Relationship between serum soluble CD155,soluble CD163 and chemotherapy efficacy and prognosis in patients with diffuse large B-cell lymphoma
Objective To investigate the relationship between serum soluble CD155(sCD155),soluble CD163(sCD163)and chemotherapy efficacy and prognosis in patients with diffuse large B-cell lymphoma(DLBCL).Methods A total of 126 patients with DLBCL admitted to Handan Central Hospital from May 2018 to May 2020(DLBCL group)and 126 healthy subjects(control group)were prospectively selected to compare serum sCD155 and sCD163 levels.According to the chemotherapy effect of DLBCL patients,they were divided into effective group and ineffective group,and the serum sCD155 and sCD163 levels were compared before and after treatment.The effective rate of chemotherapy in patients with different serum sCD155 and sCD163 levels was compared.Kaplan-Meier method was used to analyze the relationship between serum sCD155 and sCD163 levels and 3-year overall survival(OS)and progression-free survival(PFS)of DLBCL patients.Cox proportional risk regression model was used to analyze the prognostic factors of DLBCL patients.Results The serum levels of sCD155 and sCD163 in DLBCL group were higher than those in control group before treatment(all P＜0.05).The effective rate of chemotherapy in 126 DLBCL patients in this group was 69.8％(88/126).Compared with the effective group,the serum levels of sCD155 and sCD163 were higher in the ineffective group before and after treatment(all P＜0.05).Compared with before treatment,serum sCD155 and sCD163 levels in the effective group were decreased after treatment(all P＜0.05).The effective rate of DLBCL patients in sCD155 and sCD163 high level groups was lower than that in sCD155 and sCD163 low level groups(all P＜0.05).Kaplan-Meier analysis showed that the 3-year OS and PFS of DLBCL patients in the low level group of sCD155 and sCD163 were higher than those in the high level group(all P＜0.05).The high level of sCD155 and sCD163 were independent risk factors for 3-year PFS and OS in DLBCL patients(all P＜0.05).Conclusions Abnormal levels of serum sCD155 and sCD163 in DLBCL patients may reduce the efficacy of chemotherapy and lead to poor prognosis.
万方数据
维普
