Fu Kai, Iqbal Javeed, Chan Wing C
Nebraska Medical Center, Department of Pathology & Microbiology, Omaha, NE 68198-3135, USA.
Expert Rev Mol Diagn. 2005 May;5(3):397-408. doi: 10.1586/14737159.5.3.397.
The field of molecular diagnostics is changing and adapting to new information obtained from genetic, genomic and proteomic profiling of diseases. One of the novel technologies that has made significant impact on the molecular diagnosis of lymphoid malignancies is DNA microarray technology. It has allowed the profiling of the most common types of lymphomas, identifying distinct molecular signatures of these diseases as well as novel subtypes that cannot otherwise be identified by conventional methods. In addition, it has also allowed the construction of molecularly defined prognostic models for various types of lymphomas and to better understand the molecular mechanisms that determine the behavior of the tumor. In this review, recent advances in the molecular diagnosis of diffuse large B-cell lymphoma are highlighted, using examples of how gene expression profiling has been used in disease classification and outcome predictions. The future development of this field and its applications in the clinical arena will also be discussed.
分子诊断领域正在不断变化,并适应从疾病的基因、基因组和蛋白质组分析中获得的新信息。对淋巴系统恶性肿瘤分子诊断产生重大影响的新技术之一是DNA微阵列技术。它能够对最常见的淋巴瘤类型进行分析,识别这些疾病独特的分子特征以及传统方法无法识别的新亚型。此外,它还能够构建针对各种类型淋巴瘤的分子定义预后模型,并更好地理解决定肿瘤行为的分子机制。在本综述中,将重点介绍弥漫性大B细胞淋巴瘤分子诊断的最新进展,并举例说明基因表达谱分析如何用于疾病分类和预后预测。还将讨论该领域的未来发展及其在临床领域的应用。