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The Prognostic Value of CD49d Expression in Turkish Patients with Chronic Lymphocytic Leukemia
OBJECTIVE: The aim of this study was to assess the prognostic value of CD49d expression in Turkish chronic lymphocytic leukemia patients.METHODS: Data for 118 patients from a single center were evaluated. In all, the study included 73 patients for whom complete clinical follow-up data, and flow cytometry test results for CD5/19, CD23/43, CD38, Zap- 70, Kappa, and Lambda light chains, and CD49d were available. The effect of the level of CD49d expression on overall survival (OS) and time to treatment (TTT) was investigated retrospectively.RESULTS: Patients with high CD49d expression (?30%) had more advanced disease at the time of diagnosis (median Rai stage 3 vs. Rai stage 1, P = 0.03). Patients resistant to treatment had higher CD49d expression than patients that responded to treatment (mean CD49d expression of 58% vs. 46%, P = 0.08). The level of CD49d expression was not associated with OS or TTT.CONCLUSION: The study’s findings show that the patients with high CD49d expression at the time of diagnosis had more advanced disease and poorer response to therapy; however, their overall survival did not differ from that of the patients with advanced disease stage, but lower levels of CD49d expression.

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Authors: Ant Uzay, Tayfur Toptaş, Işık Kaygusuz, Emel Ekşioğlu-demiralp, Tülin Fıratlı Tuğlular, Mahmut Bayık

Keywords: Kronik lenfositik lösemi, CD49d, Prognoz

  • Year: 2012
  • Number: 4
  • Referance No: 62687

  • Figure 1: The effect of CD49d expression level on (A) TTT and (B) OS.
  • Figure 3: The effect of CD38/CD49d co-expression status on (A) TTT [*p=0.33, **p=0.004 (log-rank)] and (B) OS [*p=1.0, **p=0.13 (log-rank)].

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