Abstract

Diffuse large B-cell lymphoma—not otherwise specified (DLBCL-NOS) is a large and heterogeneous subgroup of non-Hodgkin lymphoma. DLBCL can be subdivided into germinal centre B-cell like (GCB) and activated B-cell like (ABC or non-GCB) using a gene-expression based or an immunohistochemical approach. In this study we aimed to identify additional proteins that are differentially expressed between GCB and non-GCB DLBCL. A reference super-SILAC mix, including proteins of eight B-cell lymphoma cell lines, was mixed with proteins isolated from seven non-GCB DLBCL and five GCB DLBCL patient tissue samples to quantify protein levels. Protein identification and quantification was performed by LC-MS. We identified a total of 4289 proteins, with a four-fold significant difference in expression between non-GCB and GCB DLBCL for 37 proteins. Four proteins were selected for validation in the same cases and replication in an independent cohort of 47 DLBCL patients by immunohistochemistry. In the validation cohort, we observed a non-significant trend towards the same differential expression pattern as observed in the proteomics. The replication study showed significant and consistent differences for two of the proteins: expression of glomulin (GLMN) was higher in GCB DLBCL, while expression of ribosomal protein L23 (RPL23) was higher in non-GCB DLBCL. These proteins are functionally linked to important pathways involving MYC, p53 and angiogenesis. In summary, we showed increased expression of RPL23 and decreased expression of GLMN in non-GCB compared to GCB DLBCL on purified primary DLBCL patient samples and replicated these results in an independent patient cohort.

Highlights

  • Using super-SILAC on membrane and cytoplasmic proteins of purified tumour cells isolated from primary viable cell suspensions we uncovered several proteins that were significantly differentially expressed between germinal centre B-cell like (GCB) and non-GCB DLBCL

  • Our analysis showed some differential expression of MUM1/IRF4, which is localized within the nucleus and cytoplasm, with slightly higher levels in non-GCB DLBCL

  • Comparison to the individual markers used for the Hans algorithm revealed a trend towards more positive ribosomal protein L23 (RPL23) and Armadillo repeat-containing protein 6 (ARMC6) positive cases in the CD10-negative cases, which confirms the importance of this marker in the Hans and Visco algorithms

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Summary

Objectives

In this study we aimed to identify additional proteins that are differentially expressed between GCB and non-GCB DLBCL

Methods
Results
Conclusion
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