Three pathways of cell transformation of lymphoid cell: a slow, a rapid, and an accelerated

TL;DR

This paper proposes three distinct pathways—slow, rapid, and accelerated—for lymphoid cell transformation leading to leukemia and lymphoma, based on different DNA change effects and cellular characteristics, explaining age-related disease occurrence.

Contribution

It introduces a novel framework categorizing lymphoid cell transformation pathways driven by specific DNA changes, linking them to age-related disease patterns.

Findings

Slow pathway involves accumulation of mild DNA changes, mainly in adults.

Rapid pathway driven by a single great-effect mutation can occur at any age.

Accelerated pathway involves multiple DNA changes, increasing with age.

Abstract

Lymphoid leukemia (LL) and lymphoma are neoplasms developed from lymphoid cells (LCs). To understand why different forms of LL/lymphoma occur at different ages, we analyzed the effects of different types of DNA changes on a LC and the cellular characteristics of LCs. Point DNA mutations (PDMs) and chromosome changes (CCs) are the two major types of DNA changes. CCs have three subtypes by their effects on a LC: great-effect CCs (GECCs), mild-effect CCs (MECCs), and intermediate-effect CCs (IECCs). PDMs and MECCs are mostly mild thus can accumulate in cells. Some of the PDMs/MECCs contribute to cell transformation. A GECC affects one or more genes and can alone drive cell transformation. An IECC affects one or more genes and participates in cell transformation. Due to cellular characteristics, a LC may have higher survivability from DNA changes and require obtaining fewer cancerous properties for transformation than a tissue cell. Hence, a LC can be more rapidly transformed by a CC. On this basis, we hypothesize that a LC may have three pathways on transformation: a slow, a rapid, and an accelerated. Slow pathway is driven by accumulation of PDMs/MECCs. Rapid pathway is driven by a GECC in "one step". Accelerated pathway is driven by accumulation of PDMs/MECCs/IECC(s). Cell transformations of a LC via different pathways occur at different ages. A transformation via slow pathway occurs mainly in adults. A transformation via rapid pathway occurs at any age and has no increasing incidence with age. A transformation via accelerated pathway occurs also at any age but has increasing incidence with age. In conclusion, a LC may have three pathways on cell transformation, and the occurring age of LL/lymphoma may be determined by the transforming pathway of a LC.