Peripheral blood lymphocyte/monocyte ratio predicts outcome for patients with diffuse large B cell lymphoma after standard first-line regimens.

作者: Yan-Li Li , Yue-Yin Pan , Yang Jiao , Jie Ning , Yin-Guang Fan

DOI: 10.1007/S00277-013-1916-9

关键词:

摘要: To determine whether peripheral blood absolute lymphocyte/absolute monocyte counts ratio (ALC/AMC ratio) at diagnosis predicts survival of diffuse large B cell lymphoma (DLBCL) patients treated with standard first-line regimens, we retrospectively analyzed 244 DLBCL who were cyclophosphamide, hydroxydaunorubicin, vincristine, and prednisone, or rituximab–cyclophosphamide, prednisone. Progression-free overall (PFS OS) estimated using the Kaplan–Meier method two-tailed log-rank; The Cox proportional hazards model was used to evaluate ALC/AMC as prognostic factors when adjusting for International Prognostic Index (IPI). On univariate multivariate analyses performed included in IPI, remained an independent predictor OS PFS (OS: P < 0.001; PFS: 0.001). Patients lower (<3.8) seemed have complete remission rate, 2-year 3-year compared ≥3.8, respectively (26 versus 90 %, 18 82 24 86 %; 0.001, respectively). Moreover, able further risk-stratify IPI 0-2 three–five risk patient groups, respectively. time may provide additional information beyond that receive regimens.

参考文章(41)
C. Subimerb, S. Pinlaor, V. Lulitanond, N. Khuntikeo, S. Okada, M. S. McGrath, S. Wongkham, Circulating CD14(+) CD16(+) monocyte levels predict tissue invasive character of cholangiocarcinoma. Clinical and Experimental Immunology. ,vol. 161, pp. 471- 479 ,(2010) , 10.1111/J.1365-2249.2010.04200.X
A.-L. Feng, J.-K. Zhu, J.-T. Sun, M.-X. Yang, M. R. Neckenig, X.-W. Wang, Q.-Q. Shao, B.-F. Song, Q.-F. Yang, B.-H. Kong, X. Qu, CD16 + monocytes in breast cancer patients: expanded by monocyte chemoattractant protein-1 and may be useful for early diagnosis Clinical and Experimental Immunology. ,vol. 164, pp. 57- 65 ,(2011) , 10.1111/J.1365-2249.2011.04321.X
Ron Kohavi, A study of cross-validation and bootstrap for accuracy estimation and model selection international joint conference on artificial intelligence. ,vol. 2, pp. 1137- 1143 ,(1995)
Michael P. Gustafson, Roshini S. Abraham, Yi Lin, Wenting Wu, Dennis A. Gastineau, Clive S. Zent, Allan B. Dietz, Association of an increased frequency of CD14+ HLA-DR lo/neg monocytes with decreased time to progression in chronic lymphocytic leukaemia (CLL). British Journal of Haematology. ,vol. 156, pp. 674- 676 ,(2012) , 10.1111/J.1365-2141.2011.08902.X
Naoki Wada, Mona A A Zaki, Yumiko Hori, Koji Hashimoto, Machiko Tsukaguchi, Yoichi Tatsumi, Jun Ishikawa, Nobuhiko Tominaga, Hiroto Sakoda, Hironori Take, Mitsuru Tsudo, Maki Kuwayama, Eiichi Morii, Katsuyuki Aozasa, Tumour‐associated macrophages in diffuse large B‐cell lymphoma: a study of the Osaka Lymphoma Study Group Histopathology. ,vol. 60, pp. 313- 319 ,(2012) , 10.1111/J.1365-2559.2011.04096.X
Sumithra J. Mandrekar, Steven E. Schild, Shauna L. Hillman, Katie L. Allen, Randolph S. Marks, James A. Mailliard, James E. Krook, Andrew W. Maksymiuk, Kari Chansky, Karen Kelly, Alex A. Adjei, James R. Jett, A prognostic model for advanced stage nonsmall cell lung cancer Cancer. ,vol. 107, pp. 781- 792 ,(2006) , 10.1002/CNCR.22049
Bin-Zhi Qian, Jiufeng Li, Hui Zhang, Takanori Kitamura, Jinghang Zhang, Liam R. Campion, Elizabeth A. Kaiser, Linda A. Snyder, Jeffrey W. Pollard, CCL2 recruits inflammatory monocytes to facilitate breast-tumour metastasis Nature. ,vol. 475, pp. 222- 225 ,(2011) , 10.1038/NATURE10138
Yasuhiro Oki, Kazuhito Yamamoto, Harumi Kato, Yachiyo Kuwatsuka, Hirofumi Taji, Yoshitoyo Kagami, Yasuo Morishima, Low absolute lymphocyte count is a poor prognostic marker in patients with diffuse large B-cell lymphoma and suggests patients' survival benefit from rituximab. European Journal of Haematology. ,vol. 81, pp. 448- 453 ,(2008) , 10.1111/J.1600-0609.2008.01129.X
Andreas Rosenwald, George Wright, Wing C. Chan, Joseph M. Connors, Elias Campo, Richard I. Fisher, Randy D. Gascoyne, H. Konrad Muller-Hermelink, Erlend B. Smeland, Jena M. Giltnane, Elaine M. Hurt, Hong Zhao, Lauren Averett, Liming Yang, Wyndham H. Wilson, Elaine S. Jaffe, Richard Simon, Richard D. Klausner, John Powell, Patricia L. Duffey, Dan L. Longo, Timothy C. Greiner, Dennis D. Weisenburger, Warren G. Sanger, Bhavana J. Dave, James C. Lynch, Julie Vose, James O. Armitage, Emilio Montserrat, Armando López-Guillermo, Thomas M. Grogan, Thomas P. Miller, Michel LeBlanc, German Ott, Stein Kvaloy, Jan Delabie, Harald Holte, Peter Krajci, Trond Stokke, Louis M. Staudt, The Use of Molecular Profiling to Predict Survival after Chemotherapy for Diffuse Large-B-Cell Lymphoma The New England Journal of Medicine. ,vol. 346, pp. 1937- 1947 ,(2002) , 10.1056/NEJMOA012914
D H Kim, J H Baek, Y S Chae, Y-K Kim, H J Kim, Y H Park, H S Song, J S Chung, M S Hyun, S K Sohn, Absolute lymphocyte counts predicts response to chemotherapy and survival in diffuse large B-cell lymphoma Leukemia. ,vol. 21, pp. 2227- 2230 ,(2007) , 10.1038/SJ.LEU.2404780