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  • EZH1 (1)
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Divergent effects of EZH1 and EZH2 protein expression on the prognosis of patients with T-cell lymphomas (2021)
Schümann, Franziska Lea ; Groß, Elisabeth ; Bauer, Marcus ; Rohde, Christian ; Sandmann, Sarah ; Terziev, Denis ; Müller, Lutz P. ; Posern, Guido ; Wienke, Andreas ; Fend, Falko ; Hansmann, Martin-Leo ; Klapper, Wolfram ; Rosenwald, Andreas ; Stein, Harald ; Dugas, Martin ; Müller-Tidow, Carsten ; Wickenhauser, Claudia ; Binder, Mascha ; Weber, Thomas
T-cell lymphomas are highly heterogeneous and their prognosis is poor under the currently available therapies. Enhancers of zeste homologue 1 and 2 (EZH1/2) are histone H3 lysine-27 trimethyltransferases (H3K27me3). Despite the rapid development of new drugs inhibiting EZH2 and/or EZH1, the molecular interplay of these proteins and the impact on disease progression and prognosis of patients with T-cell lymphomas remains insufficiently understood. In this study, EZH1/2 mutation status was evaluated in 33 monomorphic epitheliotropic intestinal T-cell lymphomas by next generation sequencing and EZH1/2 and H3K27me3 protein expression levels were detected by immunohistochemistry in 46 T-cell lymphomas. Correlations with clinicopathologic features were analyzed and survival curves generated. No EZH1 mutations and one (3%) EZH2 missense mutation were identified. In univariable analysis, high EZH1 expression was associated with an improved overall survival (OS) and progression-free survival (PFS) whereas high EZH2 and H3K27me3 expression were associated with poorer OS and PFS. Multivariable analysis revealed EZH1 (hazard ratio (HR) = 0.183; 95% confidence interval (CI): 0.044–0.767; p = 0.020;) and EZH2 (HR = 8.245; 95% CI: 1.898–35.826; p = 0.005) to be independent, divergent prognostic markers for OS. In conclusion, EZH1/2 protein expression had opposing effects on the prognosis of T-cell lymphoma patients.
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