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儿童与成人之间增殖和免疫反应基因的差异表达影响弥漫性大B细胞淋巴瘤的生存率。

Differential expression of proliferation and immune response genes between children and adults influences survival of diffuse large B cell lymphoma.

作者信息

Mangiaterra Tamara, Alonso-Alonso Ruth, Rabinovich Andrés, Herman David, De Dios Soler Marcela, Galluzzo Laura, Soria Marcela, Colli Sandra, De Matteo Elena, Rodriguez Pinilla Socorro María, Chabay Paola

机构信息

Multidisciplinary Institute for Investigation in Pediatric Pathologies (IMIPP), CONICET-GCBA, Molecular Biology Laboratory, Pathology Division, Ricardo Gutierrez Children's Hospital, Gallo 1330, C1425EFD, Buenos Aires, Argentina.

Pathology Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

出版信息

Sci Rep. 2025 Jun 3;15(1):19391. doi: 10.1038/s41598-025-04349-x.

Abstract

Diffuse large B-cell lymphoma (DLBCL) is a neoplasm affecting adults and children, with different clinical behaviors between age groups. To shed light on those differences, gene expression profiling was evaluated in 48 formalin-fixed paraffin-embedded biopsies of patients with DLBCL. Sixteen differentially expressed genes in pediatric DLBCL compared to adults were demonstrated, involving lymphocyte differentiation, oncogenic signaling and chemotaxis. Pathway analysis confirmed the enrichment in proliferation-related pathways. In addition, the increased presence of NKCD56dim cells in pediatric patients suggests a cytotoxic immune response in this group, perhaps explaining their better outcome. Exclusion of Epstein Barr virus (EBV) + DLBCL, NOS, showed, in pediatric cases, additional downregulated genes associated with immune regulators and checkpoint genes. This suggested EBV infection may have on the modulation of immune response in pediatric lymphomas. Survival analysis showed associations between genes such as MYC, NT5E and CD34, and event-free survival in pediatric patients. Furthermore, higher expression of MYC in children displayed higher risk of death or relapse, while lower expression of NT5E and CD34 was associated with lower risk. This study identifies distinct immune response and proliferation gene expression patterns in pediatric DLBCL compared to adults, and the interaction with tumor microenvironment, with potential implications for disease pathogenesis.

摘要

弥漫性大B细胞淋巴瘤(DLBCL)是一种影响成人和儿童的肿瘤,不同年龄组之间具有不同的临床行为。为了阐明这些差异,对48例DLBCL患者的福尔马林固定石蜡包埋活检组织进行了基因表达谱分析。结果显示,与成人相比,儿童DLBCL中有16个差异表达基因,涉及淋巴细胞分化、致癌信号传导和趋化作用。通路分析证实了增殖相关通路的富集。此外,儿童患者中NKCD56dim细胞的增加表明该组存在细胞毒性免疫反应,这可能解释了他们较好的预后。排除EBV阳性的DLBCL(NOS)后,在儿童病例中发现了与免疫调节因子和检查点基因相关的其他下调基因。这表明EBV感染可能对儿童淋巴瘤的免疫反应调节产生影响。生存分析显示,MYC、NT5E和CD34等基因与儿童患者的无事件生存期之间存在关联。此外,儿童中MYC的高表达显示出更高的死亡或复发风险,而NT5E和CD34的低表达与较低风险相关。本研究确定了儿童DLBCL与成人相比独特的免疫反应和增殖基因表达模式,以及与肿瘤微环境的相互作用,对疾病发病机制具有潜在影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca16/12134336/349b88965877/41598_2025_4349_Fig1_HTML.jpg

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