Loyola University Medical Center, Maywood, IL, USA.
Leuk Res. 2013 Oct;37(10):1213-5. doi: 10.1016/j.leukres.2013.07.038. Epub 2013 Aug 7.
Host immune responses influence follicular lymphoma (FL) outcomes. To test our hypothesis that immune cells in blood reflect that response, we assessed by peripheral blood flow cytometry in 75 untreated FL patients the absolute counts of: lymphocytes (ALC), CD4(+)T (ACD4C), CD8(+)T (ACD8C) and natural killer (ANKC) cells. Low ANKC was the only parameter associated with inferior overall survival by univariate analysis (p=0.02), and trended to significance in multivariable analysis with ACD4C (p=0.08). Five (24%) patients with low initial ANKC died, while one (2%) with normal/high ANKC has died. In conclusion, evaluation of blood ANKC may be a useful indicator of outcome in previously untreated FL patients.
宿主免疫反应会影响滤泡性淋巴瘤(FL)的结局。为了验证我们的假设,即血液中的免疫细胞反映了这种反应,我们通过外周血流式细胞术评估了 75 例未经治疗的 FL 患者的绝对计数:淋巴细胞(ALC)、CD4(+)T(ACD4C)、CD8(+)T(ACD8C)和自然杀伤(ANKC)细胞。单因素分析显示,低 ANKC 是唯一与总生存期不良相关的参数(p=0.02),在多变量分析中,ANKC 与 ACD4C 呈趋势相关(p=0.08)。5 例(24%)初始 ANKC 低的患者死亡,而 1 例(2%)初始 ANKC 正常/高的患者死亡。总之,评估血液 ANKC 可能是未经治疗的 FL 患者预后的一个有用指标。