Low HIP1R mRNA and protein expression are associated with worse survival in diffuse large B-cell lymphoma patients treated with R-CHOP
pmid: 26341140
Low HIP1R mRNA and protein expression are associated with worse survival in diffuse large B-cell lymphoma patients treated with R-CHOP
Huntingtin-interacting protein 1-related (HIP1R) is an endocytic protein involved in receptor trafficking, including regulating cell surface expression of receptor tyrosine kinases. We have previously shown that low HIP1R protein expression was associated with poorer survival in diffuse large B-cell lymphoma (DLBCL) patients from Denmark treated with R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone). In this multicenter study, we extend these findings and validate the prognostic and subtyping utility of HIP1R expression at both transcript and protein level. Using data mining on three independent transcriptomic datasets of DLBCL, HIP1R transcript was preferentially expressed in germinal center B-cell (GCB)-like DLBCL subtype (P<0.01 in all three datasets), and lower expression was correlated with worse overall survival (OS; P<0.01) and progression-free survival (PFS; P<0.05) in a microarray-profiled DLBCL dataset. At the protein level examined by immunohistochemistry, HIP1R expression at 30% cut-off was associated with GCB-DLBCL molecular subtype (P=0.0004; n=42), and predictive of OS (P=0.0006) and PFS (P=0.0230) in de novo DLBCL patients treated with R-CHOP (n=73). Cases with high FOXP1 and low HIP1R expression frequency (FOXP1(hi)/HIP1R(lo) phenotype) exhibited poorer OS (P=0.0038) and PFS (P=0.0134). Multivariate analysis showed that HIP1R<30% or FOXP1(hi)/HIP1R(lo) subgroup of patients exhibited inferior OS and PFS (P<0.05) independently of the International Prognostic Index. We conclude that HIP1R expression is strongly indicative of survival when utilized on its own or in combination with FOXP1, and the molecule is potentially applicable for subtyping of DLBCL cases.
- Northamptonshire Healthcare NHS Foundation Trust United Kingdom
- Universiti Sains Malaysia Malaysia
- Oxford University Hospitals NHS Trust United Kingdom
- University of Southern Denmark Denmark
- Roskilde Sygehus Denmark
Male, Diffuse/drug therapy, Survival, Lymphoma, Kaplan-Meier Estimate, Subtyping, Antibodies, Monoclonal, Murine-Derived, Monoclonal, Vesicular Transport Proteins/analysis, Antineoplastic Combined Chemotherapy Protocols, 80 and over, Aged, 80 and over, RNA, Messenger/analysis, Microfilament Proteins, Diffuse large B-cell lymphoma, Middle Aged, Prognosis, Immunohistochemistry, Messenger/analysis, Lymphoma, Large B-Cell, Diffuse/drug therapy, Diffuse large B-cell lymphoma HIP1R Survival Subtyping GENE-EXPRESSION MOLECULAR SUBTYPES TISSUE MICROARRAY OF-ORIGIN IMMUNOHISTOCHEMISTRY CLASSIFICATION LENALIDOMIDE RITUXIMAB IMMUNOCHEMOTHERAPY ENDOCYTOSIS, Vincristine, Area Under Curve, Female, Lymphoma, Large B-Cell, Diffuse, Rituximab, HIP1R, Murine-Derived, Adult, Sensitivity and Specificity, Antibodies, Disease-Free Survival, Biomarkers, Tumor/analysis, Young Adult, Large B-Cell, Biomarkers, Tumor, Humans, Tumor/analysis, Cyclophosphamide, Adaptor Proteins, Signal Transducing, Aged, ROC Curve, Tissue Array Analysis, Doxorubicin, RNA, Prednisone, Biomarkers
Male, Diffuse/drug therapy, Survival, Lymphoma, Kaplan-Meier Estimate, Subtyping, Antibodies, Monoclonal, Murine-Derived, Monoclonal, Vesicular Transport Proteins/analysis, Antineoplastic Combined Chemotherapy Protocols, 80 and over, Aged, 80 and over, RNA, Messenger/analysis, Microfilament Proteins, Diffuse large B-cell lymphoma, Middle Aged, Prognosis, Immunohistochemistry, Messenger/analysis, Lymphoma, Large B-Cell, Diffuse/drug therapy, Diffuse large B-cell lymphoma HIP1R Survival Subtyping GENE-EXPRESSION MOLECULAR SUBTYPES TISSUE MICROARRAY OF-ORIGIN IMMUNOHISTOCHEMISTRY CLASSIFICATION LENALIDOMIDE RITUXIMAB IMMUNOCHEMOTHERAPY ENDOCYTOSIS, Vincristine, Area Under Curve, Female, Lymphoma, Large B-Cell, Diffuse, Rituximab, HIP1R, Murine-Derived, Adult, Sensitivity and Specificity, Antibodies, Disease-Free Survival, Biomarkers, Tumor/analysis, Young Adult, Large B-Cell, Biomarkers, Tumor, Humans, Tumor/analysis, Cyclophosphamide, Adaptor Proteins, Signal Transducing, Aged, ROC Curve, Tissue Array Analysis, Doxorubicin, RNA, Prednisone, Biomarkers
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