Influence ofMBL-2mutations in the infection risk of patients with follicular lymphoma treated with rituximab, fludarabine, and cyclophosphamide
Autor: | Joaquin Martínez-López, Ana Rivero, Inmaculada Rapado, Carlos Montalbán, Jose Paz-Carreira, Miguel Canales, Rafael Martínez, Pedro Sánchez-Godoy, Alberto Fernández de Sevilla, Francisco J. Peñalver, Marcos Gonzalez, Elena Prieto, Antonio Salar, Carmen Burgaleta, Jose A. Queizán, Maria J. Peñarrubia, Maria D. Monteagudo, Carmen Cabrera, Javier De la Serna, José F. Tomás |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male Risk Cancer Research Neutropenia Cyclophosphamide medicine.medical_treatment Follicular lymphoma Disease Infections Malignancy Mannose-Binding Lectin Antibodies Monoclonal Murine-Derived Young Adult Clinical Trials Phase II as Topic Anti-Infective Agents Gene Frequency Lymphopenia Antineoplastic Combined Chemotherapy Protocols medicine Humans Multicenter Studies as Topic Genetic Predisposition to Disease Prospective Studies Lymphoma Follicular Alleles Aged Chemotherapy business.industry Antibodies Monoclonal Genetic Variation Hematology Immunotherapy Middle Aged medicine.disease Lymphoma Haplotypes Oncology Spain Early Termination of Clinical Trials Immunology Female Rituximab business Vidarabine medicine.drug |
Zdroj: | Leukemia & Lymphoma. 50:1283-1289 |
ISSN: | 1029-2403 1042-8194 |
DOI: | 10.1080/10428190903040006 |
Popis: | The employment of current treatments based on chemotherapy and immunotherapy leads to inmunosuppression. The presence of mutations or polymorphisms in genes related to immune system might involve an additional disadvantage. The aim of the present study was to analyze mannose-binding lectin (MBL-2 gene) mutations and their association with severe infections and event-free survival in patients diagnosed with follicular lymphoma, treated uniformly, in the clinical trial LNHF-03. The results of this trial showed impressive clinical efficacy but was complicated with 80 documented infectious episodes. Patients were classified into two genotypic groups, AA and AO/OO, based on their haplotypic inheritance. Neither the number of infectious episodes nor differences in event-free survival was found as a function of MBL-2 groups. Other factors, including the lymphoma malignancy and the immune alterations associated with the disease, should be considered responsible for this observation. |
Databáze: | OpenAIRE |
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