Curran K M, Schaffer P A, Frank C B, Lana S E, Hamil L E, Burton J H, Labadie J, Ehrhart E J, Avery P R
Flint Animal Cancer Center, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Vet Comp Oncol. 2017 Dec;15(4):1269-1279. doi: 10.1111/vco.12263. Epub 2016 Aug 11.
Diffuse large B-cell lymphoma (DLBCL) is the most common haematopoietic malignancy in dogs. Recently, MYC and BCL2 expression levels determined with immunohistochemistry (IHC) were found to be prognostic in people with DLBCL. We hypothesized that canine DLBCL can be similarly subdivided into prognostic subtypes based on expression of MYC and BCL2. Cases of canine DLBCL treated with CHOP chemotherapy were retrospectively collected and 43 dogs had available histologic tissue and complete clinical follow-up. Median values of percent immunoreactive versus immunonegative cells were used to determine positive or negative expression status. Completion of CHOP was significantly associated with a positive outcome. Compared with human patients, our canine DLBCL patients had high IHC expression of both MYC and BCL2, and relative expression levels of one or both markers were not associated with clinical outcome.
弥漫性大B细胞淋巴瘤(DLBCL)是犬类中最常见的造血系统恶性肿瘤。最近,通过免疫组织化学(IHC)测定的MYC和BCL2表达水平被发现对人类DLBCL患者具有预后意义。我们假设犬类DLBCL可以基于MYC和BCL2的表达同样细分为具有预后意义的亚型。对接受CHOP化疗的犬类DLBCL病例进行了回顾性收集,43只犬有可用的组织学组织和完整的临床随访资料。使用免疫反应性细胞与免疫阴性细胞百分比的中位数来确定阳性或阴性表达状态。完成CHOP化疗与良好预后显著相关。与人类患者相比,我们的犬类DLBCL患者MYC和BCL2的免疫组化表达均较高,且一种或两种标志物的相对表达水平与临床结果无关。