Proteomic markers with prognostic impact on outcome of chronic lymphocytic leukemia patients under chemo-immunotherapy: results from the HOVON 109 study
Publication date
2020-09
Authors
Saberi Hosnijeh, Fatemeh
van der Straten, Lina
Kater, Arnon P.
van Oers, Marinus H.J.
Posthuma, Ward F.M.
Chamuleau, Martine E.D.
Bellido, Mar
Doorduijn, Jeanette K.
van Gelder, Michel
Hoogendoorn, Mels
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Article
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Abstract
Despite recent identification of several prognostic markers, there is still a need for new prognostic parameters able to predict clinical outcome in chronic lymphocytic leukemia (CLL) patients. Here, we aimed to validate the prognostic ability of known (proteomic) markers measured pretreatment and to search for new proteomic markers that might be related to treatment response in CLL. To this end, baseline serum samples of 51 CLL patients treated with chemo-immunotherapy were analyzed for 360 proteomic markers, using Olink technology. Median event-free survival (EFS) was 23 months (range: 1.25–60.9). Patients with high levels of sCD23 (>11.27, p = 0.026), sCD27 (>11.03, p = 0.04), SPINT1 (>1.6, p = 0.001), and LY9 (>8.22, p = 0.0003) had a shorter EFS than those with marker levels below the median. The effect of sCD23 on EFS differed between immunoglobulin heavy chain variable gene-mutated and unmutated patients, with the shortest EFS for unmutated CLL patients with sCD23 levels above the median. Taken together, our results validate the prognostic impact of sCD23 and highlight SPINT1 and LY9 as possible promising markers for treatment response in CLL patients.
Keywords
Aged, Aged, 80 and over, Antineoplastic Agents/therapeutic use, Biomarkers, Tumor/blood, Chlorambucil, Disease-Free Survival, Female, Gene Expression, Humans, Immunoglobulin Heavy Chains/blood, Immunotherapy/methods, Lenalidomide, Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis, Male, Middle Aged, Mutation, Prognosis, Proteinase Inhibitory Proteins, Secretory/blood, Proteomics/methods, Receptors, IgE/blood, Rituximab, Signaling Lymphocytic Activation Molecule Family/blood, Treatment Outcome, Tumor Necrosis Factor Receptor Superfamily, Member 7/blood, Genetics, Molecular Biology, Hematology, Cancer Research, Cell Biology, Clinical Trial, Phase I, Clinical Trial, Phase II, Journal Article
Citation
Saberi Hosnijeh, F, van der Straten, L, Kater, A P, van Oers, M H J, Posthuma, W F M, Chamuleau, M E D, Bellido, M, Doorduijn, J K, van Gelder, M, Hoogendoorn, M, de Boer, F, te Raa, G D, Kerst, J M, Marijt, E W A, Raymakers, R A P, Koene, H R, Schaafsma, M R, Dobber, J A, Tonino, S H, Kersting, S S, Langerak, A W & Levin, M D 2020, 'Proteomic markers with prognostic impact on outcome of chronic lymphocytic leukemia patients under chemo-immunotherapy : results from the HOVON 109 study', Experimental Hematology, vol. 89, pp. 55-60.e6. https://doi.org/10.1016/j.exphem.2020.08.002