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接受利妥昔单抗治疗的弥漫性大B细胞淋巴瘤患者中血管内皮生长因子(VEGF)、胸苷激酶1(TK1)与白细胞介素-6(IL-6)、血浆T细胞、NK细胞以及B细胞的预测水平。

Predictive levels of vascular endothelial growth factor (VEGF), thymidine kinase 1 (TK1) with interleukin-6 (IL-6), plasma T cells, NK cells as well as B cells in treating diffuse large B-cell lymphoma receiving rituximab.

作者信息

Tian Lihua, Luo Baoan, Tang Jun, Ye Jiagui

机构信息

Lujiang County People's Hospital, Department of Hematology, Anhui Hefei, China.

Lujiang County People's Hospital, Department of Oncology, Anhui Hefei, China.

出版信息

J Med Biochem. 2025 Jul 4;44(4):784-791. doi: 10.5937/jomb0-54911.

Abstract

BACKGROUND

The aim was to explore the effect of rituximab in combination with chemotherapy in treating diffuse large B-cell lymphoma and levels of vascular endothelial growth factor (VEGF), thymidine kinase 1(TK1) with interleukin-6 (IL-6), plasma T cells, NK cells as well as B cells.

METHODS

Eighty patients admitted to Lujiang County People's Hospital from January 2022 to January 2024 were included. The control group accepted cyclophosphamide, doxorubicin, vincristine, and prednisone chemotherapy regimens. The research group was treated with rituximab based on the control group. The clinical effects, vascular endothelial growth factor (VEGF), thymidine kinase 1 (TK1) and interleukin-6 (IL-6) levels, lymphocyte subsets index, quality of life and occurrence of adverse reactions were compared in both groups.

RESULTS

The research group's total clinical effective rate was better than the control group's (P<0.05). After therapy, compared to the control group, vascular endothelial growth factor, thymidine kinase 1, and interleukin-6 levels in the research group presented lower (P<0.05), plasma T cells, natural killer cells along with B cells in the research group presented lower (P<0.05), and Quality of Life Core Questionnaire-Core 30 scores in the research group presented higher (P<0.05). There was no difference in adverse reactions between the two groups (P>0.05).

CONCLUSIONS

Rituximab combined with chemotherapy is effective in treating DLBCL patients, which can reduce serum-related factors promoting immune function and quality of life. Our study may provide compelling evidence for supporting the therapeutic regimen of rituximab combined with chemotherapy in DLBCL patients.

摘要

背景

旨在探讨利妥昔单抗联合化疗治疗弥漫性大B细胞淋巴瘤的效果以及血管内皮生长因子(VEGF)、胸苷激酶1(TK1)与白细胞介素-6(IL-6)水平、血浆T细胞、NK细胞以及B细胞水平。

方法

纳入2022年1月至2024年1月在庐江县人民医院收治的80例患者。对照组接受环磷酰胺、多柔比星、长春新碱和泼尼松化疗方案。研究组在对照组基础上加用利妥昔单抗治疗。比较两组的临床疗效、血管内皮生长因子(VEGF)、胸苷激酶1(TK1)和白细胞介素-6(IL-6)水平、淋巴细胞亚群指标、生活质量及不良反应发生情况。

结果

研究组的总临床有效率优于对照组(P<0.05)。治疗后,与对照组相比:研究组的血管内皮生长因子、胸苷激酶1和白细胞介素-6水平较低(P<0.05);研究组的血浆T细胞、自然杀伤细胞以及B细胞较低(P<0.05);研究组的生活质量核心问卷-核心30评分较高(P<0.05)。两组不良反应无差异(P>0.05)。

结论

利妥昔单抗联合化疗治疗弥漫性大B细胞淋巴瘤患者有效,可降低促进免疫功能和生活质量的血清相关因子水平。本研究可能为支持利妥昔单抗联合化疗治疗弥漫性大B细胞淋巴瘤患者的治疗方案提供有力证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee0/12363351/73f6b236d164/jomb-44-4-2504784T_g001.jpg

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