high met gene copy number predicted poorprognosis in primary intestinal diffuse large b-celllymphoma高了基因拷贝数预测poorprognosis原发性肠道扩散大b-celllymphoma.pdfVIP
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high met gene copy number predicted poorprognosis in primary intestinal diffuse large b-celllymphoma高了基因拷贝数预测poorprognosis原发性肠道扩散大b-celllymphoma
Huang and Chuang Diagnostic Pathology 2013, 8:16
/content/8/1/16
RESEARCH Open Access
High MET gene copy number predicted poor
prognosis in primary intestinal diffuse large B-cell
lymphoma
Wan-Ting Huang1 and Shih-Sung Chuang2*
Abstract
Background: MET is a proto-oncogene with its copy number (CN) alterations been reported in some cancers, but
not in primary intestinal diffuse large B-cell lymphoma (PI-DLBL) yet.
Methods: In this retrospective study, we performed histology and chart reviews, immunohistochemistry and
quantitative polymerase chain reaction for MET CN alterations on 28 surgically resected PI-DLBLs.
Results: There were 12 men and 16 women with a median age of 70 and a mean follow-up of 32 months. The
median MET CN was 2.20 (range, 1.04 to 3.35). CN gain was observed in 11 cases, including 5 with CN greater than
3. Nine patients (32%) had diploid CN and eight (29%) with CN loss. Patients with gain or diploid CN showed
significantly worse prognosis (P = 0.046) than those with CN loss. Furthermore, MET CN greater than 3 was
associated with an adverse outcome (P = 0.003). Intestinal perforation at presentation was the sole
clinicopathological factor associated with a poor prognosis (P = 0.004) and perforation was correlated with CN
greater than 3 (P = 0.002).
Conclusions: Our finding of MET CN gain as a poor prognostic factor in PI-DLBL patients might serve as the
rationale for targeting MET signaling pathway in the treatment of these patients.
Keywords: Copy number, Diffuse large B-cell lymphoma, Intestine, MET, Primary intestinal diffuse large B-cell
lymphoma, Taiwan
Background tumorigenesis and invasion/metastasis by the following
Copy number alterations (CNAs) of genes are indica- cellular behaviors
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