PMID- 16545870 OWN - NLM STAT- MEDLINE DCOM- 20071012 LR - 20151119 IS - 0145-2126 (Print) IS - 0145-2126 (Linking) VI - 31 IP - 2 DP - 2007 Feb TI - Clinical relevance of soluble HLA-I and beta2-microglobulin levels in non-Hodgkin's lymphoma and Hodgkin's disease. PG - 139-45 AB - Plasma levels of beta-2 microglobulin (beta2M), a subunit of the human leukocyte antigen-class I (HLA-I) molecule, correlate negatively with outcome in non-Hodgkin's lymphoma (NHL) and Hodgkin's disease (HD). We examined the clinical relevance of soluble HLA-I (sHLA-I) levels in NHL and HD. Sera from consecutive NHL (n=65) and HD (n=37) patients were analyzed in a blinded manner. NHL and HD patients had significantly higher levels of sHLA-1 and beta2M than control subjects. In NHL patients, sHLA-I levels correlated with clinical behavior in a fashion similar to that of beta2M. However, multivariate analysis incorporating beta2M, sHLA-I, and international prognostic index (IPI) indicated that NHL patients with elevated (>312.6mug/100mL) sHLA-I levels had significantly shorter survival, independent of IPI score as well as beta2M. In HD patients, beta2M but not sHLA-I levels were associated with clinical behavior. These findings not only establish the role of sHLA-I as an independent tumor marker in NHL that can be used to stratify patients, but also suggest that beta2M and sHLA-I may reflect different biological processes in HD and NHL. Further studies are needed to assess whether the immunomodulatory properties of sHLA-I may be responsible for its divergence from beta2M as an indicator of clinical behavior in HD. FAU - Albitar, Maher AU - Albitar M AD - Quest Diagnostics Nichols Institute, 33608 Ortega Highway, Rm#108B, San Juan Capistrano, CA 92690-6130, United States. maher.x.albitar@questdiagnostics.com FAU - Vose, Julie M AU - Vose JM FAU - Johnson, Marcella M AU - Johnson MM FAU - Do, Kim-Ann AU - Do KA FAU - Day, Amanda AU - Day A FAU - Jilani, Iman AU - Jilani I FAU - Kantarjian, Hagop AU - Kantarjian H FAU - Keating, Michael AU - Keating M FAU - O'Brien, Susan M AU - O'Brien SM FAU - Verstovsek, Srdan AU - Verstovsek S FAU - Armitage, James O AU - Armitage JO FAU - Giles, Francis J AU - Giles FJ LA - eng PT - Journal Article DEP - 20060320 PL - England TA - Leuk Res JT - Leukemia research JID - 7706787 RN - 0 (Biomarkers, Tumor) RN - 0 (HLA Antigens) RN - 0 (beta 2-Microglobulin) SB - IM CIN - Leuk Res. 2007 Feb;31(2):121-5. PMID: 16860865 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*blood MH - Enzyme-Linked Immunosorbent Assay/methods MH - Female MH - HLA Antigens/*blood MH - Hodgkin Disease/*blood/therapy MH - Humans MH - Lymphoma, Non-Hodgkin/*blood/therapy MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Neoplasm Staging MH - Predictive Value of Tests MH - Prognosis MH - Solubility MH - Survival Rate MH - Time Factors MH - Treatment Outcome MH - beta 2-Microglobulin/*blood EDAT- 2006/03/21 09:00 MHDA- 2007/10/13 09:00 CRDT- 2006/03/21 09:00 PHST- 2005/07/15 00:00 [received] PHST- 2005/12/22 00:00 [revised] PHST- 2006/02/01 00:00 [accepted] PHST- 2006/03/21 09:00 [pubmed] PHST- 2007/10/13 09:00 [medline] PHST- 2006/03/21 09:00 [entrez] AID - S0145-2126(06)00055-5 [pii] AID - 10.1016/j.leukres.2006.02.013 [doi] PST - ppublish SO - Leuk Res. 2007 Feb;31(2):139-45. doi: 10.1016/j.leukres.2006.02.013. Epub 2006 Mar 20.