Macrophage, mast cell and T lymphocyte infiltrations are independent predictive biomarkers of primary refractoriness or early relapse in classical Hodgkin lymphoma

Leuk Lymphoma. 2013 Jan;54(1):41-5. doi: 10.3109/10428194.2012.698274. Epub 2012 Jul 9.

Abstract

Tumor-associated macrophages (TAMs) might be associated with worse outcome in classical Hodgkin lymphoma (cHL). Our aim was to determine whether TAMs correlated with refractoriness in cHL. In a cohort of 18 consecutive primary refractory or early relapsed cases and 41 randomly selected controls (responder patients), high TAM infiltration was significantly associated with refractoriness or early relapse (p = 0.004) and remained independently correlated with outcome in multivariate analysis (odds ratio 8.276, 95% confidence interval 1.214-56.408). This study provides evidence that the marker CD68 might accurately predict early outcome of de novo cHL and could be used in combination with c-kit and TiA1 staining.

MeSH terms

  • Adult
  • Aged
  • Antigens, CD / metabolism*
  • Antigens, Differentiation, Myelomonocytic / metabolism*
  • Biomarkers, Tumor
  • Female
  • Hodgkin Disease / immunology*
  • Hodgkin Disease / metabolism*
  • Hodgkin Disease / mortality
  • Humans
  • Macrophages / immunology
  • Macrophages / metabolism*
  • Male
  • Mast Cells / immunology
  • Mast Cells / metabolism*
  • Middle Aged
  • Neoplasm Staging
  • Poly(A)-Binding Proteins / metabolism
  • Prognosis
  • Proto-Oncogene Proteins c-kit / metabolism
  • Recurrence
  • T-Cell Intracellular Antigen-1
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism*
  • Tumor Microenvironment / immunology

Substances

  • Antigens, CD
  • Antigens, Differentiation, Myelomonocytic
  • Biomarkers, Tumor
  • CD68 antigen, human
  • Poly(A)-Binding Proteins
  • T-Cell Intracellular Antigen-1
  • TIA1 protein, human
  • Proto-Oncogene Proteins c-kit