Incorporation of Digital Gene Expression Profiling for Cell-of-Origin Determination (Lymph2Cx Testing) into the Routine Work-Up of Diffuse Large B-Cell Lymphoma.

Incorporation of Digital Gene Expression Profiling for Cell-of-Origin Determination (Lymph2Cx Testing) into the Routine Work-Up of Diffuse Large B-Cell Lymphoma.
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DOI:
10.1007/s12308-019-00344-0
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发表时间:
2019-03
影响因子:
0.6
通讯作者:
Rimsza LM
Rimsza LM
中科院分区:
医学4区
文献类型:
--
作者:
Robetorye RS;Ramsower CA;Rosenthal AC;Yip TK;Wendel Spiczka AJ;Glinsmann-Gibson BJ;Rimsza LM

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弥漫性大B细胞淋巴瘤(DLBCL)代表了一组临床异质性淋巴瘤,根据形态学和免疫表型的相似性将其分类在一起。基因表达谱进一步基于细胞来源(COO)将DLBCL分类为不同的分子亚组,包括Germination Center B细胞型、活化B细胞型和未分类型。DLBCL的COO分配具有重要的生物学和预后意义,以及新兴的治疗意义。在本文中,我们描述了数字基因表达谱测定(Lymph 2Cx)的首次临床验证,以使用福尔马林固定石蜡包埋(FFPE)组织切片在DLBCL的常规检查中进行COO分配,并描述了由美国病理学家学会/临床实验室改进修正案(CAP/CLIA)认证的临床分子诊断实验室前瞻性分析的90例连续DLBCL病例的结果。
Diffuse large B-cell lymphomas (DLBCL) represent a clinically heterogeneous group of lymphomas that are classified together based on similarities in morphology and immunophenotype. Gene expression profiling further classifies DLBCL into distinct molecular subgroups based on cell-of-origin (COO), including Germinal Center B-cell type, Activated B-cell type, and Unclassified type. COO assignment of DLBCL has important biological and prognostic significance, as well as emerging therapeutic implications. Herein, we describe the first clinical validation of a digital gene expression profiling assay (Lymph2Cx) to perform COO assignment in the routine work-up of DLBCL using formalin-fixed paraffin-embedded (FFPE) tissue sections and describe the results of 90 consecutive DLBCL cases analyzed prospectively by a College of American Pathologists/Clinical Laboratory Improvement Amendments (CAP/CLIA)-certified clinical molecular diagnostics laboratory.
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