Expression of ribosomal and actin network proteins and immunochemotherapy resistance in diffuse large B cell lymphoma

Susanne Bram Ednersson1,2, Martin Stenson3,2, Mimmie Stern4,2

  • 1Department of Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Insights

Diffuse large B cell lymphoma (DLBCL) patients with refractory or relapsed disease show distinct protein expression profiles. Overexpressed ribosomal proteins in refractory/relapsed DLBCL suggest potential therapeutic targets for improving treatment outcomes.

Area of Science:

  • Oncology
  • Proteomics
  • Molecular Biology

Background:

  • Diffuse large B cell lymphoma (DLBCL) patients with early relapse or refractory disease have a poor prognosis.
  • Immunochemotherapy resistance is a major cause of treatment failure in DLBCL.
  • Understanding the molecular basis of resistance is crucial for developing new therapies.

Purpose of the Study:

  • To identify global protein expression differences between refractory/relapsed and cured DLBCL patients.
  • To uncover potential protein biomarkers associated with treatment resistance or sensitivity.
  • To explore novel mechanisms underlying immunochemotherapy resistance in DLBCL.

Main Methods:

  • Proteomic mass spectrometry was used to analyze formalin-fixed paraffin-embedded tumor tissues.
  • Global protein expression was compared between 44 refractory/relapsed (REF/REL) DLBCL patients and 53 cured (CURED) DLBCL patients.
  • Immunohistochemical staining was performed to validate key protein expression differences.

Main Results:

  • A total of 2127 proteins were identified, with 102 differentially expressed between groups.
  • Sixty-five proteins were overexpressed in REF/REL patients, including 46 ribosomal proteins (RPs).
  • Twenty of 37 overexpressed proteins in CURED patients were associated with actin regulation, contrasting with REF/REL patients.

Conclusions:

  • Overexpression of ribosomal proteins in refractory/relapsed DLBCL may indicate a mechanism of immunochemotherapy resistance.
  • Increased expression of actin-associated proteins in cured patients suggests a role in treatment sensitivity.
  • These findings highlight potential new therapeutic targets and biomarkers for DLBCL treatment resistance.

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