Baseline derived neutrophil-to-lymphocyte ratio as a prognostic biomarker for non-colorectal gastrointestinal cancer patients treated with immune checkpoint blockade

Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 212(2020) vom: 06. März, Seite 108345
1. Verfasser: Li, Shuang (VerfasserIn)
Weitere Verfasser: Zou, Jianling, Liu, Chang, Jiao, Xi, Gong, Jifang, Li, Jian, Wang, Zhenghang, Lu, Ming, Lu, Zhihao, Shen, Lin
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Immune checkpoint blockade Inflammation Non-colorectal GI cancer Overall survival dNLR Antineoplastic Agents, Immunological B7-H1 Antigen Biomarkers mehr... CD274 protein, human CTLA-4 Antigen Programmed Cell Death 1 Receptor
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100 1 |a Li, Shuang  |e verfasserin  |4 aut 
245 1 0 |a Baseline derived neutrophil-to-lymphocyte ratio as a prognostic biomarker for non-colorectal gastrointestinal cancer patients treated with immune checkpoint blockade 
264 1 |c 2020 
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520 |a Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved. 
520 |a BACKGROUND: Biomarkers in non-colorectal gastrointestinal (GI) cancer patients receiving immune checkpoint blockades (ICBs) are still limited 
520 |a METHODS: Data were prospectively collected from a discovery cohort (n = 53) and a validation cohort (n = 107) in patients with non-colorectal GI cancer receiving ICB, as well as a chemotherapy-only cohort (n = 171). System inflammatory markers and derived neutrophil-to-lymphocyte ratio (dNLR) were determined as biomarkers by univariate and multivariate analyses 
520 |a RESULTS: A higher level of dNLR (cutoff = 3) was associated with shorter overall survival (OS) in discovery and validation cohorts. In pooled cohort, disease control rate (DCR) (28% vs. 48.1%) was associated with dNLR (p = .017). In univariate analysis, original tumor site, tumor histopathology, number of metastases, and dNLR were correlated with OS. In multivariate analysis, higher dNLR level was correlated with reduced OS (10.43 months vs. 4.20 months, p < .001). In chemotherapy-only cohort, dNLR was also correlated with DCR and OS 
520 |a CONCLUSION: Higher dNLR level was correlated with worse outcomes, suggesting that dNLR may help risk-group stratification and assist disease management strategies as a prognostic biomarker for non-colorectal GI patients receiving ICB 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 4 |a Immune checkpoint blockade 
650 4 |a Inflammation 
650 4 |a Non-colorectal GI cancer 
650 4 |a Overall survival 
650 4 |a dNLR 
650 7 |a Antineoplastic Agents, Immunological  |2 NLM 
650 7 |a B7-H1 Antigen  |2 NLM 
650 7 |a Biomarkers  |2 NLM 
650 7 |a CD274 protein, human  |2 NLM 
650 7 |a CTLA-4 Antigen  |2 NLM 
650 7 |a Programmed Cell Death 1 Receptor  |2 NLM 
700 1 |a Zou, Jianling  |e verfasserin  |4 aut 
700 1 |a Liu, Chang  |e verfasserin  |4 aut 
700 1 |a Jiao, Xi  |e verfasserin  |4 aut 
700 1 |a Gong, Jifang  |e verfasserin  |4 aut 
700 1 |a Li, Jian  |e verfasserin  |4 aut 
700 1 |a Wang, Zhenghang  |e verfasserin  |4 aut 
700 1 |a Lu, Ming  |e verfasserin  |4 aut 
700 1 |a Lu, Zhihao  |e verfasserin  |4 aut 
700 1 |a Shen, Lin  |e verfasserin  |4 aut 
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773 1 8 |g volume:212  |g year:2020  |g day:06  |g month:03  |g pages:108345 
856 4 0 |u http://dx.doi.org/10.1016/j.clim.2020.108345  |3 Volltext 
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