CYB5R2在弥漫大B细胞淋巴瘤中的表达及其临床意义
作者:
作者单位:

1.南京医科大学第一附属医院病理科 ;2.肿瘤科,江苏 南京 210029

作者简介:

通讯作者:

中图分类号:

R733.1

基金项目:

江苏省医学重点学科和医学重点实验室建设(JSDW202248)


Expression and clinical significance of CYB5R2 in diffuse large B⁃cell lymphoma
Author:
Affiliation:

1.Department of Pathology ;2.Department of Oncology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 ,China

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨细胞色素B5还原酶2(NADH-cytochrome B5 reductase 2,CYB5R2)在弥漫大 B 细胞淋巴瘤(diffuse large B- cell lymphoma,DLBCL)中的表达特征及其对临床预后的指示价值,为DLBCL分子分型及个体化治疗提供新依据。方法:本研究采用生物信息学分析与临床验证相结合的策略。首先于 TCGA 数据库获取 DLBCL 相关的差异表达基因数据集,应用 DAVID 6.8平台进行GO功能富集分析筛选关键基因CYB5R2。基于TCGA和GTEx数据库整合分析CYB5R2在DLBCL组织与正常淋巴组织中的表达差异。基于免疫组化判读分析CYB5R2蛋白在DLBCL和小B细胞淋巴瘤中的表达差异。进一步通过回顾性队列研究,纳入南京医科大学第一附属医院2015年1月—2019年12月经病理确诊且随访资料完整的59例DLBCL患者,采用组织化学染色检测肿瘤组织中 CYB5R2 蛋白表达水平,结合临床病理特征[包括 Ann Arbor 分期、细胞起源(cell of origin,COO)分型、乳酸脱氢酶(lactate dehydrogenase,LDH)水平、CD10表达状态等]及治疗反应[完全缓解(complete response, CR)率]进行相关性分析。采用 Kaplan-Meier 法绘制生存曲线,Log-rank 检验比较生存差异。结果:生物信息学分析显示, CYB5R2在DLBCL组织中显著高表达(P < 0.05)。临床队列验证发现CYB5R2在LDH升高病例中的阳性表达高于LDH正常病例(χ2 =4.832,P=0.028);在Non-GCB亚型病例的阳性表达高于GCB亚型病例(χ2 =4.468,P=0.035);在CD10阳性病例中的阳性表达高于CD10阴性病例(χ2 =4.468,P=0.035)。生存分析表明,CYB5R2高表达患者的5年总生存期(overall survival,OS)显著低于 CYB5R2 零或低表达患者(χ2 =4.799,P=0.028);高表达患者的 CR 率显著低于 CYB5R2 零或低表达患者(χ2 =4.015,P= 0.045)。结论:CYB5R2在DLBCL中呈现特征性高表达模式,其过表达与Non-GCB亚型、LDH升高等不良预后因素显著相关, 提示其可为完善DLBCL的分子分型体系及开发靶向代谢治疗策略提供新的理论依据。

    Abstract:

    Objective:To investigate the expression characteristics of cytochrome B5 reductase 2(NADH-cytochrome B5 reductase 2,CYB5R2)in diffuse large B -cell lymphoma(DLBCL)and its prognostic value,providing new insights for molecular classification and individualized treatment of DLBCL. Methods:This study employed a combined strategy of bioinformatics analysis and clinical validation. First,differentially expressed gene datasets of DLBCL were obtained from the TCGA database,and the DAVID 6.8 platform was used for GO functional enrichment analysis to identify key genes,such as CYB5R2. The differences in expression of CYB5R2 between DLBCL tissues and normal lymphatic tissues were analyzed based on integrated data from the TCGA and GTEx databases. Additionally,a retrospective cohort study was conducted,including 59 DLBCL patients diagnosed pathologically with complete followup data from Jan. 2015 to Dec. 2019 in the First Affiliated Hospital of Nanjing Medical University. Immunohistochemical staining was used to detect CYB5R2 protein expression levels in tumor tissues,and their correlations with clinicopathological features[including Ann Arbor staging,cell of origin(COO)classification,lactate dehydrogenase(LDH)levels,CD10 expression status,etc.]and treatment response[complete response(CR)rate]were analyzed. Kaplan-Meier survival curves were plotted,and survival differences were compared using the Log - rank test. Results:Bioinformatics analysis revealed that CYB5R2 was significantly overexpressed in DLBCL tissues(P <0.05). Clinical cohort validation showed that CYB5R2 expression was higher in cases with elevated LDH levels than those with normal LDH levels(χ2 =4.832,P=0.028). The positive expression rate of CYB5R2 was higher in Non -GCB subtype cases than in GCB subtype cases(χ2 =4.468,P=0.035)and higher in CD10-positive cases than in CD10-negative cases(χ2 =4.468,P= 0.035). Survival analysis demonstrated that the 5 - year overall survival(OS)rate of patients with high CYB5R2 expression was significantly lower than that of patients with zero or low CYB5R2 expression(χ2 =4.799,P=0.028). The CR rate in patients with high CYB5R2 expression was significantly lower than that in patients with zero or low CYB5R2 expression(χ2 =4.015,P=0.045). Conclusion:CYB5R2 exhibits a characteristic overexpression pattern in DLBCL,and its overexpression is significantly correlated with adverse prognostic factors such as the Non-GCB subtype and elevated LDH levels. This study provides important theoretical evidence for refining the molecular classification system of DLBCL and developing targeted metabolic therapy strategies.

    参考文献
    相似文献
    引证文献
引用本文

孙书凝,龚予希,杨野梵,甘芠源,陈刚,肖菁娇,张诗婷,张智弘. CYB5R2在弥漫大B细胞淋巴瘤中的表达及其临床意义[J].南京医科大学学报(自然科学版),2025,(5):644-651

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2024-11-29
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-05-18
  • 出版日期:
关闭