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88567

Expression of Tolerogenic HLA-G Confer Worse Outcome in Patients with Chronic Lymphocytic Leukemia

Article

Last updated: 03 Jan 2025

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Abstract

Background: Chronic lymphocytic leukemia (CLL) is the most common hematological malignancy in adults presenting with varied clinical course. There is a higher request for founding known prognostic factors for stratifying CLL patients. HLA-G is a non-classical major histocompatibility complex (MHC) molecule. It can be expressed in membrane bound (m.HLA-G) and soluble forms (s.HLA-G). Objective: The aim of work was to investigate the expression of membrane form of HLA-G in CLL and correlate findings and a variety of clinical and laboratory variables. Patients and methods: This prospective study included a total of thirty newly diagnosed B-CLL patients, attending at Hematology Unit, Medical Oncology Department, national Cancer institute, Cairo. This study was conducted between December 2017 to July 2019. Diagnosis of CLL was confirmed by flow cytometric immunophenenotyping using standard lymphoma panel, membrane HLA-G was determined by flow cytometry. Results: The expression of HLA-G by flowcytometry was negatively correlated with the platelet count (r = -0.516, p = 0.004) and Hb (r = -0.479, p = 0.007). The expression of HLA-G was significantly higher in CD38 positive cells (p = 0.006). The expression of HLA-G was significantly higher in Rai stage 4 compared to stage 1 & stage 2 (p = 0.001). Conclusion: It could be concluded that expression of HLA-G might represent signs of immunosuppression in CLL patients which contribute to the immune escape of tumor cells. In addition, HLA-G expression by B-CLL cells correlates significantly with the known prognostic markers of disease progression, mainly Rai clinical staging, CD38 expression and worse survival, making this parameter possibly an important prognostic factors of disease progression.

DOI

10.21608/ejhm.2020.88567

Keywords

CLL, HLA-G

Authors

First Name

Omar Elhenawy Mohamed

Last Name

Thabet

MiddleName

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Affiliation

Department of Clinical Pathology, Faculty of Medicine, Aswan University

Email

omarhenawy86@gmail.com

City

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Orcid

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First Name

Wafaa Salah

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Aswan University

Email

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City

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Orcid

-

First Name

Magda

Last Name

Assem

MiddleName

-

Affiliation

Department of Clinical Pathology, National Cancer Institute, Cairo univeristy

Email

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City

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Orcid

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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, Egypt

Email

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City

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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

Email

-

City

-

Orcid

-

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

587

Page End

593

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_88567.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=88567

Order

6

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

Expression of Tolerogenic HLA-G Confer Worse Outcome in Patients with Chronic Lymphocytic Leukemia

Details

Type

Article

Created At

22 Jan 2023