Monoclonal gammopathy and serum immunoglobulin levels as prognostic factors in chronic lymphocytic leukaemia.


Journal

British journal of haematology
ISSN: 1365-2141
Titre abrégé: Br J Haematol
Pays: England
ID NLM: 0372544

Informations de publication

Date de publication:
09 2020
Historique:
received: 05 04 2020
accepted: 31 05 2020
pubmed: 28 7 2020
medline: 10 3 2021
entrez: 27 7 2020
Statut: ppublish

Résumé

The relationship between chronic lymphocytic leukaemia (CLL) and qualitative/quantitative gammaglobulin abnormalities is well established. Nevertheless, in order to better understand this kind of connection, we examined 1505 patients with CLL and divided them into four subgroups on the basis of immunoglobulin (Ig) aberrations at diagnosis. A total of 73 (4·8%), 149 (10%), 200 (13·2%) and 1083 (72%) patients were identified with IgM monoclonal gammopathy (IgM/CLL), IgG monoclonal gammopathy (IgG/CLL), hypogammaglobulinaemia (hypo-γ) and normal Ig levels (γ-normal) respectively. IgM paraprotein was significantly associated with a more advanced Binet/Rai stage and del(17p)/TP53 mutation, while IgG abnormalities correlated with a higher occurrence of trisomy 12. Patients with any type of Ig abnormality had shorter treatment-free survival (TFS) but no significant impact affecting overall survival (OS) compared to those with normal Ig levels.

Identifiants

pubmed: 32712965
doi: 10.1111/bjh.16975
doi:

Substances chimiques

Immunoglobulin G 0
Immunoglobulin M 0
Neoplasm Proteins 0
TP53 protein, human 0
Tumor Suppressor Protein p53 0

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

901-908

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2020 British Society for Haematology and John Wiley & Sons Ltd.

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Auteurs

Andrea Corbingi (A)

Department of Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Idanna Innocenti (I)

Department of Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Annamaria Tomasso (A)

Department of Hematology, Università Cattolica del Sacro Cuore, Rome, Italy.

Raffaella Pasquale (R)

Department of Hematology, Fondazione IRCCS Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy.

Andrea Visentin (A)

Hematology and Clinical Immunology Unit, Department of Medicine, Università degli Studi di Padova, Padova, Italy.

Marzia Varettoni (M)

Department of Hematology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Elena Flospergher (E)

Department of Hematology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

Francesco Autore (F)

Department of Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Francesca Morelli (F)

Department of Hematology, Università degli Studi di Firenze, Florence, Italy.

Livio Trentin (L)

Hematology and Clinical Immunology Unit, Department of Medicine, Università degli Studi di Padova, Padova, Italy.

Gianluigi Reda (G)

Department of Hematology, Fondazione IRCCS Ca'Granda, Ospedale Maggiore Policlinico, Milan, Italy.

Dimitar G Efremov (DG)

Molecular Haematology, International Centre for Genetic Engineering and Biotechnology, Trieste, Italy.

Luca Laurenti (L)

Department of Hematology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Department of Hematology, Università Cattolica del Sacro Cuore, Rome, Italy.

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