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Genomic Associations in DLBCL

Searching for loci associated with survival

Associations between loci at 5q23.2 and 6q21 with event-free survival (EFS) and overall survival (OS) in patients with diffuse large B-cell lymphoma (DLBCL) treated with immunochemotherapy, suggest a novel biology and the potential contribution of host genetics to the prognosis of this aggressive malignancy. This according to meta-analysis of 4 separate studies comprising 1,537 patients with DLBCL treated with immunochemotherapy. Researchers found:

• The top loci for EFS were marked by rs7712513 at 5q23.2 and rs7765004 at 6q21, although they did not reach conventional genome-wide significance.

• Both rs7712513 and rs7765004 were also associated with OS.

• In exploratory analysis, a two-single nucleotide polymorphism risk score was highly predictive of EFS and was independent of treatment, International Prognostic Index, and cell-of-origin classification.

Citation: Ghesquieres H, Slager SL, Jardin F, et al. Genome-wide association study of event-free survival in diffuse large B-cell lymphoma treated with immunochemotherapy. [Published online ahead of print October 12, 2015]. Clin Oncol. doi: 10.1200/JCO.2014.60.2573.