Adipose tissue radiodensity: A new prognostic biomarker in people with multiple myeloma.

Autor: da Cunha AD Júnior; Division of Oncology, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil; Hematology and Oncology Clinics, Cancer Hospital of Cascavel, União Oeste de Estudos e Combate ao Câncer (UOPECCAN), Cascavel, Brazil; Department of Internal Medicine, State University of Western Paraná (UNIOESTE), Cascavel, Brazil., Silveira MN; Division of Oncology, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil., Takahashi MES; Gleb Wataghin Physics Institute, State University of Campinas (UNICAMP), Campinas, Brazil., de Souza EM; Center of Biomedical Engineering, State University of Campinas (UNICAMP), Campinas, Brazil., Mosci C; Division of Nuclear Medicine, Department of Radiology, State University of Campinas (UNICAMP), Campinas, Brazil., Ramos CD; Division of Nuclear Medicine, Department of Radiology, State University of Campinas (UNICAMP), Campinas, Brazil., Brambilla SR; Division of Oncology, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil., Pericole FV; Hematology and Blood Transfusion Center, State University of Campinas (UNICAMP), Campinas, Brazil., Prado CM; Human Nutrition Research Unit, Department of Agricultural, Food and Nutritional Science, University of Alberta, Edmonton, Alberta, Canada., Mendes MCS; Division of Oncology, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil., Carvalheira JBC; Division of Oncology, Department of Internal Medicine, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, Brazil. Electronic address: jbcc@unicamp.br.
Jazyk: angličtina
Zdroj: Nutrition (Burbank, Los Angeles County, Calif.) [Nutrition] 2021 Jun; Vol. 86, pp. 111141. Date of Electronic Publication: 2021 Jan 11.
DOI: 10.1016/j.nut.2021.111141
Abstrakt: Objectives: Standard prognostic markers based on individual characteristics of individuals with multiple myeloma (MM) remain scarce. Body-composition features have often been associated with survival outcomes in different cancers. However, the association of adipose tissue radiodensity with MM prognosis has not yet, to our knowledge, been explored.
Methods: Computed tomography at the third lumbar vertebra was used for body-composition analysis, including adipose tissue radiodensity, in 91 people with MM. Additionally, fludeoxyglucose F 18 ( 18 F-FDG) positron emission tomography was used to assess adipose tissue 18 F-FDG uptake. Proinflammatory cytokine and adipokine levels were measured.
Results: Event-free survival and overall survival were both shorter in participants with high subcutaneous adipose tissue (SAT) radiodensity. Those in the highest SAT radiodensity tertile had an independently higher risk for both overall survival (hazard ratio, 4.55; 95% confidence interval, 1.26-16.44; P trend  = 0.036) and event-free survival (hazard ratio, 3.08; 95% confidence interval, 1.02-9.27; P trend  = 0.035). Importantly, higher SAT radiodensity was significantly correlated with increased 18 F-FDG adipose tissue uptake and proinflammatory cytokine (tumor necrosis factor and interleukin-6) levels, and with decreased leptin levels.
Conclusions: SAT radiodensity may serve as a biomarker to predict host-related metabolic and proinflammatory milieu, which ultimately correlates with MM prognosis.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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