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Preoperative inflammation markers and IDH mutation status predict glioblastoma patient survival

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机构: [1]Capital Med Univ, Sanbo Brain Hosp, Dept Neurosurg, Beijing, Peoples R China; [2]Chinese Acad Med Sci, Canc Hosp, Natl Canc Ctr, Dept Neurosurg, Beijing, Peoples R China; [3]Peking Union Med Coll, Beijing, Peoples R China; [4]Capital Med Univ, Sanbo Brain Hosp, Dept Pathol, Beijing, Peoples R China; [5]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing, Peoples R China; [6]Beijing Neurosurg Inst, Beijing, Peoples R China
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关键词: glioblastomas IDH-1 R132H mutation neutrophil to lymphocyte ratio platelet to lymphocyte ratio lymphocyte to monocyte ratio prognosis

摘要:
Recent studies suggest that inflammation response biomarkers are prognostic indicators of solid tumor outcomes. Here, we quantify the prognostic value of the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR) in glioblastomas (GBMs), taking into consideration the role of the isocitrate dehydrogenase (IDH) mutation status. We examined 141 primary glioblastomas (pGBMs) and 25 secondary glioblastomas (sGBMs). NLRs, PLRs, and LMRs were calculated before surgery. IDH mutations were detected immunohistochemically after tumor resection, and patients' clinical outcomes were analyzed after classification into GBM, pGBM, and IDH-wild type glioblastoma (IDH-wt GBM) groups. To make comparisons, we set cutoffs for NLR, PLR and LMR of 4.0, 175.0, and 3.7, respectively. In a multivariate analysis, both NLR (HR=1.712, 95% CI 1.026-2.858, p= 0.040) and PLR (HR=2.051, 95% CI 1.288-3.267, p=0.002) had independent prognostic value. While a low NLR was associated with a better prognosis only in the IDH-wt GBM group, PLR was predictive of patient survival in the GBM, pGBM, and IDH-wt GBM groups. By contrast, LMR exhibited no prognostic value for any of the 3 types of GBM.

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出版当年[2016]版:
大类 | 1 区 医学
小类 | 2 区 细胞生物学 2 区 肿瘤学
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Q1 CELL BIOLOGY Q1 ONCOLOGY
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第一作者机构: [1]Capital Med Univ, Sanbo Brain Hosp, Dept Neurosurg, Beijing, Peoples R China;
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通讯机构: [1]Capital Med Univ, Sanbo Brain Hosp, Dept Neurosurg, Beijing, Peoples R China;
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