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A gene-expression-based signature predicts survival in adults with T-cell lymphoblastic lymphoma: a multicenter study.

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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 [5]Department of Hematology, Beijing Tongren Hospital, CapitalMedical University, Beijing, PR China [6]Department of Pathology, Guangdong General Hospital,Guangdong Academy of Medical Sciences, Guangzhou, PR China [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 [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 [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 [16]Department of Pathology, The Third Affiliated Hospital, Sun YatsenUniversity, Guangzhou, PR China [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
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摘要:
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.

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出版当年[2019]版:
大类 | 1 区 医学
小类 | 1 区 血液学 1 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 血液学 1 区 肿瘤学
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出版当年[2018]版:
Q1 ONCOLOGY Q1 HEMATOLOGY
最新[2023]版:
Q1 ONCOLOGY Q1 HEMATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

第一作者:
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
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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
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