PMID- 34078046 OWN - NLM STAT- MEDLINE DCOM- 20210604 LR - 20220531 IS - 0529-5807 (Print) IS - 0529-5807 (Linking) VI - 50 IP - 6 DP - 2021 Jun 8 TI - [Genetic abnormality and protein expression of C-MYC and PD-L1 in ALK-negative anaplastic large cell lymphoma]. PG - 598-603 LID - 10.3760/cma.j.cn112151-20201223-00953 [doi] AB - Objective: To investigate the genetic abnormality and protein expression of C-MYC and PD-L1 in the patients with ALK-negative anaplastic large cell lymphoma (ALK(-)ALCL), and to explore their roles in the pathogenesis of ALK(-)ALCL and their relationship with clinicopathological characteristics. Methods: Thirty-seven cases of ALK(-)ALCL diagnosed at Fujian Provincial Hospital from January 2003 to January 2017 were selected. Fluorescence in situ hybridization (FISH) was used to detect the genetic abnormality of C-MYC and PD-L1. The expression of C-MYC and PD-L1 proteins was detected by immunohistochemistry. The relationship between C-MYC and PD-L1 genes' abnormalities and protein expression was analyzed, as well as their associations with various clinicopathological parameters. Results: Among the 37 ALK(-)ALCL patients, 17 (45.9%) were positive for C-MYC protein, and 14 (37.8%) were positive for PD-L1 protein. There was a significant correlation between C-MYC protein and PD-L1 protein (r=0.990,P=0.014). The protein expression of C-MYC and PD-L1 (versus negative) was associated with the clinical stage of ALK(-)ALCL, respectively. The international prognosis index (IPI) in high-risk group was higher than that in the low-risk group (P<0.05). FISH test showed that 9 (24.3%) of the 37 cases had amplification of C-MYC gene, and no translocation of C-MYC gene was found in any of the cases. Amplification of PD-L1 gene was found in only 2 cases (5.4%). The 3-year overall survival rate of the C-MYC or PD-L1 immunohistochemistry-positive cases was significantly lower than those of the C-MYC or PD-L1 negative cases (P<0.01 and P<0.05), respectively. Conclusion: The expression of C-MYC and PD-L1 proteins are related to the clinical stage, IPI and overall survival rate of ALK(-)ALCL. Thus, it can be used to assess the disease's aggressiveness and to predict the prognosis of ALK(-)ALCL. The expression of PD-L1 in ALK(-)ALCL may be regulated by C-MYC, thus suggesting a possible design of combined C-MYC targeted therapy and immune checkpoint blocking for some ALK(-)ALCL patients. FAU - Wang, C AU - Wang C AD - Department of Pathology, Fujian Provincial Hospital, Fujian Provincial; Clinical College of Fujian Medical University, Fuzhou 350001, China. FAU - Chen, X AU - Chen X AD - Department of Pathology, Fujian Provincial Hospital, Fujian Provincial; Clinical College of Fujian Medical University, Fuzhou 350001, China. FAU - Chen, X Y AU - Chen XY AD - Department of Pathology, Fujian Provincial Hospital, Fujian Provincial; Clinical College of Fujian Medical University, Fuzhou 350001, China. FAU - You, Z J AU - You ZJ AD - Department of Pathology, Fujian Provincial Hospital, Fujian Provincial; Clinical College of Fujian Medical University, Fuzhou 350001, China. LA - chi GR - 2017J01242/Health Joint Project of Fujian Provincial Natural Science Foundation (General program)/ PT - Journal Article PL - China TA - Zhonghua Bing Li Xue Za Zhi JT - Zhonghua bing li xue za zhi = Chinese journal of pathology JID - 0005331 RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Anaplastic Lymphoma Kinase/genetics MH - B7-H1 Antigen/genetics MH - Genes, myc MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Lymphoma, Large-Cell, Anaplastic/genetics MH - Proto-Oncogene Proteins c-myc MH - Receptor Protein-Tyrosine Kinases/genetics EDAT- 2021/06/04 06:00 MHDA- 2021/06/05 06:00 CRDT- 2021/06/03 04:47 PHST- 2021/06/03 04:47 [entrez] PHST- 2021/06/04 06:00 [pubmed] PHST- 2021/06/05 06:00 [medline] AID - 10.3760/cma.j.cn112151-20201223-00953 [doi] PST - ppublish SO - Zhonghua Bing Li Xue Za Zhi. 2021 Jun 8;50(6):598-603. doi: 10.3760/cma.j.cn112151-20201223-00953.