Biomarkers for prediction of CAR T therapy outcomes: current and future perspectives
Frontiers in Immunology,
Год журнала:
2024,
Номер
15
Опубликована: Март 15, 2024
Chimeric
antigen
receptor
(CAR)
T
cell
therapy
holds
enormous
potential
for
the
treatment
of
hematologic
malignancies.
Despite
its
benefits,
it
is
still
used
as
a
second
line
therapy,
mainly
because
severe
side
effects
and
patient
unresponsiveness.
Numerous
researchers
worldwide
have
attempted
to
identify
effective
predictive
biomarkers
early
prediction
outcomes
adverse
in
CAR
albeit
so
far
only
with
limited
success.
This
review
provides
comprehensive
overview
current
state
biomarkers.
Although
existing
metrics
correlate
some
extent
outcomes,
they
fail
encapsulate
complexity
immune
system
dynamics.
The
aim
this
six
major
groups
propose
their
use
developing
improved
efficient
models.
These
include
changes
mitochondrial
dynamics,
endothelial
activation,
central
nervous
impairment,
markers,
extracellular
vesicles,
inhibitory
tumor
microenvironment.
A
understanding
multiple
factors
that
influence
therapeutic
efficacy
has
significantly
improve
course
care,
thereby
making
advanced
immunotherapy
more
appealing
convenient
favorable
patients.
Язык: Английский
Should we use nomograms for risk predictions in diffuse large B cell lymphoma patients? A systematic review
Critical Reviews in Oncology/Hematology,
Год журнала:
2024,
Номер
196, С. 104293 - 104293
Опубликована: Фев. 10, 2024
Models
based
on
risk
stratification
are
increasingly
reported
for
Diffuse
large
B
cell
lymphoma
(DLBCL).
Due
to
a
rising
interest
in
nomograms
cancer
patients,
we
aimed
review
and
critically
appraise
prognostic
models
DLBCL
patients.
A
literature
search
PubMed/Embase
identified
59
articles
that
proposed
by
combining
parameters
of
(e.g.,
clinical,
laboratory,
immunohistochemical,
genetic)
between
January
2000
2024.
Of
them,
40
studies
different
gene
expression
signatures
incorporated
them
into
nomogram-based
models.
Although
most
assessed
discrimination
calibration
when
developing
the
model,
many
lacked
external
validation.
Current
mainly
developed
from
publicly
available
databases,
lack
validation,
have
no
applicability
clinical
practice.
However,
they
may
be
helpful
individual
patient
counseling,
although
careful
considerations
should
made
regarding
model
development
due
possible
limitations
choosing
prognostication.
Язык: Английский
A Novel Inflammatory-Nutritional Prognostic Scoring System for Patients with Diffuse Large B Cell Lymphoma
Journal of Inflammation Research,
Год журнала:
2024,
Номер
Volume 17, С. 1 - 13
Опубликована: Янв. 1, 2024
Purpose:
This
study
aimed
to
examine
the
predictive
ability
of
inflammatory
and
nutritional
markers
further
establish
a
novel
prognostic
scoring
(INPS)
system.
Patients
Methods:
We
collected
clinicopathological
baseline
laboratory
data
352
patients
with
DLBCL
between
April
2010
January
2023
at
First
affiliated
hospital
Ningbo
University.
Eligible
were
randomly
divided
into
training
validation
cohorts
(n
=
281
71,
respectively)
in
an
8:2
ratio.
used
least
absolute
shrinkage
selection
operator
(LASSO)
Cox
regression
model
determine
most
important
factors
among
eight
inflammatory-nutritional
variables.
The
impact
INPS
on
OS
was
evaluated
using
Kaplan–Meier
curve
Log
rank
test.
A
nomogram
developed
based
multivariate
method.
Then,
we
concordance
index
(C-index),
calibration
plot,
time-dependent
receiver
operating
characteristic
(ROC)
analysis
evaluate
performance
accuracy
nomogram.
Results:
Seven
biomarkers,
including
neutrophil-lymphocyte
ratio
(NLR),
(PNI),
body
mass
(BMI),
monocyte-lymphocyte
(MLR),
prealbumin,
C
reactive
protein,
D-dimer
selected
LASSO
construct
INPS,
In
analysis,
IPI-High-intermediate
group,
IPI-High
high
independently
associated
OS,
respectively.
for
overall
survival
consisting
above
two
indicators
showed
excellent
discrimination.
C-index
0.94
0.95
cohorts.
ROC
curves
that
better
than
NCCN-IPI
Conclusion:
seven
indexes
reliable
convenient
predictor
outcomes
patients.
Keywords:
diffuse
large
B
cell
lymphoma,
biomarker,
nomograms,
Язык: Английский
Comparison of Cox regression and generalized Cox regression models to machine learning in predicting survival of children with diffuse large B-cell lymphoma
Jia-Jia Qin,
Xiao-Xiao Zhu,
Xi Chen
и другие.
Translational Cancer Research,
Год журнала:
2024,
Номер
13(7), С. 3370 - 3381
Опубликована: Июль 1, 2024
Background:
The
incidence
of
diffuse
large
B-cell
lymphoma
(DLBCL)
in
children
is
increasing
globally.
Due
to
the
immature
immune
system
children,
prognosis
DLBCL
quite
different
from
that
adults.
We
aim
use
multicenter
retrospective
analysis
for
study
disease.
Methods:
For
our
analysis,
we
retrieved
data
Surveillance,
Epidemiology
and
End
Results
(SEER)
database
included
836
patients
under
18
years
old
who
were
treated
at
22
central
institutions
between
2000
2019.
randomly
divided
into
a
modeling
group
validation
based
on
ratio
7:3.
Cox
stepwise
regression,
generalized
regression
eXtreme
Gradient
Boosting
(XGBoost)
used
screen
all
variables.
selected
prognostic
variables
construct
nomogram
through
regression.
importance
was
ranked
using
XGBoost.
predictive
performance
model
assessed
by
C-index,
area
curve
(AUC)
receiver
operating
characteristic
(ROC)
curve,
sensitivity
specificity.
consistency
evaluated
calibration
curve.
clinical
practicality
verified
decision
(DCA).
Results:
ROC
demonstrated
models
except
non-proportional
hazards
non-log
linearity
(NPHNLL)
model,
achieved
AUC
values
above
0.7,
indicating
high
accuracy.
DCA
further
confirmed
strong
practicability.
Conclusions:
In
this
study,
successfully
constructed
machine
learning
combining
XGBoost
with
models.
This
integrated
approach
accurately
predicts
multiple
dimensions.
These
findings
provide
scientific
basis
accurate
prediction.
Язык: Английский
Clinical scoring systems, molecular subtypes and baseline [18F]FDG PET/CT image analysis for prognosis of diffuse large B-cell lymphoma
Cancer Imaging,
Год журнала:
2024,
Номер
24(1)
Опубликована: Дек. 18, 2024
Abstract
Diffuse
large
B-cell
lymphoma
(DLBCL)
is
a
highly
heterogeneous
hematological
malignancy
resulting
in
range
of
outcomes,
and
the
early
prediction
these
outcomes
has
important
implications
for
patient
management.
Clinical
scoring
systems
provide
most
commonly
used
prognostic
evaluation
criteria,
value
genetic
testing
also
been
confirmed
by
in-depth
research
on
molecular
typing.
[
18
F]-fluorodeoxyglucose
positron
emission
tomography
/
computed
([
F]FDG
PET/CT)
an
invaluable
tool
predicting
DLBCL
progression.
Conventional
baseline
image-based
parameters
machine
learning
models
have
FDG
PET/CT
studies
DLBCL;
however,
numerous
shown
that
combinations
clinical
systems,
subtypes,
based
image
may
better
predictions
aid
decision-making
patients
with
DLBCL.
Язык: Английский