Molecular subtyping in diffuse large B-cell lymphoma (DLBCL) leads to facilitating drug selection. However, an integrated prognostic model based on molecular subtyping and clinical features has not been well established. Here, we retrospectively performed whole genome sequencing, whole exome sequencing, and fluorescence in situ hybridization in newly diagnosed DLBCLs, established a simplified LymphType algorithm for classification evaluation, and proposed a new integrated prognostic stratification system, combined molecular subtypes and International Prognostic Index (IPI) scoring system in our in-house sequencing cohort (N = 100), and validated in three public cohorts (N = 1480). Compared with IPI scoring system and classification algorithm model alone, the discrimination ability of prognostic model based on the new integrated model showed best discrimination of overall survival with concordance index value (0.773 vs. 0.724 vs. 0.648). We subsequently established a four-category risk model defined for the integrated prognostic model as follows: low, low-intermediate, high-intermediate, and high risk, demonstrating stronger prognostic separation across all end points (all p < 0.001) in our in-house cohort and three validation cohorts. Collectively, the new feasible integrated prognostic stratification system contributes to accurate prognosis assessment in clinical routine and provides a new basis for the follow-up treatment.
基金:
National Key Research and Development
Program of China (No. 2023YFF0613403); the Capital’s Funds for Health
Improvement and Research (Nos. 2022-1-2152, 2022-4-2156, and 2024-1-
2151); National Natural Science Foundation of China (Nos. 82070205,
81972807, 81670187, 32300655, and 82300214); Beijing Natural Science
Foundation (Nos. L244063 and L244025); Cultivation Plan in Haidian
District (No. HP2022-19-503004); Beijing Hospital Authority Cultivation
Plan (No. PX2022046); Beijing Municipal Administration of Hospitals
Incubating Program (No. PX2024038); Beijing Xisike Clinical Oncology
Research Foundation (Nos. Y-HS202202-0104 and Y-Young2023-0286),
and Beijing Vlove Charity Foundation (No. JYKY2024-0100510028).
第一作者机构:[1]Peking Univ, Canc Hosp & Inst, Dept Lymphoma, Key Lab Carcinogenesis & Translat Res,Minist Educ, Beijing, Peoples R China
共同第一作者:
通讯作者:
推荐引用方式(GB/T 7714):
Mi Lan,Deng Jili,Qin Jiayue,et al.Genetic Subtype-Based International Prognostic Index Prognostic Model in Diffuse Large B-Cell Lymphoma[J].MEDCOMM.2025,6(7):doi:10.1002/mco2.70190.
APA:
Mi, Lan,Deng, Jili,Qin, Jiayue,Zhang, Chen,Liu, Lixia...&Liu, Weiping.(2025).Genetic Subtype-Based International Prognostic Index Prognostic Model in Diffuse Large B-Cell Lymphoma.MEDCOMM,6,(7)
MLA:
Mi, Lan,et al."Genetic Subtype-Based International Prognostic Index Prognostic Model in Diffuse Large B-Cell Lymphoma".MEDCOMM 6..7(2025)