Alfaifi Abdullah, Bahashwan Salem, Alsaadi Mohammed, Malhan Hafiz, Aqeel Aqeel, Al-Kahiry Waiel, Almehdar Hussein, Qadri Ishtiaq
Department of Biological Science, Faculty of Science, King AbdulAziz University, Jeddah 21589, Saudi Arabia.
Fayfa General Hospital, Ministry of Health, Jazan 83581, Saudi Arabia.
Diagnostics (Basel). 2022 Feb 3;12(2):394. doi: 10.3390/diagnostics12020394.
B-cell lymphomas exhibit a vast variety of clinical and histological characteristics that might complicate the diagnosis. Timely diagnosis is crucial, as treatments for aggressive subtypes are considered successful and frequently curative, whereas indolent B-cell lymphomas are incurable and often need several therapies. The purpose of this review is to explore the current advancements achieved in B-cell lymphomas metabolism and how these indicators help to early detect metabolic changes in B-cell lymphomas and the use of predictive biological markers in refractory or relapsed disease. Since the year 1920, the Warburg effect has been known as an integral part of metabolic reprogramming. Compared to normal cells, cancerous cells require more glucose. These cancer cells undergo aerobic glycolysis instead of oxidative phosphorylation to metabolize glucose and form lactate as an end product. With the help of these metabolic alterations, a novel biomass is generated by the formation of various precursors. An aggressive metabolic phenotype is an aerobic glycolysis that has the advantage of producing high-rate ATP and preparing the biomass for the amino acid, as well as fatty acid, synthesis needed for a rapid proliferation of cells, while aerobic glycolysis is commonly thought to be the dominant metabolism in cancer cells. Later on, many metabolic biomarkers, such as increased levels of lactate dehydrogenase (LDH), plasma lactate, and deficiency of thiamine in B-cell lymphoma patients, were discovered. Various kinds of molecules can be used as biomarkers, such as genes, proteins, or hormones, because they all refer to body health. Here, we focus only on significant metabolic biomarkers in B-cell lymphomas. In conclusion, many metabolic biomarkers have been shown to have clinical validity, but many others have not been subjected to extensive testing to demonstrate their clinical usefulness in B-cell lymphoma. Furthermore, they play an essential role in the discovery of new therapeutic targets.
B细胞淋巴瘤表现出各种各样的临床和组织学特征,这可能会使诊断变得复杂。及时诊断至关重要,因为侵袭性亚型的治疗被认为是成功的,且常常可以治愈,而惰性B细胞淋巴瘤则无法治愈,通常需要多种治疗方法。本综述的目的是探讨B细胞淋巴瘤代谢方面的当前进展,以及这些指标如何有助于早期检测B细胞淋巴瘤的代谢变化,以及预测性生物标志物在难治性或复发性疾病中的应用。自1920年以来,瓦伯格效应一直被认为是代谢重编程的一个组成部分。与正常细胞相比,癌细胞需要更多的葡萄糖。这些癌细胞通过有氧糖酵解而非氧化磷酸化来代谢葡萄糖,并形成乳酸作为终产物。借助这些代谢改变,通过形成各种前体产生了一种新的生物质。侵袭性代谢表型是有氧糖酵解,其优势在于能产生高速率的ATP,并为细胞快速增殖所需的氨基酸和脂肪酸合成准备生物质,而有氧糖酵解通常被认为是癌细胞中的主要代谢方式。后来,人们发现了许多代谢生物标志物,如B细胞淋巴瘤患者中乳酸脱氢酶(LDH)水平升高、血浆乳酸水平升高以及硫胺素缺乏。各种分子都可以用作生物标志物,如基因、蛋白质或激素,因为它们都与身体健康有关。在这里,我们仅关注B细胞淋巴瘤中重要的代谢生物标志物。总之,许多代谢生物标志物已被证明具有临床有效性,但许多其他标志物尚未经过广泛测试以证明其在B细胞淋巴瘤中的临床实用性。此外,它们在发现新的治疗靶点方面发挥着重要作用。