PMID- 24528218 OWN - NLM STAT- MEDLINE DCOM- 20150818 LR - 20191210 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 55 IP - 12 DP - 2014 Dec TI - Human leukocyte antigen-DR expression on flow cytometry and tumor-associated macrophages in diffuse large B-cell lymphoma treated by rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone therapy: retrospective cohort study. PG - 2721-7 LID - 10.3109/10428194.2014.893311 [doi] AB - Loss of human leukocyte antigen (HLA)-DR expression may be related to a poor prognosis of diffuse large B-cell lymphoma (DLBCL), and tumor-associated macrophages (TAMs) may influence tumor progression. We retrospectively reviewed 36 patients with newly diagnosed DLBCL who received R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone) therapy at Kanagawa Cancer Center in Japan from 2004 to 2010. HLA-DR expression by lymphoma cells was evaluated using flow cytometry, and TAMs in lymphoma tissue were detected by immunohistochemistry for CD68 as a marker of macrophages and CD163 as a marker of M2 TAMs. Three-year overall survival was, respectively, 100% versus 69.6% in the HLA-DR "bright" and "not bright" groups (p = 0.012). Patients from the HLA-DR "not bright" group with strong CD163 expression had a much worse prognosis than other patients. The HLA-DR status shown by flow cytometry can be used to predict the prognosis of patients with DLBCL receiving R-CHOP therapy and prognostic accuracy can be increased by also assessing TAMs. FAU - Yamamoto, Wataru AU - Yamamoto W AD - Department of Medical Oncology, Kanagawa Cancer Center , Yokohama , Japan. FAU - Nakamura, Naoya AU - Nakamura N FAU - Tomita, Naoto AU - Tomita N FAU - Takeuchi, Kengo AU - Takeuchi K FAU - Ishii, Yoshimi AU - Ishii Y FAU - Takahashi, Hiroyuki AU - Takahashi H FAU - Watanabe, Reina AU - Watanabe R FAU - Takasaki, Hirotaka AU - Takasaki H FAU - Motomura, Shigeki AU - Motomura S FAU - Kobayashi, Shoichi AU - Kobayashi S FAU - Yokose, Tomoyuki AU - Yokose T FAU - Ishigatsubo, Yoshiaki AU - Ishigatsubo Y FAU - Sakai, Rika AU - Sakai R LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140319 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Antibodies, Monoclonal, Murine-Derived) RN - 0 (HLA-DR Antigens) RN - 0 (R-CHOP protocol) RN - 4F4X42SYQ6 (Rituximab) RN - 5J49Q6B70F (Vincristine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - VB0R961HZT (Prednisone) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antibodies, Monoclonal, Murine-Derived/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Cyclophosphamide/therapeutic use MH - Doxorubicin/therapeutic use MH - Female MH - HLA-DR Antigens/*immunology/metabolism MH - Humans MH - Immunohistochemistry MH - Immunophenotyping MH - Lymphoma, Large B-Cell, Diffuse/*drug therapy/*immunology/metabolism/mortality/pathology MH - Macrophages/*immunology/metabolism MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Phenotype MH - Prednisone/therapeutic use MH - Prognosis MH - Retrospective Studies MH - Rituximab MH - Treatment Outcome MH - Vincristine/therapeutic use OTO - NOTNLM OT - HLA-DR OT - R-CHOP therapy OT - diffuse large B-cell lymphoma OT - flow cytometry OT - tumor-associated macrophage EDAT- 2014/02/18 06:00 MHDA- 2015/08/19 06:00 CRDT- 2014/02/18 06:00 PHST- 2014/02/18 06:00 [entrez] PHST- 2014/02/18 06:00 [pubmed] PHST- 2015/08/19 06:00 [medline] AID - 10.3109/10428194.2014.893311 [doi] PST - ppublish SO - Leuk Lymphoma. 2014 Dec;55(12):2721-7. doi: 10.3109/10428194.2014.893311. Epub 2014 Mar 19.