Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
| Autor: | Mohamed O. Azazzi, Haydi S. Mohamed, Amro Mohamed Sedky El-Ghammaz |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
medicine.medical_specialty
business.industry De novo acute High serum Myeloid leukemia Adult Acute Myeloid Leukemia Hematology 030204 cardiovascular system & hematology Gastroenterology Elevated serum 03 medical and health sciences 0302 clinical medicine Internal medicine Overall survival Immunology and Allergy Medicine business 030215 immunology |
| Zdroj: | Hematology, Transfusion and Cell Therapy. 45:25-31 |
| ISSN: | 2531-1379 |
| DOI: | 10.1016/j.htct.2021.03.005 |
| Popis: | Background Elevated serum progranulin (PGRN) levels have been associated with a wide range of different human malignancies. However, data available on the role of PGRN in hematological malignancies are limited. Methods Measurement of the PGRN level in serum of adult de novo acute myeloid leukemia (AML) patients using enzyme-linked immunosorbent assay (ELISA) was performed. Results The mean serum PGRN level in AML patients was higher than that in controls (346.08 pg/ml ± 64.46 vs 155 pg/ml ± 63 respectively; p = 0.001). After a mean duration of follow-up equaling 140 days, patients with high serum PGRN (i.e., higher than 370.5 pg/ml) had inferior overall survival (OS) in comparison to patients with low serum PGRN (i.e., lower than 370.5 pg/ml) (OS = 25% vs 60.7%, mean survival = 107 days vs 256.5 days, p = 0.007). On the other hand, remitted patients on day 28 with high serum PGRN (i.e., higher than 307.5 pg/ml) did not differ from those with low serum PGRN (i.e., lower than 307.5 pg/ml) regarding disease-free survival (DFS) (DFS = 78.6% vs. 87.5%, mean survival = 301.3 days vs. 283.5 days, p = 0.789). Moreover, the serum PGRN level was associated with inferior OS (p = 0.024) on multivariate analysis. Conclusion Adult de novo AML patients have elevated serum PGRN levels and a high PGRN level is associated with an inferior OS. |
| Databáze: | OpenAIRE |
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