The Prognostic Impact of Eosinophils and the Eosinophil-to-Lymphocyte Ratio on Survival Outcomes in Stage II Resectable Pancreatic Cancer.


Journal

Pancreas
ISSN: 1536-4828
Titre abrégé: Pancreas
Pays: United States
ID NLM: 8608542

Informations de publication

Date de publication:
01 02 2021
Historique:
entrez: 10 2 2021
pubmed: 11 2 2021
medline: 15 12 2021
Statut: ppublish

Résumé

The relationship between eosinophils and cancer prognosis is unknown. Therefore, we analyzed the relationship between circulating eosinophils and the survival of stage IIA and IIB pancreatic cancer patients who underwent surgical resection. This study included a retrospective cohort of 67 consecutive patients. Patients were categorized into two different groups based on the optimal cutoff for pretreatment levels of each biomarker, according to the receiver operating characteristic curves. The Kaplan-Meier method showed that low eosinophil (P = 0.0403), high neutrophil (P = 0.0066), and high monocyte (P = 0.0003) counts were associated with short overall survival (OS). Low lymphocyte-to-monocyte ratio (P = 0.0194) and eosinophil-to-lymphocyte ratio (ELR) (P = 0.0413) were associated with reduced OS. In multivariate analysis, histological differentiation (P = 0.0014), high neutrophils (P = 0.047), high monocytes (P = 0.029), and low eosinophils (P < 0.0001) were correlated with poorer OS. Histological differentiation (P = 0.033), low lymphocyte-to-monocyte ratio (P = 0.029), and low ELR (P = 0.005) were correlated with poor OS and were significant independent prognostic factors of poor outcomes. Low eosinophils and low ELR were significant independent prognostic factors of poor outcomes.

Identifiants

pubmed: 33565793
doi: 10.1097/MPA.0000000000001731
pii: 00006676-202102000-00007
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

167-175

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

Jemal A, Bray F, Center MM, et al. Global cancer statistics. CA Cancer J Clin . 2011;61:69–90.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin . 2018;68:7–30.
Sant M, Allemani C, Santaquilani M, et al. EUROCARE-4. Survival of cancer patients diagnosed in 1995–1999. Results and commentary. Eur J Cancer . 2009;45:931–991.
Rahib L, Smith BD, Aizenberg R, et al. Projecting cancer incidence and deaths to 2030: the unexpected burden of thyroid, liver, and pancreas cancers in the United States. Cancer Res . 2014;74:2913–2921.
Kamisawa T, Wood LD, Itoi T, et al. Pancreatic cancer. Lancet . 2016;388:73–85.
Lefebvre AC, Maurel J, Boutreux S, et al. Pancreatic cancer: incidence, treatment and survival trends—1175 cases in Calvados (France) from 1978 to 2002. Gastroenterol Clin Biol . 2009;33:1045–1051.
Li HB, Zhou J, Zhao FQ. A prognostic nomogram for disease-specific survival in patients with pancreatic ductal adenocarcinoma of the head of the pancreas following pancreaticoduodenectomy. Med Sci Monit . 2018;24:6313–6321.
Fortner JG, Klimstra DS, Senie RT, et al. Tumor size is the primary prognosticator for pancreatic cancer after regional pancreatectomy. Ann Surg . 1996;223:147–153.
Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow? Lancet . 2001;357:539–545.
Raut CP, Tseng JF, Sun CC, et al. Impact of resection status on pattern of failure and survival after pancreaticoduodenectomy for pancreatic adenocarcinoma. Ann Surg . 2007;246:52–60.
Ozaki H, Hiraoka T, Mizumoto R, et al. The prognostic significance of lymph node metastasis and intrapancreatic perineural invasion in pancreatic cancer after curative resection. Surg Today . 1999;29:16–22.
Tanrikulu AC, Abakay A, Komek H, et al. Prognostic value of the lymphocyte-to-monocyte ratio and other inflammatory markers in malignant pleural mesothelioma. Environ Health Prev Med . 2016;21:304–311.
Grivennikov SI, Greten FR, Karin M. Immunity, inflammation, and cancer. Cell . 2010;140:883–899.
Nozoe T, Saeki H, Sugimachi K. Significance of preoperative elevation of serum C-reactive protein as an indicator of prognosis in esophageal carcinoma. Am J Surg . 2001;182:197–201.
Hu RJ, Ma JY, Hu G. Lymphocyte-to-monocyte ratio in pancreatic cancer: prognostic significance and meta-analysis. Clin Chim Acta . 2018;481:142–146.
Goh BK, Kam JH, Lee SY, et al. Significance of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and prognostic nutrition index as preoperative predictors of early mortality after liver resection for huge (≥10 cm) hepatocellular carcinoma. J Surg Oncol . 2016;113:621–627.
Zhou Y, Wei Q, Fan J, et al. Prognostic role of the neutrophil-to-lymphocyte ratio in pancreatic cancer: a meta-analysis containing 8252 patients. Clin Chim Acta . 2018;479:181–189.
Song W, Tian C, Wang K, et al. Preoperative platelet lymphocyte ratio as independent predictors of prognosis in pancreatic cancer: a systematic review and meta-analysis. PLoS One . 2017;12:e0178762.
Stevens L, Pathak S, Nunes QM, et al. Prognostic significance of pre-operative C-reactive protein and the neutrophil-lymphocyte ratio in resectable pancreatic cancer: a systematic review. HPB (Oxford) . 2015;17:285–291.
Kumarasamy C, Sabarimurugan S, Madurantakam RM, et al. Prognostic significance of blood inflammatory biomarkers NLR, PLR, and LMR in cancer-a protocol for systematic review and meta-analysis. Medicine (Baltimore) . 2019;98:e14834.
Divack DM, Janovski NA. Eosinophilia encountered in female genital organs. Am J Obstet Gynecol . 1962;84:761–763.
Mingomataj EC. Eosinophil-induced prognosis improvement of solid tumors could be enabled by their vesicle-mediated barrier permeability induction. Med Hypotheses . 2008;70:582–584.
Long H, Liao W, Wang L, et al. A player and coordinator: the versatile roles of eosinophils in the immune system. Transfus Med Hemother . 2016;43:96–108.
Holub K, Conill C. Unveiling the mechanisms of immune evasion in pancreatic cancer: may it be a systemic inflammation responsible for dismal survival? Clin Transl Oncol . 2020;22:81–90.
Caruso RA, Parisi A, Quattrocchi E, et al. Ultrastructural descriptions of heterotypic aggregation between eosinophils and tumor cells in human gastric carcinomas. Ultrastruct Pathol . 2011;35:145–149.
Davis BP, Rothenberg ME. Eosinophils and cancer. Cancer Immunol Res . 2014;5:1–8.
Cormier SA, Taranova AG, Bedient C, et al. Pivotal advance: eosinophil infiltration of solid tumors is an early and persistent inflammatory host response. J Leukoc Biol . 2006;79:1131–1139.
Stenfeldt AL, Wennerås C. Danger signals derived from stressed and necrotic epithelial cells activate human eosinophils. Immunology . 2004;112:605–614.
Lotfi R, Lee JJ, Lotze MT. Eosinophilic granulocytes and damage-associated molecular pattern molecules (DAMPs): role in the inflammatory response within tumors. J Immunother . 2007;30:16–28.
Geisinger KR, Steffee CH, McGee RS, et al. The cytomorphologic features of sclerosing mucoepidermoid carcinoma of the thyroid gland with eosinophilia. Am J Clin Pathol . 1998;109:294–301.
Fridlender ZG, Simon HU, Shalit M. Metastatic carcinoma presenting with concomitant eosinophilia and thromboembolism. Am J Med Sci . 2003;326:98–101.
Thielen C, Radermacher V, Trimeche M, et al. TARC and IL-5 expression correlates with tissue eosinophilia in peripheral T-cell lymphomas. Leuk Res . 2008;32:1431–1438.
Gündüz S, Göksu SS, Arslan D, et al. Factors affecting disease-free survival in patients with human epidermal growth factor receptor 2-positive breast cancer who receive adjuvant trastuzumab. Mol Clin Oncol . 2015;3:1109–1112.
Andersen CL, Siersma VD, Hasselbalch HC, et al. Eosinophilia in routine blood samples and the subsequent risk of hematological malignancies and death. Am J Hematol . 2013;88:843–847.
Holub K, Biete A. New pre-treatment eosinophil-related ratios as prognostic biomarkers for survival outcomes in endometrial cancer. BMC Cancer . 2018;18:1280.
Wei Y, Zhang X, Wang G, et al. The impacts of pretreatment circulating eosinophils and basophils on prognosis of stage I-III colorectal cancer. Asia Pac J Clin Oncol . 2018;14:e243–e251.
Moreira A, Leisgang W, Schuler G, et al. Eosinophilic count as a biomarker for prognosis of melanoma patients and its importance in the response to immunotherapy. Immunotherapy . 2017;9:115–121.
Holub K, Biete A. Impact of systemic inflammation biomarkers on the survival outcomes of cervical cancer patients. Clin Transl Oncol . 2018;21:836–844.
Zhu J, Wang H, Gao MJ, et al. Prognostic values of lymphocyte and eosinophil counts in resectable cervical squamous cell carcinoma. Future Oncol . 2019;15:3467–3481.
Carretero R, Sektioglu IM, Garbi N, et al. Eosinophils orchestrate cancer rejection by normalizing tumor vessels and enhancing infiltration of CD8(+) T cells. Nat Immunol . 2015;16:609–617.

Auteurs

Yutaro Kubota (Y)

Division of Medical Oncology, Department of Medicine, School of Medicine.

Atsushi Horiike (A)

Division of Medical Oncology, Department of Medicine, School of Medicine.

Tomoyuki Ishiguro (T)

Division of Medical Oncology, Department of Medicine, School of Medicine.

Yuya Hirasawa (Y)

Division of Medical Oncology, Department of Medicine, School of Medicine.

Hirotsugu Ariizumi (H)

Division of Medical Oncology, Department of Medicine, School of Medicine.

Makoto Watanabe (M)

From the Department of Clinical Diagnostic Oncology, Clinical Research Institute for Clinical Pharmacology and Therapeutics.

Rie Onoue (R)

From the Department of Clinical Diagnostic Oncology, Clinical Research Institute for Clinical Pharmacology and Therapeutics.

Kiyohiro Ando (K)

From the Department of Clinical Diagnostic Oncology, Clinical Research Institute for Clinical Pharmacology and Therapeutics.

Takeshi Aoki (T)

Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan.

Masahiko Murakami (M)

Division of General and Gastroenterological Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan.

Shinichi Kobayashi (S)

Clinical Research Institute for Clinical Pharmacology and Therapeutics.

Takuya Tsunoda (T)

Division of Medical Oncology, Department of Medicine, School of Medicine.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH