Evidence map›Paper›PMID 34980601›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Genetic Subtyping and Phenotypic Characterization of the Immune Microenvironment and MYC/BCL2 Double Expression Reveal Heterogeneity in Diffuse Large B-cell Lymphoma.

Zijun Y Xu-Monette, Li Wei, Xiaosheng Fang, Qingyan Au, Harry Nunns, Máté Nagy, Alexandar Tzankov, Feng Zhu, Carlo Visco, Govind Bhagat and 21 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors at 20 institutions in 8 countries.

Zijun Y Xu-Monette *Hematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
Li Wei *Hematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
Xiaosheng Fang *Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.ORCID 0000-0002-4515-9731
Qingyan Au *NeoGenomics Laboratories, Aliso Viejo, California.
Harry Nunns *NeoGenomics Laboratories, Aliso Viejo, California.
Máté NagyNeoGenomics Laboratories, Aliso Viejo, California.
Alexandar TzankovInstitute of Pathology, University Hospital Basel, Basel, Switzerland.ORCID 0000-0002-1100-3819
Feng ZhuHematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
Carlo ViscoUniversity of Verona, Verona, Italy.ORCID 0000-0003-2863-0883
Govind BhagatColumbia University Irving Medical Center and New York Presbyterian Hospital, New York, New York.ORCID 0000-0001-6250-048X
Karen DybkaerAalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-2488-435X
April ChiuMayo Clinic, Rochester, Minnesota.
Wayne TamWeill Medical College of Cornell University, New York, New York.
Youli ZuThe Methodist Hospital, Houston, Texas.
Eric D HsiCleveland Clinic, Cleveland, Ohio.
Fredrick B HagemeisterDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Xiaoping SunDepartment of Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-7766-9306
Xin HanDepartment of Laboratory Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Heounjeong GoAsan Medical Center, Ulsan University College of Medicine, Seoul, Republic of South Korea.
Maurilio PonzoniSan Raffaele H. Scientific Institute, Milan, Italy.ORCID 0000-0002-0055-325X
Andrés J M FerreriSan Raffaele H. Scientific Institute, Milan, Italy.
Michael B MøllerOdense University Hospital, Odense, Denmark.ORCID 0000-0003-2041-3630
Benjamin M ParsonsGundersen Lutheran Health System, La Crosse, Wisconsin.ORCID 0000-0002-5634-2937
J Han van KriekenRadboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.ORCID 0000-0002-8105-0450
Miguel A PirisHospital Universitario Marqués de Valdecilla, Santander, Spain.
Jane N WinterFeinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID 0000-0001-7542-3305
Yong LiDepartment of Medicine, Baylor College of Medicine, Houston, Texas.
Bing XuThe First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Maher AlbitarGenomic Testing Cooperative, LCA, Irvine, California.
Hua You *Children's Hospital of Chongqing Medical University, Chongqing, China.
Ken H YoungHematopathology Division and Department of Pathology, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · USNeoGenomics (United States) · USThe University of Texas MD Anderson Cancer Center · USSan Raffaele University of Rome · ITAalborg University Hospital · DKBaylor College of Medicine · USChongqing Emergency Medical Center · CNCleveland Clinic · USClinical Research Institute · USCommunity Health Systems - Lutheran Hospital · USCornell University · USFirst Affiliated Hospital of Xiamen University · CNMarqués de Valdecilla University Hospital · ESMayo Clinic · USMethodist Hospital · USNewYork–Presbyterian Hospital · USNorthwestern University · USOdense University Hospital · DKRadboud University Nijmegen · NLShandong Provincial Hospital · CN

Funding

Convergence of MicroRNAs and p53 Signaling in Multiple Myeloma: Environmental CoR01CA138688 · NCI · UNIVERSITY OF LOUISVILLE · PI LI, YONG · 2009 to 2017
$2.9M
MYC as a Biomarker in Aggressive Non-Hodgkin LymphomaR01CA187415 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LI, YONG · 2015 to 2019
$2.2M
Genetic and Epigenetic Biomarkers for B-cell LymphomaR01CA233490 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI YOUNG, KEN H. · 2019 to 2023
$1.8M
Deep Sequencing of Small Regulatory RNAs in Diffuse Large B cell LymphomaRC1CA146299 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI XIAO, CHANGCHUN · 2009 to 2010
$1000k
NCI NIH HHS R01 CA138688NCI NIH HHS R01 CA187415NCI NIH HHS R01 CA233490NCI NIH HHS RC1 CA146299
6 · The paper itself

Abstract

purposeDiffuse large B-cell lymphoma (DLBCL) is molecularly and clinically heterogeneous, and can be subtyped according to genetic alterations, cell-of-origin, or microenvironmental signatures using high-throughput genomic data at the DNA or RNA level. Although high-throughput proteomic profiling has not been available for DLBCL subtyping, MYC/BCL2 protein double expression (DE) is an established prognostic biomarker in DLBCL. The purpose of this study is to reveal the relative prognostic roles of DLBCL genetic, phenotypic, and microenvironmental biomarkers. EXPERIMENTAL

designWe performed targeted next-generation sequencing; IHC for MYC, BCL2, and FN1; and fluorescent multiplex IHC for microenvironmental markers in a large cohort of DLBCL. We performed correlative and prognostic analyses within and across DLBCL genetic subtypes and MYC/BCL2 double expressors.

resultsWe found that MYC/BCL2 double-high-expression (DhE) had significant adverse prognostic impact within the EZB genetic subtype and LymphGen-unclassified DLBCL cases but not within MCD and ST2 genetic subtypes. Conversely, KMT2D mutations significantly stratified DhE but not non-DhE DLBCL. T-cell infiltration showed favorable prognostic effects within BN2, MCD, and DhE but unfavorable effects within ST2 and LymphGen-unclassified cases. FN1 and PD-1-high expression had significant adverse prognostic effects within multiple DLBCL genetic/phenotypic subgroups. The prognostic effects of DhE and immune biomarkers within DLBCL genetic subtypes were independent although DhE and high Ki-67 were significantly associated with lower T-cell infiltration in LymphGen-unclassified cases.

conclusionsTogether, these results demonstrated independent and additive prognostic effects of phenotypic MYC/BCL2 and microenvironment biomarkers and genetic subtyping in DLBCL prognostication, important for improving DLBCL classification and identifying prognostic determinants and therapeutic targets.

Indexed as

Interleukin-1 Receptor-Like 1 ProteinLymphoma, Large B-Cell, DiffuseAntineoplastic Combined Chemotherapy ProtocolsHumansPrognosisProteomicsProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycTumor MicroenvironmentBCL2 protein, humanInterleukin-1 Receptor-Like 1 ProteinMYC protein, humanProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-myc

Identifiers

PMID34980601
PMCPMC9137388
OpenAlexW4205591387

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.