机构:[1]State Key Laboratory of Oncology in South China, CollaborativeInnovation Center of Cancer Medicine, Sun Yat-sen UniversityCancer Center, Guangzhou, PR China[2]Department of Medical Oncology, Sun Yat-sen University CancerCenter, Guangzhou, PR China[3]Department of Pharmacology, College of Pharmacy, JinanUniversity, Guangzhou, PR China[4]Department of Hematology, Zhujiang Hospital of SouthernMedical University, Guangzhou, PR China南方医科大学珠江医院[5]Department of Hematology, Beijing Tongren Hospital, CapitalMedical University, Beijing, PR China临床科室血液内科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[6]Department of Pathology, Guangdong General Hospital,Guangdong Academy of Medical Sciences, Guangzhou, PR China广东省人民医院[7]Department of Hematology, Xinqiao Hospital, Third MilitaryMedical University, Chongqing, PR China[8]Department of Pathology, Sun Yat-sen University Cancer Center,Guangzhou, PR China[9]Department of Pathology, The First People’s Hospital of Foshan,Foshan, PR China[10]Department of Hematology, Guangdong General Hospital,Guangdong Academy of Medical Sciences, Guangzhou, PRChina广东省人民医院[11]Department of Pathology, Nanfang Hospital, Southern MedicalUniversity, Guangzhou, PR China[12]Department of General Surgery, Nanfang Hospital, SouthernMedical University, Guangzhou, PR China[13]Department of Hematology, The First Affiliated Hospital, SunYat-sen University, Guangzhou, PR China中山大学附属第一医院[14]Department of Pathology, The First Affiliated Hospital, Sun YatsenUniversity, Guangzhou, PR China[15]Department of Oncology, Sun-Yat-sen Memorial Hospital, SunYat-sen University, Guangzhou, PR China中山大学附属第二医院[16]Department of Pathology, The Third Affiliated Hospital, Sun YatsenUniversity, Guangzhou, PR China中山大学附属第三医院[17]Department of Pathology, Tianjin Medical University CancerInstitute and Hospital, Tianjin, PR China[18]Department of Pathology, Hematological Hospital of ChineseAcademy of Medical Sciences, Tianjin, PR China[19]Department of Pathology, The First Affiliated Hospital ofGuangzhou Medical University, Guangzhou, PR China[20]Department of Oncology, Jiangxi Provincial Cancer Hospital,Nanchang, PR China[21]Department of Hematology, Jiangxi Provincial Cancer Hospital,Nanchang, PR China[22]Department of Pathology, General Hospital of GuangzhouMilitary Command of PLA, Guangzhou, PR China[23]Department of Hematology, Shunde Hospital of SouthernMedical University, Shunde, PR China[24]Department of Hematology, The First Affiliated Hospital ofXuzhou Medical University, Xuzhou, PR China[25]Department of Pathology, The First Affiliated Hospital of XuzhouMedical University, Xuzhou, PR China[26]Department of Hematology and Oncology, Guangzhou FirstPeople’s Hospital, Guangzhou, PR China[27]Department of Pathology, Xinqiao Hospital, Third MilitaryMedical University, Chongqing, PR China[28]Department of Medical Oncology, Jiangmen Central Hospital,Jiangmen, PR China[29]Department of General Surgery, The First Affiliated Hospital ofAnhui Medical University, Hefei, PR China[30]Department of Gastrointestinal Surgery, The Fourth AffiliatedHospital of Anhui Medical University, Hefei, PR China[31]Department of Medical Oncology, Anhui Provincial CancerHospital, Hefei, PR China[32]Department of Hematology, The First People’s Hospital ofDongguan, Dongguan, PR China[33]Department of Oncology, Affiliated Hospital of GuangdongMedical University, Guangzhou, PR China[34]Department of Pathology, Guangdong Province Hospital forWomen and Children Health Care, Guangzhou, PR China[35]Department of Medical Statistics and Epidemiology, School ofPublic Health, Sun Yat-sen University, Guangzhou, PR China[36]Department of Hematology, Sun Yat-sen University CancerCenter, Guangzhou, PR China[37]Department of Hematology, The First Affiliated Hospital ofGuangdong Pharmaceutical University, Guangzhou, PR China[38]Department of Hematology, Shunde Affiliated Hospital ofGuangzhou University of Chinese Medicine, Shunde, PR China[39]Department of Hematology, Huizhou Municipal Central Hospital,Huizhou, PR China[40]Department of Lymphoma And Hematology, Jilin CancerHospital, Changchun, PR China
We aimed to establish a discriminative gene-expression-based classifier to predict survival outcomes of T-cell lymphoblastic lymphoma (T-LBL) patients. After exploring global gene-expression profiles of progressive (n = 22) vs. progression-free (n = 28) T-LBL patients, 43 differentially expressed mRNAs were identified. Then an eleven-gene-based classifier was established using LASSO Cox regression based on NanoString quantification. In the training cohort (n = 169), high-risk patients stratified using the classifier had significantly lower progression-free survival (PFS: hazards ratio 4.123, 95% CI 2.565-6.628; p < 0.001), disease-free survival (DFS: HR 3.148, 95% CI 1.857-5.339; p < 0.001), and overall survival (OS: HR 3.790, 95% CI 2.237-6.423; p < 0.001) compared with low-risk patients. The prognostic accuracy of the classifier was validated in the internal testing (n = 84) and independent validation cohorts (n = 360). A prognostic nomogram consisting of five independent variables including the classifier, lactate dehydrogenase levels, ECOG-PS, central nervous system involvement, and NOTCH1/FBXW7 status showed significantly greater prognostic accuracy than each single variable alone. The addition of a five-miRNA-based signature further enhanced the accuracy of this nomogram. Furthermore, patients with a nomogram score ≥154.2 significantly benefited from the BFM protocol. In conclusion, our nomogram comprising the 11-gene-based classifier may make contributions to individual prognosis prediction and treatment decision-making.
基金:
This work was supported by grants from National
Key R&D Program of China (2017YFC1309001, 2016YFC1302305),
National Natural Science Foundation of China (81603137, 81672686,
81973384), and Special Support Program of Sun Yat-sen University
Cancer Center (PT19020401).
第一作者机构:[1]State Key Laboratory of Oncology in South China, CollaborativeInnovation Center of Cancer Medicine, Sun Yat-sen UniversityCancer Center, Guangzhou, PR China[2]Department of Medical Oncology, Sun Yat-sen University CancerCenter, Guangzhou, PR China
共同第一作者:
通讯作者:
通讯机构:[1]State Key Laboratory of Oncology in South China, CollaborativeInnovation Center of Cancer Medicine, Sun Yat-sen UniversityCancer Center, Guangzhou, PR China[2]Department of Medical Oncology, Sun Yat-sen University CancerCenter, Guangzhou, PR China
推荐引用方式(GB/T 7714):
Xiao-Peng Tian,Dan Xie,Wei-Juan Huang,et al.A gene-expression-based signature predicts survival in adults with T-cell lymphoblastic lymphoma: a multicenter study.[J].LEUKEMIA.2020,34(9):2392-2404.doi:10.1038/s41375-020-0757-5.
APA:
Xiao-Peng Tian,Dan Xie,Wei-Juan Huang,Shu-Yun Ma,Liang Wang...&Qing-Qing Cai.(2020).A gene-expression-based signature predicts survival in adults with T-cell lymphoblastic lymphoma: a multicenter study..LEUKEMIA,34,(9)
MLA:
Xiao-Peng Tian,et al."A gene-expression-based signature predicts survival in adults with T-cell lymphoblastic lymphoma: a multicenter study.".LEUKEMIA 34..9(2020):2392-2404