The Siberian Scientific Medical Journal
 
 
№ 1 / 2015 / 84-89

Differences between prognostic value of rs1625895 in male and female patients with diffuse large B-cell lymphoma

Author Affiliations

Abstract

Data showing the prognostic value of rs1625895 polymorphism in the TP53 gene in hematological malignancies were obtained previously. This data are consistent with the results of studies of the solid tumors. The objective of this study was to clarify the association between rs1625895 and the efficiency of R-CHOP therapy in DLBCL patients. Material and methods. 106 DLBCL patients diagnosed in the 2004–2010 were enrolled into the study. All patients received 6–8 courses of R-CHOP therapy as a first-line treatment. Results and discussion. The prognostic value of rs1625895 in aggressive non-Hodgkin’s lymphoma was confirmed in the group of patients with diffuse large B-cell lymphoma. It is shown that the age is not independent predictor of survival in patients DLBCL (p > 0.05) regardless of gender. Index IPI elaborated before retuximab use retains its prognostic value in patients received immunochemotherapy (both for male p = 0.036 and female p = 0.018). However, the G/G genotype of rs1625895 polymorphism in the TP53 gene was shown to be associated with a high probability of R-CHOP therapy failure in DLBCL patients according to the probability of remission as well as 5-year overall (p = 0.005) and relapse-free (p = 0.003) survivals in female patients.

Key words

rs1625895, gene TP53, DLBCL, immunochemotherapy, prognostic factors, rituximab
References
About Authors (Correspondence):

Voropaeva E.N. – candidate of medical sciences, researcher of the laboratory of molecular-genetic methods of study of the therapeutic diseases, е-mail: vena.81@mail.ru

Pospelova T.I. – doctor of medical sciences,, professor, head of the chair for therapy, hematology and transfusiology, е-mail: postatgem@mail.ru

Voevoda M.I. – corresponding member of the RAS, doctor of medical sciences,, professor, director, е-mail: mvoevoda@ya.ru

Maksimov V.N. – doctor of medical sciences, professor, head of the laboratory of molecular-genetic methods of study of the therapeutic diseases, е-mail: medik11@mail.ru

Berezina O.V. – candidate of medical sciences, assistant professor of the chair for therapy, hematology and transfusiology, е-mail: ovberezina@mail.ru

Ovchinnikov V.S. – postgraduate student of the chair for therapy, hematology and transfusiology, е-mail: black_wizard@mail.ru

Shcherbakova L.V. – senior researcher of the laboratory of clinical population and preventive studies of therapeutic and endocrine diseases, е-mail: 9584792@mail.ru

Babaeva T.N. – postgraduate student of the chair for therapy, hematology and transfusiology, е-mail: babaeva_tatyana@inbox.ru

Full Text

Received: 17/02/2015