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Α Β Γ Δ Ε Ζ Η Θ Ι Κ Λ Μ Ν Ξ Ο Π Ρ Σ Τ Υ Φ Χ Ψ Ω α β γ δ ε ζ η θ ι κ λ μ ν ξ ο π ρ σ τ υ φ χ ψ ω
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      저자 : Mahsa Eskandari (검색결과 1 건)
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        Clinical significance of cell-free DNA as a prognostic biomarker in patients with diffuse large B-cell lymphoma

        Mahsa Eskandari,Saba Manoochehrabadi,Hossein Pashaiefar,Mohammad Ali Zaimy,Mohammad Ahmadvand 대한혈액학회 2019 Blood Research Vol.54 No.2

        BackgroundCell-free DNA (cfDNA) has the potential to serve as a non-invasive prognostic biomarker in some types of neoplasia. The investigation of plasma concentration of cfDNA may re-veal its use as a valuable biomarker for risk stratification of diffuse large B-cell lymphoma (DLBCL). The present prognostic value of plasma cfDNA has not been widely confirmed in DLBCL subjects. Here, we evaluated cfDNA plasma concentration and assessed its potential prognostic value as an early DLBCL diagnostic tool.MethodscfDNA concentrations in plasma samples from 40 patients with DLBCL during diagnosis and of 38 normal controls were determined with quantitative polymerase chain reaction (qPCR) for the multi-locus L1PA2 gene.ResultsStatistically significant elevation in plasma cfDNA concentrations was observed in pa-tients with DLBCL as compared to that in normal controls (P<0.05). A cutoff point of 2.071 ng/mL provided 82.5% sensitivity and 62.8% specificity and allowed successful discrimination of patients with DLBCL from normal controls (area under the curve=0.777; P=0.00003). Furthermore, patients with DLBCL showing higher concen-trations of cfDNA had shorter overall survival (median, 9 mo; P=0.022) than those with lower cfDNA levels. In addition, elevated cfDNA concentration was significantly asso-ciated with age, B-symptoms, International Prognostic Index (IPI) score, and different stages of disease (all P<0.05).ConclusionQuantification of cfDNA with qPCR at the time of diagnosis may allow identification of patients with high cfDNA concentration, which correlates with aggressive clinical out-comes and adverse prognosis.

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