Department of Gastrointestinal Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China.
J Immunol Res. 2019 Jan 13;2019:7627384. doi: 10.1155/2019/7627384. eCollection 2019.
Despite the overall success of using R-CHOP for the care for non-Hodgkin's lymphoma patients, it is clear that the disease is quite complex and new insight is needed to further stratify the patient for a better personized treatment. In current study, based on previous studies from animal model, new panels combining well-established cytokine (BAFF) and autoantibodies (anti-SSA/Ro) with newly identified cytokine (IL14) and autoantibodies (TSA) were used to evaluate the association between B cell growth factor and Sjögren's related autoantibodies in NHL patients. The result clearly indicates that there was a unique difference between BAFF and IL14 in association with autoantibodies. While serum BAFF was negatively associated with the presence of both traditional anti-SSA/Ro and novel TSA antibodies in GI lymphoma patient, IL14 was positively associated with the presence of both traditional anti-SSA/Ro and novel TSA antibodies in non-GI lymphoma patient. Long-term follow-ups on these patients and evaluation of their response to the R-CHOP treatment and recurrence rate will be very interesting. Our result provides a solid evidence to support using novel diagnostic panel to better stratify the NHL patients.
尽管 R-CHOP 在非霍奇金淋巴瘤患者的治疗中取得了总体成功,但很明显,该疾病非常复杂,需要新的见解来进一步对患者进行分层,以实现更好的个体化治疗。在本研究中,基于来自动物模型的先前研究,使用新的组合,将已建立的细胞因子(BAFF)和自身抗体(抗 SSA/Ro)与新鉴定的细胞因子(IL14)和自身抗体(TSA)结合起来,评估 NHL 患者中 B 细胞生长因子与干燥综合征相关自身抗体之间的关联。结果清楚地表明,BAFF 和 IL14 与自身抗体之间存在独特的差异。虽然血清 BAFF 与 GI 淋巴瘤患者中传统的抗 SSA/Ro 和新型 TSA 抗体的存在呈负相关,但 IL14 与非 GI 淋巴瘤患者中传统的抗 SSA/Ro 和新型 TSA 抗体的存在呈正相关。对这些患者进行长期随访,并评估他们对 R-CHOP 治疗的反应和复发率将非常有趣。我们的结果提供了确凿的证据,支持使用新型诊断组合来更好地对 NHL 患者进行分层。