Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma
Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin's lymphoma. Improvements in overall survival have been observed with the introduction of rituximab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP), however, prognostic markers ar...
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2014
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Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259438/ |
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pubmed-42594382014-12-10 Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma Kristensen, Lasse Sommer Asmar, Fazila Dimopoulos, Konstantinos Nygaard, Mette Kathrine Aslan, Derya Hansen, Jakob Werner Ralfkiaer, Elisabeth Grønbæk, Kirsten Research Paper Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin's lymphoma. Improvements in overall survival have been observed with the introduction of rituximab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP), however, prognostic markers are still needed. Methylation of the death associated protein kinase (DAPK or DAPK1) gene and TP53 mutations are likely to have prognostic value in DLBCL. We have assessed TP53 mutations and allelic DAPK1 methylation patterns in a cohort of 119 DLBCL patients uniformly treated with R-CHOP-like regimens. We found that DAPK1 promoter methylation was associated with shorter overall survival (p=0.017) and disease-specific survival (p=0.023). In multivariate analyses DAPK1 methylation remained as an independent prognostic factor predicting disease-specific survival (p=0.038). When only considering individuals heterozygous for the rs13300553 SNP monoallelic methylation of the A-allele was associated with shorter overall- and disease-specific survival (p<0.001). Patients carrying both DAPK1 methylation and a TP53 mutation had an inferior survival compared to patients carrying only one of these molecular alterations, however, this was borderline statistically significant. Allele-specific DAPK1 methylation patterns were also studied in a cohort of 67 multiple myeloma patients, and all of the methylated multiple myeloma samples heterozygous for the rs13300553 SNP were methylated on both alleles. Impact Journals LLC 2014-11-03 /pmc/articles/PMC4259438/ /pubmed/25229255 Text en Copyright: © 2014 Kristensen et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Kristensen, Lasse Sommer Asmar, Fazila Dimopoulos, Konstantinos Nygaard, Mette Kathrine Aslan, Derya Hansen, Jakob Werner Ralfkiaer, Elisabeth Grønbæk, Kirsten |
spellingShingle |
Kristensen, Lasse Sommer Asmar, Fazila Dimopoulos, Konstantinos Nygaard, Mette Kathrine Aslan, Derya Hansen, Jakob Werner Ralfkiaer, Elisabeth Grønbæk, Kirsten Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma |
author_facet |
Kristensen, Lasse Sommer Asmar, Fazila Dimopoulos, Konstantinos Nygaard, Mette Kathrine Aslan, Derya Hansen, Jakob Werner Ralfkiaer, Elisabeth Grønbæk, Kirsten |
author_sort |
Kristensen, Lasse Sommer |
title |
Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma |
title_short |
Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma |
title_full |
Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma |
title_fullStr |
Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma |
title_full_unstemmed |
Hypermethylation of DAPK1 is an independent prognostic factor predicting survival in diffuse large B-cell lymphoma |
title_sort |
hypermethylation of dapk1 is an independent prognostic factor predicting survival in diffuse large b-cell lymphoma |
description |
Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin's lymphoma. Improvements in overall survival have been observed with the introduction of rituximab in combination with cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP), however, prognostic markers are still needed. Methylation of the death associated protein kinase (DAPK or DAPK1) gene and TP53 mutations are likely to have prognostic value in DLBCL. We have assessed TP53 mutations and allelic DAPK1 methylation patterns in a cohort of 119 DLBCL patients uniformly treated with R-CHOP-like regimens. We found that DAPK1 promoter methylation was associated with shorter overall survival (p=0.017) and disease-specific survival (p=0.023). In multivariate analyses DAPK1 methylation remained as an independent prognostic factor predicting disease-specific survival (p=0.038). When only considering individuals heterozygous for the rs13300553 SNP monoallelic methylation of the A-allele was associated with shorter overall- and disease-specific survival (p<0.001). Patients carrying both DAPK1 methylation and a TP53 mutation had an inferior survival compared to patients carrying only one of these molecular alterations, however, this was borderline statistically significant. Allele-specific DAPK1 methylation patterns were also studied in a cohort of 67 multiple myeloma patients, and all of the methylated multiple myeloma samples heterozygous for the rs13300553 SNP were methylated on both alleles. |
publisher |
Impact Journals LLC |
publishDate |
2014 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4259438/ |
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1613165233091641344 |