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Gene expression signatures delineate biological and prognostic subgroups in peripheral T-cell lymphoma.


ABSTRACT: Peripheral T-cell lymphoma (PTCL) encompasses a heterogeneous group of neoplasms with generally poor clinical outcome. Currently 50% of PTCL cases are not classifiable: PTCL-not otherwise specified (NOS). Gene-expression profiles on 372 PTCL cases were analyzed and robust molecular classifiers and oncogenic pathways that reflect the pathobiology of tumor cells and their microenvironment were identified for major PTCL-entities, including 114 angioimmunoblastic T-cell lymphoma (AITL), 31 anaplastic lymphoma kinase (ALK)-positive and 48 ALK-negative anaplastic large cell lymphoma, 14 adult T-cell leukemia/lymphoma and 44 extranodal NK/T-cell lymphoma that were further separated into NK-cell and gdT-cell lymphomas. Thirty-seven percent of morphologically diagnosed PTCL-NOS cases were reclassified into other specific subtypes by molecular signatures. Reexamination, immunohistochemistry, and IDH2 mutation analysis in reclassified cases supported the validity of the reclassification. Two major molecular subgroups can be identified in the remaining PTCL-NOS cases characterized by high expression of either GATA3 (33%; 40/121) or TBX21 (49%; 59/121). The GATA3 subgroup was significantly associated with poor overall survival (P = .01). High expression of cytotoxic gene-signature within the TBX21 subgroup also showed poor clinical outcome (P = .05). In AITL, high expression of several signatures associated with the tumor microenvironment was significantly associated with outcome. A combined prognostic score was predictive of survival in an independent cohort (P = .004).

SUBMITTER: Iqbal J 

PROVIDER: S-EPMC4014836 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature

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Gene expression signatures delineate biological and prognostic subgroups in peripheral T-cell lymphoma.

Iqbal Javeed J   Wright George G   Wang Chao C   Rosenwald Andreas A   Gascoyne Randy D RD   Weisenburger Dennis D DD   Greiner Timothy C TC   Smith Lynette L   Guo Shuangping S   Wilcox Ryan A RA   Teh Bin Tean BT   Lim Soon Thye ST   Tan Soon Yong SY   Rimsza Lisa M LM   Jaffe Elaine S ES   Campo Elias E   Martinez Antonio A   Delabie Jan J   Braziel Rita M RM   Cook James R JR   Tubbs Raymond R RR   Ott German G   Geissinger Eva E   Gaulard Philippe P   Piccaluga Pier Paolo PP   Pileri Stefano A SA   Au Wing Y WY   Nakamura Shigeo S   Seto Masao M   Berger Francoise F   de Leval Laurence L   Connors Joseph M JM   Armitage James J   Vose Julie J   Chan Wing C WC   Staudt Louis M LM  

Blood 20140314 19


Peripheral T-cell lymphoma (PTCL) encompasses a heterogeneous group of neoplasms with generally poor clinical outcome. Currently 50% of PTCL cases are not classifiable: PTCL-not otherwise specified (NOS). Gene-expression profiles on 372 PTCL cases were analyzed and robust molecular classifiers and oncogenic pathways that reflect the pathobiology of tumor cells and their microenvironment were identified for major PTCL-entities, including 114 angioimmunoblastic T-cell lymphoma (AITL), 31 anaplasti  ...[more]

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