The expression of CD30 based on immunohistochemistry predicts inferior outcome in patients with diffuse large B-cell lymphoma

The prognostic value of CD30 expression in diffuse large B-cell lymphoma (DLBCL)remains controversial. Herein, we performed this retrospective study to investigate the clinical and prognostic significance of CD30 expression in patients with DLBCL.Among all the 146 patients, the expression of CD30 wa...

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Veröffentlicht in:PloS one 2015-05, Vol.10 (5), p.e0126615-e0126615
Hauptverfasser: Hao, Xiaoxiao, Wei, Xiaolei, Huang, Fen, Wei, Yongqiang, Zeng, Hong, Xu, Linwei, Zhou, Qinjun, Feng, Ru
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Wei, Xiaolei
Huang, Fen
Wei, Yongqiang
Zeng, Hong
Xu, Linwei
Zhou, Qinjun
Feng, Ru
description The prognostic value of CD30 expression in diffuse large B-cell lymphoma (DLBCL)remains controversial. Herein, we performed this retrospective study to investigate the clinical and prognostic significance of CD30 expression in patients with DLBCL.Among all the 146 patients, the expression of CD30 was observed in 23 cases (15.7%).The DLBCL patients with CD30 expression showed more likely to present B symptoms, bone marrow involvement, non-germinal centre B-cell-like (Non-GCB) DLBCL, BCL-2 and Ki-67 overexpression (p
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Herein, we performed this retrospective study to investigate the clinical and prognostic significance of CD30 expression in patients with DLBCL.Among all the 146 patients, the expression of CD30 was observed in 23 cases (15.7%).The DLBCL patients with CD30 expression showed more likely to present B symptoms, bone marrow involvement, non-germinal centre B-cell-like (Non-GCB) DLBCL, BCL-2 and Ki-67 overexpression (p&lt;0.05). Patients with CD30 expression showed significantly poor overall and event-free survival compared with CD30 negative patients(p = 0.031 and 0.041, respectively), especially those with the high intermediate/high-risk international prognostic index (IPI)(p = 0.001 and 0.007, respectively). The prognostic value of CD30 expression retained in DLBCL patients treated with either CHOP (cyclophosphamide, doxorubicin, vincristine,prednisone) or R-CHOP(rituximab+CHOP). The multivariate analysis revealed that the expression of CD30 remained an unfavorable factor for both overall and event-free survival (p = 0.001 and 0.002, respectively). In conclusion, these data suggest that CD30 is expressed predominantly in Non-GCBDLBCL. The expression of CD30 implied poor outcome in DLBCL patients treated with either CHOP or R-CHOP, especially those with the high intermediate/high-risk IPI, possibly indicating that anti-CD30 monoclonal antibody could be of clinical interest.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0126615</identifier><identifier>PMID: 25974110</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; B cells ; B-cell lymphoma ; B-Lymphocytes - metabolism ; Bcl-2 protein ; Bone marrow ; Cancer therapies ; Care and treatment ; CD30 antigen ; Chemotherapy ; Complications and side effects ; Cyclophosphamide ; Cyclophosphamide - administration &amp; dosage ; Cyclophosphamide - therapeutic use ; Disease-Free Survival ; Doxorubicin ; Doxorubicin - administration &amp; dosage ; Doxorubicin - therapeutic use ; Female ; Gene expression ; Hematology ; Humans ; Immunohistochemistry ; Kaplan-Meier Estimate ; Ki-1 Antigen - immunology ; Ki-1 Antigen - metabolism ; Ki-67 Antigen - metabolism ; Leukemia ; Lymphocytes B ; Lymphoma ; Lymphoma, Large B-Cell, Diffuse - drug therapy ; Lymphoma, Large B-Cell, Diffuse - mortality ; Lymphoma, Large B-Cell, Diffuse - pathology ; Male ; Medical prognosis ; Medical research ; Medicine, Experimental ; Middle Aged ; Monoclonal antibodies ; Multivariate Analysis ; Non-Hodgkin's lymphomas ; Oncology ; Patient outcomes ; Patients ; Prednisone ; Prednisone - administration &amp; dosage ; Prednisone - therapeutic use ; Prognosis ; Proto-Oncogene Proteins c-bcl-2 - metabolism ; Retrospective Studies ; Rituximab ; Rituximab - administration &amp; dosage ; Studies ; Targeted cancer therapy ; Treatment Outcome ; Vincristine ; Vincristine - administration &amp; dosage ; Vincristine - therapeutic use ; Young Adult</subject><ispartof>PloS one, 2015-05, Vol.10 (5), p.e0126615-e0126615</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Hao et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Hao et al 2015 Hao et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-1fe2f5a3cb91735e2957a3710c25e716fa4e5783377ba8a072510ecd8d22f0943</citedby><cites>FETCH-LOGICAL-c692t-1fe2f5a3cb91735e2957a3710c25e716fa4e5783377ba8a072510ecd8d22f0943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4431801/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4431801/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25974110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Batra, Surinder K.</contributor><creatorcontrib>Hao, Xiaoxiao</creatorcontrib><creatorcontrib>Wei, Xiaolei</creatorcontrib><creatorcontrib>Huang, Fen</creatorcontrib><creatorcontrib>Wei, Yongqiang</creatorcontrib><creatorcontrib>Zeng, Hong</creatorcontrib><creatorcontrib>Xu, Linwei</creatorcontrib><creatorcontrib>Zhou, Qinjun</creatorcontrib><creatorcontrib>Feng, Ru</creatorcontrib><title>The expression of CD30 based on immunohistochemistry predicts inferior outcome in patients with diffuse large B-cell lymphoma</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The prognostic value of CD30 expression in diffuse large B-cell lymphoma (DLBCL)remains controversial. Herein, we performed this retrospective study to investigate the clinical and prognostic significance of CD30 expression in patients with DLBCL.Among all the 146 patients, the expression of CD30 was observed in 23 cases (15.7%).The DLBCL patients with CD30 expression showed more likely to present B symptoms, bone marrow involvement, non-germinal centre B-cell-like (Non-GCB) DLBCL, BCL-2 and Ki-67 overexpression (p&lt;0.05). Patients with CD30 expression showed significantly poor overall and event-free survival compared with CD30 negative patients(p = 0.031 and 0.041, respectively), especially those with the high intermediate/high-risk international prognostic index (IPI)(p = 0.001 and 0.007, respectively). The prognostic value of CD30 expression retained in DLBCL patients treated with either CHOP (cyclophosphamide, doxorubicin, vincristine,prednisone) or R-CHOP(rituximab+CHOP). The multivariate analysis revealed that the expression of CD30 remained an unfavorable factor for both overall and event-free survival (p = 0.001 and 0.002, respectively). In conclusion, these data suggest that CD30 is expressed predominantly in Non-GCBDLBCL. 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dosage</subject><subject>Doxorubicin - therapeutic use</subject><subject>Female</subject><subject>Gene expression</subject><subject>Hematology</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Kaplan-Meier Estimate</subject><subject>Ki-1 Antigen - immunology</subject><subject>Ki-1 Antigen - metabolism</subject><subject>Ki-67 Antigen - metabolism</subject><subject>Leukemia</subject><subject>Lymphocytes B</subject><subject>Lymphoma</subject><subject>Lymphoma, Large B-Cell, Diffuse - drug therapy</subject><subject>Lymphoma, Large B-Cell, Diffuse - mortality</subject><subject>Lymphoma, Large B-Cell, Diffuse - pathology</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Monoclonal antibodies</subject><subject>Multivariate Analysis</subject><subject>Non-Hodgkin's lymphomas</subject><subject>Oncology</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Prednisone</subject><subject>Prednisone - administration &amp; 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Herein, we performed this retrospective study to investigate the clinical and prognostic significance of CD30 expression in patients with DLBCL.Among all the 146 patients, the expression of CD30 was observed in 23 cases (15.7%).The DLBCL patients with CD30 expression showed more likely to present B symptoms, bone marrow involvement, non-germinal centre B-cell-like (Non-GCB) DLBCL, BCL-2 and Ki-67 overexpression (p&lt;0.05). Patients with CD30 expression showed significantly poor overall and event-free survival compared with CD30 negative patients(p = 0.031 and 0.041, respectively), especially those with the high intermediate/high-risk international prognostic index (IPI)(p = 0.001 and 0.007, respectively). The prognostic value of CD30 expression retained in DLBCL patients treated with either CHOP (cyclophosphamide, doxorubicin, vincristine,prednisone) or R-CHOP(rituximab+CHOP). The multivariate analysis revealed that the expression of CD30 remained an unfavorable factor for both overall and event-free survival (p = 0.001 and 0.002, respectively). In conclusion, these data suggest that CD30 is expressed predominantly in Non-GCBDLBCL. The expression of CD30 implied poor outcome in DLBCL patients treated with either CHOP or R-CHOP, especially those with the high intermediate/high-risk IPI, possibly indicating that anti-CD30 monoclonal antibody could be of clinical interest.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25974110</pmid><doi>10.1371/journal.pone.0126615</doi><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Analysis
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
B cells
B-cell lymphoma
B-Lymphocytes - metabolism
Bcl-2 protein
Bone marrow
Cancer therapies
Care and treatment
CD30 antigen
Chemotherapy
Complications and side effects
Cyclophosphamide
Cyclophosphamide - administration & dosage
Cyclophosphamide - therapeutic use
Disease-Free Survival
Doxorubicin
Doxorubicin - administration & dosage
Doxorubicin - therapeutic use
Female
Gene expression
Hematology
Humans
Immunohistochemistry
Kaplan-Meier Estimate
Ki-1 Antigen - immunology
Ki-1 Antigen - metabolism
Ki-67 Antigen - metabolism
Leukemia
Lymphocytes B
Lymphoma
Lymphoma, Large B-Cell, Diffuse - drug therapy
Lymphoma, Large B-Cell, Diffuse - mortality
Lymphoma, Large B-Cell, Diffuse - pathology
Male
Medical prognosis
Medical research
Medicine, Experimental
Middle Aged
Monoclonal antibodies
Multivariate Analysis
Non-Hodgkin's lymphomas
Oncology
Patient outcomes
Patients
Prednisone
Prednisone - administration & dosage
Prednisone - therapeutic use
Prognosis
Proto-Oncogene Proteins c-bcl-2 - metabolism
Retrospective Studies
Rituximab
Rituximab - administration & dosage
Studies
Targeted cancer therapy
Treatment Outcome
Vincristine
Vincristine - administration & dosage
Vincristine - therapeutic use
Young Adult
title The expression of CD30 based on immunohistochemistry predicts inferior outcome in patients with diffuse large B-cell lymphoma
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