Department of Hematology and Oncology, China‑Japan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China.
Oncol Rep. 2024 Jun;51(6). doi: 10.3892/or.2024.8746. Epub 2024 May 17.
Diffuse large B‑cell lymphoma (DLBCL) is the most common pathological type of non‑Hodgkin's lymphoma. Although the development of monoclonal antibodies, small‑molecule‑targeted drugs and novel chemotherapeutic agents, and the increased use of immunotherapy have markedly improved the outcomes of DLBCL, ~40% of patients cannot be cured following the use of standardized first‑line treatment. In addition, the specific mechanisms of drug resistance and potential factors associated with a poor prognosis in these patients remain unclear. Proteomics research is used to determine potential associations between changes in DLBCL protein expression levels and different stages of disease occurrence and development. Proteomics may aid in the identification of novel molecular mechanisms and drug resistance mechanisms, through identifying multiple associated proteins and monitoring changes in expression levels. Thus, proteomics research may exhibit potential in the development of therapeutic targets and in improving prognostic evaluation in patients with DLBCL. The present study aimed to review the use of proteomic methods for the investigation of DLBCL, including the mechanisms underlying disease progression and drug resistance in DLBCL, and the function of the tumor microenvironment in lymphoma growth. The present review also demonstrated the potential of proteomic‑guided therapeutic strategies for DLBCL and discussed the synergistic benefits of using proteomic methods in DLBCL research.
弥漫性大 B 细胞淋巴瘤(DLBCL)是非霍奇金淋巴瘤中最常见的病理类型。尽管单克隆抗体、小分子靶向药物和新型化疗药物的发展以及免疫疗法的应用增加显著改善了 DLBCL 的预后,但约 40%的患者在接受标准化一线治疗后无法治愈。此外,这些患者耐药的具体机制和潜在预后不良因素仍不清楚。蛋白质组学研究用于确定 DLBCL 蛋白表达水平变化与疾病发生发展的不同阶段之间的潜在关联。蛋白质组学可以通过识别多种相关蛋白并监测表达水平的变化,来帮助鉴定新的分子机制和耐药机制。因此,蛋白质组学研究在开发治疗靶点和改善 DLBCL 患者的预后评估方面具有潜在的应用价值。本研究旨在综述蛋白质组学方法在 DLBCL 研究中的应用,包括 DLBCL 疾病进展和耐药的机制,以及肿瘤微环境在淋巴瘤生长中的作用。本综述还展示了蛋白质组学指导的治疗策略在 DLBCL 中的应用潜力,并讨论了蛋白质组学方法在 DLBCL 研究中的协同应用的益处。