or
refractory
advanced-stage
tumours.
However,
since
they
all
use
patient´s
own
as
starting
material
(i.e.
autologous
use),
have
important
limitations,
including
manufacturing
delays,
high
production
costs,
difficulties
standardising
preparation
process,
and
failures
due
patient
dysfunction.
Therefore,
many
efforts
currently
being
devoted
contribute
development
safe
effective
allogeneic
use,
should
be
overcome
risks
entail:
immune
rejection
graft-versus-host
disease
(GvHD).
This
systematic
review
brings
together
wide
range
different
approaches
that
been
studied
achieve
discuss
advantages
disadvantages
every
strategy.
The
methods
were
classified
two
major
categories:
those
involving
extra
genetic
modifications,
addition
CAR
integration,
relying
selection
alternative
sources/subpopulations
γδ
cells,
induced
pluripotent
stem
(iPSCs),
umbilical
cord
blood
memory
subpopulations,
virus-specific
cytokine-induced
killer
cells).
We
observed
that,
although
modification
widely
used
approach,
new
combining
both
emerged.
more
preclinical
research
needed
determine
appropriate
strategy
bring
this
antitumour
setting.
Cell Death Discovery,
Год журнала:
2023,
Номер
9(1)
Опубликована: Июнь 12, 2023
Abstract
Metabolic
reprogramming
is
a
hallmark
of
human
malignancies.
Dysregulation
glutamine
metabolism
essential
for
tumorigenesis,
microenvironment
remodeling,
and
therapeutic
resistance.
Based
on
the
untargeted
metabolomics
sequencing,
we
identified
that
metabolic
pathway
was
up-regulated
in
serum
patients
with
primary
DLBCL.
High
levels
were
associated
inferior
clinical
outcomes,
indicative
prognostic
value
In
contrast,
derivate
alpha-ketoglutarate
(α-KG)
negatively
correlated
invasiveness
features
DLBCL
patients.
Further,
found
treatment
cell-permeable
derivative
α-KG,
known
as
DM-αKG,
significantly
suppressed
tumor
growth
by
inducing
apoptosis
non-apoptotic
cell
death.
Accumulation
a-KG
promoted
oxidative
stress
double-hit
lymphoma
(DHL),
which
depended
malate
dehydrogenase
1
(MDH1)-mediated
2-hydroxyglutarate
(2-HG)
conversion.
reactive
oxygen
species
(ROS)
contributed
to
ferroptosis
induction
promoting
lipid
peroxidation
TP53
activation.
particular,
overexpression
derived
from
DNA
damage,
further
leading
activation
ferroptosis-related
pathways.
Our
study
demonstrated
importance
progression
highlighted
potential
application
α-KG
novel
strategy
DHL
Cancers,
Год журнала:
2023,
Номер
15(7), С. 2134 - 2134
Опубликована: Апрель 4, 2023
Osteosarcoma
(OS)
is
a
common
bone
malignancy
in
children
and
adolescents.
Although
histological
subtyping
followed
by
improved
OS
treatment
regimens
have
helped
achieve
favorable
outcomes,
lack
of
understanding
the
molecular
subtypes
remains
challenge
to
characterize
its
genetic
heterogeneity
subsequently
identify
diagnostic
prognostic
biomarkers
for
developing
effective
treatments.
In
present
study,
global
analysis
DNA
methylation,
mRNA
miRNA
gene
expression
patient
samples
were
correlated
with
their
clinical
characteristics.
The
mucin
family
genes,
MUC6,
MUC12,
MUC4,
found
be
highly
mutated
patients.
Results
revealed
enrichment
pathways
including
Wnt
signaling,
Calcium
PI3K-Akt
signaling
tumors.
Survival
analyses
showed
that
levels
several
genes
such
as
RAMP1,
CRIP1,
CORT,
CHST13,
DDX60L,
miRNAs
lncRNAs
associated
survival
Molecular
using
Cluster-Of-Clusters
Analysis
(COCA)
mRNA,
lncRNA,
expression;
methylation;
mutation
data
from
TARGET
dataset
two
distinct
subtypes,
each
distinctive
profile.
Between
three
upregulated
POP4,
HEY1,
CERKL,
seven
downregulated
CEACAM1,
ABLIM1,
LTBP2,
ISLR,
LRRC32,
PTPRF,
GPX3,
metastasis
differentially
regulated.
Thus,
results
provide
strong
basis
classification
patients
could
used
develop
better
strategies.
Background/Aims:
Diffuse
large
B-cell
lymphoma
(DLBCL),
the
most
common
subtype
of
non-Hodgkin
lymphoma,
has
significant
prognostic
heterogeneity.
This
study
aimed
to
generate
a
prediction
model
based
on
autophagy-related
genes
for
DLBCL
patients.
Methods:
Utilizing
bioinformatics
techniques,
we
analyzed
clinical
information
and
transcriptome
data
patients
from
Gene
Expression
Omnibus
(GEO)
database.
Through
unsupervised
clustering,
identified
new
molecular
subtypes
pinpointed
differentially
expressed
(DEGs)
between
these
subtypes.
Based
DEGs,
was
constructed
using
Cox
Lasso
regression.
The
effectiveness,
accuracy,
utility
this
were
assessed
numerous
independent
validation
cohorts,
survival
analyses,
receiver
operating
characteristic
(ROC)
curves,
multivariate
regression
analysis,
nomograms,
calibration
curves.
Moreover,
functional
immune
cell
infiltration,
drug
sensitivity
analysis
performed.
Results:
with
different
characterizations
(age,
subtypes,
ECOG
scores,
stages)
showed
expression
features
genes.
eight
(ADD3,
IGFBP3,
TPM1,
LYZ,
AFDN,
DNAJC10,
GLIS3,
CCDC102A).
nomogram
overall
incorporated
risk
level,
stage,
showing
excellent
agreement
observed
predicted
outcomes.
Differences
noted
in
proportions
cells
(native
B
cells,
Treg
CD8+
T
cell,
CD4+
memory
activated
gamma
delta
macrophages
M1,
resting
mast
cells)
high-risk
low-risk
groups.
LYZ
ADD3
exhibited
correlations
resistance
chemotherapeutic
drugs.
Conclusions:
established
novel
assessment
profile
characteristics
patients,
explored
infiltration
resistance,
which
may
guide
precise
individualized
immunochemotherapy
regimens.
Cancers,
Год журнала:
2025,
Номер
17(8), С. 1300 - 1300
Опубликована: Апрель 12, 2025
Background/Objectives:
The
heterogeneity
of
diffuse
large
B-cell
lymphoma
(DLBCL)
based
on
differences
in
both
genetic
and
epigenetic
factors
contributes
to
the
dynamics
tumor
growth
efficacy
cytoreductive
therapy,
as
well
considerably
affecting
disease
prognosis.
This
study
aimed
detect
microRNAs
(miRNAs)
capable
improving
prognostic
accuracy
DLBCL
patients.
Methods:
We
performed
miRNA
sequencing
bone
marrow
(BM)
samples
collected
from
Next,
expression
levels
miRNAs
lymph
node
(LN)
(n
=
43)
BM
70)
were
analyzed
by
real-time
RT-PCR
group
Results:
It
was
found
that
miRNA-10b,
-100,
-125a,
-125b,
-126,
-143,
-23a
let-7a
statistically
significantly
reduced
patients
who
had
a
poor
prognosis
compared
with
favorable
(p
<
0.05).
Kaplan–Meier
survival
analysis
demonstrated
upregulated
miRNA-23a,
miRNA-125a,
miRNA-100
associated
better
overall
A
significant
elevation
miRNA-151a,
miRNA-148b
miRNA-192
observed
for
without
involvement
non-cancerous
blood
(NCBD)
Statistically
upregulation
PD-L1,
TIMP1,
TOP2A,
TP53
comparison
NCBD
Conclusions:
shown
be
potential
prognostically
biomarkers
Changes
miRNA-148b,
miRNA-192,
reflect
alterations
morphological
or
immunophenotypic
signs
DLBCL-related
pathology.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(6), С. 5493 - 5493
Опубликована: Март 13, 2023
Lymphoma
is
a
heterogeneous
group
of
diseases
that
often
require
their
metabolism
program
to
fulfill
the
demand
cell
proliferation.
Features
in
lymphoma
cells
include
high
glucose
uptake,
deregulated
expression
enzymes
related
glycolysis,
dual
capacity
for
glycolytic
and
oxidative
metabolism,
elevated
glutamine
fatty
acid
synthesis.
These
aberrant
metabolic
changes
lead
tumorigenesis,
disease
progression,
resistance
chemotherapy.
This
reprogramming,
including
glucose,
nucleic
acid,
amino
dynamic
process
caused
not
only
by
genetic
epigenetic
changes,
but
also
microenvironment
affected
viral
infections.
Notably,
some
critical
metabolites
may
play
vital
roles
lymphomagenesis
progression.
Recent
studies
have
uncovered
pathways
might
clinical
impacts
on
diagnosis,
characterization,
treatment
subtypes.
However,
determining
relevance
biomarkers
therapeutic
targets
still
challenging.
In
this
review,
we
systematically
summarize
current
reprogramming
lymphoma,
mainly
focus
disorders
acids,
lipid
metabolisms,
as
well
dysregulation
molecules
pathways,
oncometabolites,
potential
biomarkers.
We
then
discuss
strategies
directly
or
indirectly
those
targets.
Finally,
prospect
future
directions
reprogramming.
European journal of medical research,
Год журнала:
2024,
Номер
29(1)
Опубликована: Апрель 20, 2024
The
full
potential
of
competing
risk
modeling
approaches
in
the
context
diffuse
large
B-cell
lymphoma
(DLBCL)
patients
has
yet
to
be
fully
harnessed.
This
study
aims
address
this
gap
by
developing
a
sophisticated
model
specifically
designed
predict
specific
mortality
DLBCL
patients.