Skip to main content

Advertisement

Log in

Increased CD59 protein expression is associated with the outcome of patients with diffuse large B-cell lymphoma treated with R-CHOP

  • Original Paper
  • Published:
Medical Oncology Aims and scope Submit manuscript

Abstract

The objective was to investigate the expression and prognostic value of CD59 expression in patients with diffuse large B-cell lymphoma (DLBCL) who underwent rituximab-cyclophosphamide, adriamycin, vincristine, and prednisone (R-CHOP). The immunohistochemical expressions of CD59 in 186 well-characterized DLBCL patients were evaluated using tissue microarrays and then were related to known tumor- and patient-related variables and to survival. The results show that CD59 expressions were not statistically different between the germinal center B-cell-like-type and the activated B-cell-like-type. We also analyzed the relationships of CD59 expression with overall survival (OS) and progression-free survival (PFS) in DLBCL patients who were uniformly treated with R-CHOP. The high expression of CD59 was correlated with poor OS and PFS compared with the low-expression CD59. Our findings indicate that the CD59 level at onset is an independent predictor of the prognosis of DLBCL patients treated with R-CHOP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Swerdlow SHCE, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. 4th ed. Lyon, France: IARC Press; 2008.

    Google Scholar 

  2. Habermann TM, et al. Rituximab-CHOP versus CHOP alone or with maintenance rituximab in older patients with diffuse large B-cell lymphoma. J Clin Oncol. 2006;24:3121–7.

    Article  CAS  PubMed  Google Scholar 

  3. Friendberg Jonathan W. New strategies in diffuse large B-cell lymphoma: translating finding from gene expression analyses into clinical practice. Clin Cancer Res. 2011;17:6112–6.

    Article  Google Scholar 

  4. Okamura T. A predictive model for aggressive non-Hodgkin’s lymphoma. The international Non-Hodgkin’s lymphoma prognostic factors project. N Engl J Med. 1993;329:987–94.

    Article  Google Scholar 

  5. Hou Y, Wang HQ, Ba Y. High expression of cell division cycle 7 protein correlates with poor prognosis in patients with diffuse large B-cell lymphoma. Med Oncol. 2012;29:3498–503.

    Article  CAS  PubMed  Google Scholar 

  6. Provencio M, et al. Caspase 3a: new prognostic marker for diffuse large B-cell lymphoma in the rituximab era. Leuk Lymphoma. 2010;51:2021–30.

    Article  PubMed  Google Scholar 

  7. Wang H, et al. A recombinant adenovirus type 35 fiber knob protein sensitizes lymphoma cells to rituximab therapy. Blood. 2010;115:592–600.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  8. Golay J, et al. Biologic response of B lymphoma cells to anti-CD20 monoclonal antibody rituximab in vitro: CD55 and CD59 regulate complement-mediated cell lysis. Blood. 2000;95:3900–8.

    CAS  PubMed  Google Scholar 

  9. Kononen J, Bubendorf L, Kallioniemi A, Barlund M, Schraml P, Leighton S, Torhorst J, Mihatsch MJ, Sauter G, Kallioniemi OP. Tissue microarrays for high throughput molecular profiling of tumour specimens. Nat Med. 1998;4:844–7.

    Article  CAS  PubMed  Google Scholar 

  10. Cheson BD, et al. Revised response criteria for malignant lymphoma. J Clin Oncol. 2007;25:579–86.

    Article  PubMed  Google Scholar 

  11. Torhorst J, et al. Tissue microarrays for the rapid linking of molecular changes to clinical endpoints. Am J Pathol. 2001;159:2249–56.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Camp RL, Charette LA, Rimm DL. Validation of tissue microarray technology in breast carcinoma. Lab Invest. 2000;80:1943–9.

    Article  CAS  PubMed  Google Scholar 

  13. Coiffier B, et al. CHOP chemotherapy plus rituximab compared with CHOP alone in elderly patients with diffuse large-B-cell lymphoma. N Engl J Med. 2002;346:235–42.

    Article  CAS  PubMed  Google Scholar 

  14. Pfreundschuh M, et al. CHOP-like chemotherapy plus rituximab versus CHOP-like chemotherapy alone in young patients with good-prognosis diffuse large-B-cell lymphoma: a randomised controlled trial by the MabThera International Trial (MInT) Group. Lancet Oncol. 2006;7:379–91.

    Article  CAS  PubMed  Google Scholar 

  15. Sehn LH, et al. Introduction of combined CHOP plus rituximab therapy dramatically improved outcome of diffuse large B-cell lymphoma in British Columbia. J Clin Oncol. 2005;23:5027–33.

    Article  CAS  PubMed  Google Scholar 

  16. Shustik J, et al. Correlations between BCL6 rearrangement and outcome in patients with diffuse large B-cell lymphoma treated with CHOP or R-CHOP. Haematologica. 2010;95:96–101.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  17. Maloney DG, et al. IDEC-C2B8 (rituximab) anti-CD20monoclonal antibody therapy in patients with relapsed low-grade non-Hodgkin’s lymphoma. Blood. 1997;90:2188–95.

    CAS  PubMed  Google Scholar 

  18. Villamor N, Montserrat E, Colomer D. Mechanism of action and resistance to monoclonal antibody therapy. Semin Oncol. 2003;30:424–33.

    Article  CAS  PubMed  Google Scholar 

  19. You T, Hu WG, Ge XW, Shen JN, Qin XB. Application of a novel inhibitor of human CD59 for the enhancement of complement-dependent cytolysis on cancer cells. Cell Mol Immunol. 2011;8:157–63.

    Article  CAS  PubMed  Google Scholar 

  20. Hu WG, Ge XW, You T, Xu T, Zhang JY. Human CD59 inhibitor sensitizes rituximab-resistant lymphoma cells to complement-mediated cytolysis. Cancer Res. 2011;71:2298–307.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Ge XW, Wu L, Hu WG, Fernandes S. rILYd4, a human CD59 inhibitor, enhances complement-dependent cytotoxicity of ofatumumab against rituximab resistant B-cell lymphoma cells and chronic lymphocytic leukemia. Clin Cancer Res. 2011;17:6702–11.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Golay J, Lazzari M, Facchinetti V. CD20 levels determine the in vitro susceptibility to rituximab and complement of B-cell chronic lymphocytic leukemia: further regulation by CD55 and CD59. Blood. 2001;98:3383–9.

    Article  CAS  PubMed  Google Scholar 

  23. Dzietczenia J, et al. Expression of complement regulatory proteins: CD46, CD55, and CD59 and response to rituximab in patients with CD20 + non-Hodgkin’s lymphoma. Med Oncol. 2010;27:743–6.

    Article  CAS  PubMed  Google Scholar 

  24. Weng WK. Levy: Expression of complement inhibitors CD46, CD55, and CD59 on tumor cells does not predict clinical outcome after rituximab treatment in follicular non-Hodgkin lymphoma. Blood. 2001;98:1352–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Conflict of interest

The author(s) confirm that this article content has no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shukui Wang.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Song, G., Cho, W.C., Gu, L. et al. Increased CD59 protein expression is associated with the outcome of patients with diffuse large B-cell lymphoma treated with R-CHOP. Med Oncol 31, 56 (2014). https://doi.org/10.1007/s12032-014-0056-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12032-014-0056-y

Keywords

Navigation