DNMT1 is predictive of survival and associated with Ki-67 expression in R-CHOP-treated diffuse large B-cell lymphomas

Research output: Contribution to journalJournal articleResearchpeer-review

  • Suet Kee Loo
  • Ewe Seng Ch'ng
  • Charles H Lawrie
  • María Arestin Muruzabal
  • Ayman Gaafar
  • María Puente Pomposo
  • Azlan Husin
  • Md Salzihan Md Salleh
  • Alison H Banham
  • Pedersen, Lars Møller
  • Michael B Møller
  • Tina M Green
  • Kah Keng Wong

DNMT1 is a target of approved anti-cancer drugs including decitabine. However, the prognostic value of DNMT1 protein expression in R-CHOP-treated diffuse large B-cell lymphomas (DLBCLs) remains unexplored. Here we showed that DNMT1 was expressed in the majority of DLBCL cases (n = 209/230, 90.9%) with higher expression in germinal centre B-cell-like (GCB)-DLBCL subtype. Low and negative DNMT1 expression (20% cut-off, n = 33/230, 14.3%) was predictive of worse overall survival (OS; p < 0.001) and progression-free survival (PFS; p < 0.001). Nonetheless, of the 209 DNMT1 positive patients, 33% and 42% did not achieve 5-year OS and PFS, respectively, indicating that DNMT1 positive patients showed considerably heterogeneous outcomes. Moreover, DNMT1 was frequently expressed in mitotic cells and significantly correlated with Ki-67 or BCL6 expression (r = 0.60 or 0.44, respectively; p < 0.001). We demonstrate that DNMT1 is predictive of DLBCL patients' survival, and suggest that DNMT1 could be a DLBCL therapeutic target due to its significant association with Ki-67.

Original languageEnglish
JournalPathology
Volume49
Issue number7
Pages (from-to)731-739
ISSN0031-3025
DOIs
Publication statusPublished - 2017

    Research areas

  • Adult, Aged, Aged, 80 and over, Antibodies, Monoclonal, Murine-Derived, Antineoplastic Combined Chemotherapy Protocols, B-Lymphocytes/pathology, Biomarkers, Tumor/metabolism, Cyclophosphamide, DNA (Cytosine-5-)-Methyltransferase 1/metabolism, Disease-Free Survival, Doxorubicin, Female, Germinal Center/pathology, Humans, Ki-67 Antigen/metabolism, Lymphoma, Large B-Cell, Diffuse/diagnosis, Male, Middle Aged, Prednisone, Prognosis, Vincristine, Young Adult

ID: 197002467