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88564

Prognostic Value of Soluble HLA-G and CD38 Expression in Patients with Chronic Lymphocytic Leukemia in Egypt

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Last updated: 24 Dec 2024

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Abstract

Background: Chronic lymphatic leukemia (CLL) is the most common hematological malignancy in adults presenting with varied clinical courses. There is an increased demand for establishing known prognostic factors for stratifying CLL patients. Aim of the work: To investigate the expression of soluble form of human leucocyte antigen-G (HLA-G) & CD 38 in CLL and to correlate our findings with a variety of clinical and laboratory variables. Patients and methods: The study included thirty newly diagnosed CLL patients. They were 18 males and 12 females with age ranged from 49–65 (a mean of 57.5 years old). Diagnosis of CLL was confirmed by flow cytometric immunophenotyping using standard lymphoma panel. CD38 expression was determined by flow cytometry. S. HLAG was measured by ELISA method. Results: Positive CD38 expression was significantly associated with lower Hb and platelets (p = 0.008 and 0.025 respectively) also with higher Beta2 microglobulin (p = 0.012). Soluble HLA G was positively correlated with the platelets count(r = 0.400, p = 0.02). Higher level of soluble form HLA-G was significantly more frequent in patients of 60 years or older (p = 0.001). The cumulative overall survival was 83.3%. Positive CD 38 expression was associated with significantly worse survival (p < 0.005). HB count < 10 gm/dl was associated with significantly worse survival (p < 0.001). Conclusion: CD38 expressions are considered powerful prognostic markers in predicting overall survival for Egyptian CLL patients and they should be assessed to decide the patient's therapy and to determine disease prognosis. Expression of soluble form of HLA-G in CLL patients by ELISA get no extra prognostic importance.

DOI

10.21608/ejhm.2020.88564

Keywords

CLL, HLA-G, CD38, ELISA

Authors

First Name

Omar Elhenawy Mohamed

Last Name

Thabet

MiddleName

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Affiliation

Department of Clinical Pathology, Faculty of Medicine – Aswan University

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Orcid

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First Name

Wafaa Salah

Last Name

Mohamed

MiddleName

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Affiliation

Department of Clinical Pathology, Faculty of Medicine – Aswan University

Email

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Orcid

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First Name

Magda

Last Name

Assem

MiddleName

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Affiliation

Department of Clinical Pathology, National Cancer Institute – Cairo univeristy

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First Name

Abdel Rahman

Last Name

Abdel Hamid

MiddleName

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Affiliation

Department of Clinical Pathology, Faculty of Medicine – Qena University

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Orcid

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First Name

Randa Amin

Last Name

Osman

MiddleName

-

Affiliation

Department of Clinical Pathology, National Cancer Institute – Cairo univeristy

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Volume

80

Article Issue

1

Related Issue

13031

Issue Date

2020-07-01

Receive Date

2020-05-11

Publish Date

2020-07-01

Page Start

581

Page End

586

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_88564.html

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https://ejhm.journals.ekb.eg/service?article_code=88564

Order

5

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Prognostic Value of Soluble HLA-G and CD38 Expression in Patients with Chronic Lymphocytic Leukemia in Egypt

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Article

Created At

22 Jan 2023