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論文
タイトル
タイトル(英)
Genetic prognostic markers in LymphGen-unclassifiable diffuse large B cell lymphoma.
参照URL
https://researchmap.jp/obokikeisuke/published_papers/51475770
著者
著者(英)
Yusuke Kanemasa,Daichi Sadato,Maya Isogai,Mina Ogawa,Chizuko Hirama,Hideya Kawaji,Tatsuro Yamaguchi,Yuka Harada,Tsunekazu Hishima,Keisuke Oboki,Tatsu Shimoyama
担当区分
責任著者
概要
概要(英)
Diffuse large B cell lymphoma (DLBCL), the most common subtype of non-Hodgkin lymphoma, has variable treatment responses and distinct molecular subtypes. Despite therapeutic advances, a significant number of patients experience treatment failure or relapse. Recent genetic subtyping methods, such as the LymphGen algorithm, classify DLBCL into molecular subtypes. However, a subset of cases remains categorized as "LymphGen-unclassifiable" ("Other" group in the LymphGen classification). These cases lack distinctive genetic features and present challenges for risk assessment. In this study, we aimed to identify prognostic genetic markers specific to LymphGen-unclassifiable DLBCL. Using a discovery cohort from the National Cancer Institute, we identified genetic alterations in CDKN2A and PIM1 that were significantly associated with overall survival in this patient group. We then validated the model in a separate cohort from Komagome Hospital in Tokyo. Our model, combined with the International Prognostic Index (IPI), identified high-risk LymphGen-unclassifiable DLBCL patients within the high-risk IPI group, showing a 2-year overall survival rate of 38% versus 72%. This approach could support the development of more targeted therapies by improving prognostic accuracy and advancing understanding of LymphGen-unclassifiable DLBCL.
出版者・発行元
出版者・発行元(英)
誌名
誌名(英)
International journal of hematology
開始ページ
終了ページ
出版年月
2025年9月12日
査読の有無
査読有り
招待の有無
掲載種別
研究論文(学術雑誌)
ISSN
DOI URL
https://doi.org/10.1007/s12185-025-04065-2
共同研究・競争的資金等の研究課題
研究者
川路 英哉 ( ) , 大保木 啓介 (オオボキ ケイスケ)