Evidence map›Paper›PMID 33530253›Full record

Observational studyMedicine2021

Prognostic value of lymphocyte-to-monocyte ratio and histone methyltransferase G9a histone methyltransferase in patients with double expression lymphoma: A retrospective observational study.

Pei Xu, Xiaolin Sun, Xuyan Song, Yaqian Peng, Bin He, Zhengdong Wu, Jianfeng Zhu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Pei XuDepartment of Hematology, the People's Hospital of Taizhou, Taizhou.ORCID 0000-0002-4276-9622
Xiaolin SunInstitute of Translational Medicine, Medical College, Yangzhou University.
Xuyan SongDepartment of Hematology, the People's Hospital of Taizhou, Taizhou.
Yaqian PengDepartment of Hematology, the People's Hospital of Taizhou, Taizhou.
Bin HeDepartment of Hematology, Northern Jiangsu People's Hospital, Yangzhou, Jiangsu, China.
Zhengdong WuDepartment of Hematology, the People's Hospital of Taizhou, Taizhou.
Jianfeng ZhuDepartment of Hematology, the People's Hospital of Taizhou, Taizhou.
Nantong University · CNNorthern Jiangsu People's Hospital · CNYangzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractIn patients with diffuse large B-cell lymphoma, MYC combined with Bcl2 and/or Bcl6-based protein expression is called double expression lymphoma (DEL). R-DA-EPOCH program chemotherapy is typically recommended because these patients often have a poor prognosis. Although numerous factors affect survival of patients with DEL, the roles of the tumor biomarker histone methyltransferase G9a (G9a) and the lymphocyte-to-monocyte ratio (LMR) are unknown.We performed a retrospective analysis of data from 51 patients. These patients were newly diagnosed with DEL and treated with R-DA-EPOCH at Taizhou People' s Hospital and Northern Jiangsu People's Hospital between June 2014 and December 2019. Receiver operator characteristic curve results were used to calculate the LMR cutoff value. We used an immunohistochemical analysis to examine G9a expression in DEL tissues. The Kaplan-Meier method was used to determine progression-free survival (PFS) and overall survival (OS) characteristics. Cox proportional-hazards models were constructed for univariate and multivariate analyses to examine the prognostic values of LMRs and G9a in patients with DEL.The cutoff value for LMR was 2.18. The 5-year PFS rate was 35.3%, and the 5-year OS rate was 39.2%. Patients with DEL with lower LMRs and who were G9a-positive predicted inferior PFS and OS. Univariate analysis revealed that patients with elevated LDH levels, high National Comprehensive Cancer Network International Prognostic Index (NCCN-IPI) scores, LMRs ≤2.18, and G9a-positive results had relatively poorer PFS and OS. The multivariate analysis revealed that LMRs ≤2.18 and a G9a-positive result were independent prognostic factors for PFS and OS in patients with DEL treated with R-DA-EPOCH.The study results suggested that peripheral blood LMRs were an important marker for evaluation of prognosis in patients with DEL. High expression of G9a was associated with worse outcomes, indicating that G9a may serve as a prognostic biomarker for patients with DEL who undergo R-DA-EPOCH program chemotherapy.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkersChinaCyclophosphamideDoxorubicinEtoposideFemaleGene ExpressionHistocompatibility AntigensHistone-Lysine N-MethyltransferaseHumansKaplan-Meier EstimateLymphocyte CountLymphoma, Large B-Cell, DiffuseBCL2 protein, humanBCL6 protein, humanBiomarkersCyclophosphamideDoxorubicinEHMT2 protein, humanEtoposideHistocompatibility AntigensHistone-Lysine N-MethyltransferasePrednisoneProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-bcl-6Vincristine

Identifiers

PMID33530253
PMCPMC7850655
OpenAlexW3127161150

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.