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CD8 T-cell percentage increases in diffuse large B-cell lymphoma patients receiving mannatide combined with standard regimens. | LitMetric

AI Article Synopsis

Article Abstract

What Is Known And Objective: Suppression of antilymphoma effector cells, mainly T cells, is a key prerequisite for tumorigenesis and resistance in diffuse large B-cell lymphoma (DLBCL). The aim of the study was to determine whether mannatide (MT), an immunomodulator, could enhance the immunological response in DLBCL patients receiving standard regimens.

Methods: Patients with aggressive DLBCL treated with first-line standard regimens were included in this single-centre retrospective study. T-cell subtypes were detected using flow cytometry before and after the first cycle of treatment. Patients in MT group were treated with MT combined with standard first-line regimens, and patients in control group with standard first-line regimens. Chi-square test or Fisher's exact tests were used for categorical variables and independent t-tests for continuous variables.

Results And Discussion: Among the 138 DLBCL patients enrolled in this study, 34 (24.64%) were assigned to the MT group, while 104 (75.36%) patients were included in the control group. There were no significant differences in clinicopathological characteristics and baseline T-cell subtypes between the two groups (p > 0.05). After treatment, CD3 CD8 T-cell percentage of MT group was significantly higher than that of control group (p = 0.01), while CD3 CD4 T-cell percentage of MT group was significantly lower than that of control group (p < 0.01). Thus, the CD4 /CD8 ratio of MT group was significantly lower than that of control group (p = 0.03). In the subgroup of DLBCL patients treated with EPOCH/R-EPOCH, significant differences were also found in post-treatment CD3 CD8 T-cell percentage (p < 0.01), CD3 CD4 T-cell percentage (p = 0.02) and CD4 /CD8 ratio (p = 0.01) between MT and control groups.

What Is New And Conclusion: CD3 CD8 T-cell percentage increased in DLBCL patients receiving MT treatment. Further studies are required to determine the clinical benefits of MT.

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Source
http://dx.doi.org/10.1111/jcpt.13370DOI Listing

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