POD24-Based prognostic signature enables personalized risk stratification in mantle cell lymphoma
Mantle cell lymphoma (MCL) exhibits significant biological and clinical heterogeneity, necessitating a refined prognostic model. According to the drawbacks of existing models which do not truly define the complexity of the disease, we used the clinical and molecular data from nine medical centers of China to validate the predictive utility of progression of disease within 24 months (POD24), and also established a novel prognostic risk model to predict the survival outcome of MCL patients. POD24 occurred in 37.7% of evaluable patients, with the median over survival being 21 months (vs. 122 months for those without POD24, P < 0.0001). The POD24-based risk model had the highest sensitivity to predict survival with the most satisfying AUC value for risk score (AUC = 0.869). In conclusion, we confirm the obviously predictive performance of POD24 and established a novel risk model combined POD24 and clinical factors. Our new prognostic model might be helpful in effectively classify MCL patients with high-risk groups in terms of survival rate, which may help in selecting high-risk MCL patients for more intensive treatment at time of relapse.
Authors
- Huilai Zhang (ORCID: https://orcid.org/0000-0002-8558-3131)
- Dongfeng Zeng (ORCID: https://orcid.org/0000-0002-0460-7593)
- Dehui Zhou
- Tao Pan (ORCID: https://orcid.org/0000-0001-9369-7094)
- Yizi He
- Haige Ye (ORCID: https://orcid.org/0000-0003-2693-4568)
- Yun Liang (ORCID: https://orcid.org/0000-0002-0364-6195)
- Hui Zhou (ORCID: https://orcid.org/0000-0002-6318-894X)
- Ling Xiao (ORCID: https://orcid.org/0000-0003-0893-1777)
- Caiqin Wang
- Rong Liang (ORCID: https://orcid.org/0009-0004-9081-5808)
- Xiuhua Sun
- Qingqing Cai
Institutions
- Central South University (CN)
- Army Medical University (CN)
- Sun Yat-sen University (CN)
- Dalian Medical University (CN)
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- Wenzhou Medical University (CN)
- First Affiliated Hospital of Wenzhou Medical University (CN)
- Tianjin Medical University Cancer Institute and Hospital (CN)
- Daping Hospital (CN)
- Second Affiliated Hospital of Dalian Medical University (CN)
- Sun Yat-sen University Cancer Center (CN)
- Institute of Hematology & Blood Diseases Hospital (CN)
- Third Xiangya Hospital (CN)
- Second Affiliated Hospital of Zhejiang University (CN)
- Xijing Hospital (CN)
- Air Force Medical University (CN)
Publication Details
- Journal
- Scientific Reports
- Published
- 2025-03-13
- DOI
- https://doi.org/10.1038/s41598-025-92963-0
- Primary Topic
- Lymphoma Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Health Commission of Hunan Province
- National Outstanding Youth Science Fund Project of National Natural Science Foundation of China