Involvement of oral bacteria and oral immunity as risk factors for chemotherapy-induced fever with neutropenia in patients with hematological cancer

The aim of this study is to investigate the association between chemotherapy-induced fever with neutropenia less than 1500/μL (FwN) and oral bacteria and/or oral immunity in patients with hematological cancer. Thirty-two patients with hematological cancer were enrolled in the study. Secretory immuno...

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Veröffentlicht in:International journal of hematology 2020-12, Vol.112 (6), p.851-859
Hauptverfasser: Sogawa, Yuka, Fukui, Makoto, Nakamura, Shingen, Sogabe, Kimiko, Sumitani, Ryohei, Yoshioka, Masami, Abe, Masahiro, Hinode, Daisuke
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container_issue 6
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container_title International journal of hematology
container_volume 112
creator Sogawa, Yuka
Fukui, Makoto
Nakamura, Shingen
Sogabe, Kimiko
Sumitani, Ryohei
Yoshioka, Masami
Abe, Masahiro
Hinode, Daisuke
description The aim of this study is to investigate the association between chemotherapy-induced fever with neutropenia less than 1500/μL (FwN) and oral bacteria and/or oral immunity in patients with hematological cancer. Thirty-two patients with hematological cancer were enrolled in the study. Secretory immunoglobulin A (sIgA) in saliva and the anaerobic bacteria in tongue coating of each subject were assessed before the first chemotherapy. Eleven subjects had an onset of FwN and 21 subjects did not during the observation periods. It was revealed by the Cox-proportional hazard model analysis that the levels of sIgA were low (HR 0.98, p  
doi_str_mv 10.1007/s12185-020-02975-x
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Thirty-two patients with hematological cancer were enrolled in the study. Secretory immunoglobulin A (sIgA) in saliva and the anaerobic bacteria in tongue coating of each subject were assessed before the first chemotherapy. Eleven subjects had an onset of FwN and 21 subjects did not during the observation periods. It was revealed by the Cox-proportional hazard model analysis that the levels of sIgA were low (HR 0.98, p  &lt; 0.05) and the rate of Fusobacterium nucleatum [ F. nucleatum count per total bacterial count (%)] was high (HR 1.65, p  &lt; 0.05) in patients with FwN onset. Using ROC curve analysis, the optimal cutoff point based on the AUC in the F. nucleatum /sIgA ratio was 0.023, and this model had a 78.4% probability ( p  &lt; 0.01). The risk of FwN onset was also significantly higher among the group of ≥ 0.023 F. nucleatum /sIgA ratio (HR 66.06, p  &lt; 0.01). 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Thirty-two patients with hematological cancer were enrolled in the study. Secretory immunoglobulin A (sIgA) in saliva and the anaerobic bacteria in tongue coating of each subject were assessed before the first chemotherapy. Eleven subjects had an onset of FwN and 21 subjects did not during the observation periods. It was revealed by the Cox-proportional hazard model analysis that the levels of sIgA were low (HR 0.98, p  &lt; 0.05) and the rate of Fusobacterium nucleatum [ F. nucleatum count per total bacterial count (%)] was high (HR 1.65, p  &lt; 0.05) in patients with FwN onset. Using ROC curve analysis, the optimal cutoff point based on the AUC in the F. nucleatum /sIgA ratio was 0.023, and this model had a 78.4% probability ( p  &lt; 0.01). The risk of FwN onset was also significantly higher among the group of ≥ 0.023 F. nucleatum /sIgA ratio (HR 66.06, p  &lt; 0.01). These results suggest that the rate of F. nucleatum and the levels of sIgA at baseline might be related to FwN onset as risk factors.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>32880823</pmid><doi>10.1007/s12185-020-02975-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2202-5538</orcidid></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Anaerobic bacteria
Antineoplastic Agents - adverse effects
Bacteria
Bacterial Load
Blood cancer
Cancer
Chemotherapy
Febrile Neutropenia - etiology
Female
Fever
Fusobacterium nucleatum - isolation & purification
Hematologic Neoplasms - complications
Hematologic Neoplasms - drug therapy
Hematologic Neoplasms - immunology
Hematologic Neoplasms - microbiology
Hematology
Humans
Immunity
Immunoglobulin A
Immunoglobulin A, Secretory
Male
Medicine
Medicine & Public Health
Middle Aged
Mouth - immunology
Mouth - microbiology
Neutropenia
Oncology
Original Article
Risk analysis
Risk Factors
Saliva
Statistical models
Young Adult
title Involvement of oral bacteria and oral immunity as risk factors for chemotherapy-induced fever with neutropenia in patients with hematological cancer
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