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犬弥漫性大B细胞淋巴瘤(DLBCL)增殖活性对蒽环类化疗患者资格的评估。

Evaluation of the Proliferative Activity of Diffuse Large B-Cell Lymphoma (DLBCL) in Dogs with Respect to Patient Eligibility for Anthracycline-Based Chemotherapy.

作者信息

Klimiuk Paweł, Łopuszyński Wojciech, Bulak Kamila, Brzana Adam

机构信息

Veterinary Diagnostic Laboratory VetDiagnostyka, 20-418 Lublin, Poland.

Sub-Department of Pathomorphology and Forensic Veterinary Medicine, Department and Clinic of Animal Internal Diseases, University of Life Sciences in Lublin, 20-601 Lublin, Poland.

出版信息

Animals (Basel). 2021 Apr 20;11(4):1183. doi: 10.3390/ani11041183.

DOI:10.3390/ani11041183
PMID:33924252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8074745/
Abstract

Different types of canine lymphoma respond differently to chemotherapy and have different prognoses. Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma in dogs. Topoisomerase II alpha (TOPIIα) protein has been shown to be a proliferation marker associated with prognostic significance. The aim of the study was to determine the relationship between TOPIIα expression, mitotic count (MC), and Ki67 antigen index in DLBCL in dogs, taking into account the applicability of these parameters to select the chemotherapy protocol with emphasis on the use of anthracycline drugs. Samples of formalin-fixed paraffin-embedded lymph nodes from 34 dogs with DLBCL were immunohistochemically labelled with anti-TOPIIα and Ki67. The number of positive cells and the intensity of the reaction were taken into account in order to assess TOPIIα expression. MC was estimated in the hematoxylin and eosin-stained slides in the area of 2.37 mm. Positive association between TOPIIα and MC, but no association between TOPIIα and Ki67 was found. It can be concluded that the immunohistochemical determination of TOPIIα as a molecular target for drugs from the anthracycline group may be used in association with MC to establish a diagnostic-clinical protocol for selecting dogs with DLBCL for treatment with anthracycline drugs.

摘要

不同类型的犬淋巴瘤对化疗的反应不同,预后也不同。弥漫性大B细胞淋巴瘤(DLBCL)是犬类中最常见的淋巴瘤。拓扑异构酶IIα(TOPIIα)蛋白已被证明是一种具有预后意义的增殖标志物。本研究的目的是确定犬DLBCL中TOPIIα表达、有丝分裂计数(MC)和Ki67抗原指数之间的关系,同时考虑这些参数在选择化疗方案(重点是使用蒽环类药物)中的适用性。对34只患有DLBCL的犬的福尔马林固定石蜡包埋淋巴结样本进行免疫组织化学标记,使用抗TOPIIα和Ki67抗体。评估TOPIIα表达时考虑阳性细胞数量和反应强度。在苏木精和伊红染色的切片中,在2.37平方毫米的区域内估计MC。发现TOPIIα与MC呈正相关,但TOPIIα与Ki67之间无相关性。可以得出结论,将TOPIIα作为蒽环类药物分子靶点的免疫组织化学测定可与MC联合使用,以建立一个诊断临床方案,用于选择患有DLBCL的犬接受蒽环类药物治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/fb4db5f517b4/animals-11-01183-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/fca9e8acc2c7/animals-11-01183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/1fbb3044dae0/animals-11-01183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/93894986031b/animals-11-01183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/fb4db5f517b4/animals-11-01183-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/fca9e8acc2c7/animals-11-01183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/1fbb3044dae0/animals-11-01183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/93894986031b/animals-11-01183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7d9/8074745/fb4db5f517b4/animals-11-01183-g004.jpg

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本文引用的文献

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BMC Vet Res. 2018 Nov 20;14(1):356. doi: 10.1186/s12917-018-1688-5.
2
Breed-associated risks for developing canine lymphoma differ among countries: an European canine lymphoma network study.不同国家犬类患淋巴瘤的品种相关风险存在差异:一项欧洲犬类淋巴瘤网络研究。
BMC Vet Res. 2018 Aug 6;14(1):232. doi: 10.1186/s12917-018-1557-2.
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Ki-67: more than a proliferation marker.Ki-67:不止是一个增殖标志物。
Chromosoma. 2018 Jun;127(2):175-186. doi: 10.1007/s00412-018-0659-8. Epub 2018 Jan 10.
4
Prognostic significance of Ki67 and its correlation with mitotic index in dogs with diffuse large B-cell lymphoma treated with 19-week CHOP-based protocol.采用基于CHOP方案的19周治疗方案治疗的犬弥漫性大B细胞淋巴瘤中Ki67的预后意义及其与有丝分裂指数的相关性
J Vet Diagn Invest. 2018 Mar;30(2):263-267. doi: 10.1177/1040638717743280. Epub 2017 Dec 1.
5
Retrospective analysis of factors affecting clinical outcome following CHOP-based chemotherapy in dogs with primary nodal diffuse large B-cell lymphoma.基于 CHOP 化疗的原发性淋巴结弥漫性大 B 细胞淋巴瘤犬临床疗效影响因素的回顾性分析。
Vet Comp Oncol. 2018 Mar;16(1):E159-E168. doi: 10.1111/vco.12364. Epub 2017 Nov 20.
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Prognostic significance of morphotypes in canine lymphomas: A systematic review of literature.犬淋巴瘤形态学类型的预后意义:文献系统综述
Vet Comp Oncol. 2018 Mar;16(1):12-19. doi: 10.1111/vco.12320. Epub 2017 May 19.
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BCL2 and MYC are expressed at high levels in canine diffuse large B-cell lymphoma but are not predictive for outcome in dogs treated with CHOP chemotherapy.BCL2和MYC在犬弥漫性大B细胞淋巴瘤中高表达,但对接受CHOP化疗的犬的预后并无预测作用。
Vet Comp Oncol. 2017 Dec;15(4):1269-1279. doi: 10.1111/vco.12263. Epub 2016 Aug 11.
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[Multicentric lymphoma in 411 dogs - an epidemiological study].[411只犬的多中心淋巴瘤——一项流行病学研究]
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