PMID- 33836479 OWN - NLM STAT- MEDLINE DCOM- 20210824 LR - 20210824 IS - 1873-5835 (Electronic) IS - 0145-2126 (Linking) VI - 105 DP - 2021 Jun TI - 25-Hydroxy vitamin D deficiency predicts inferior prognosis in Hodgkin lymphoma. PG - 106580 LID - S0145-2126(21)00081-3 [pii] LID - 10.1016/j.leukres.2021.106580 [doi] AB - The study investigated serum 25-Hydroxy vitamin D (25-(OH)D) deficiency and its prognostic values of patients newly diagnosed Hodgkin lymphoma (HL). With seventy-seven patients enrolled, the median level of 25-(OH)D was 44.5 nmol/L (range, 15.5-100.9 nmol/L) and 16 (20.8 %) of them were considered as 25-(OH)D deficiency. With a median follow-up of 28 months (range, 4-56 months), the 2-year progression-free survival (PFS) and overall survival (OS) rate were 75.3 %+/-5.5 % and 94.7 %+/-3.0 %, respectively. Patients with deficient 25-(OH)D level had inferior PFS (P<0.001) as well as OS (P<0.001). In multivariate Cox analysis, 25-(OH)D deficiency was observed as an independent prognostic factor for both PFS (hazard ratio (HR) 3.323, 95 % CI 1.527-7.229, P = 0.002) and OS (HR 5.819, 95 % CI 1.322-25.622, P = 0.020). Receiver-operator characteristic (ROC) curve showed International Prognostic Score (IPS) plus 25-(OH)D deficiency (IPS-D) predicted more accurately than IPS in PFS (AUC: 0.735 (95 % CI 0.622-0.829) vs. 0.701 (95 % CI 0.586-0.800), P = 0.033) and OS (AUC: 0.864 (95 % CI 0.767-0.932) vs. 0.825 (95 % CI 0.722-0.902), P = 0.028). All these findings suggest that serum 25-(OH)D level may be an adjunctive indicator to predict prognosis in HL patient. CI - Copyright (c) 2021 Elsevier Ltd. All rights reserved. FAU - Qin, Jia-Qi AU - Qin JQ AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Yin, Hua AU - Yin H AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Wu, Jia-Zhu AU - Wu JZ AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Chen, Rui-Ze AU - Chen RZ AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Xia, Yi AU - Xia Y AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Wang, Li AU - Wang L AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Zhu, Hua-Yuan AU - Zhu HY AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Fan, Lei AU - Fan L AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Li, Jian-Yong AU - Li JY AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. FAU - Liang, Jin-Hua AU - Liang JH AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. Electronic address: 1151525490@qq.com. FAU - Xu, Wei AU - Xu W AD - Department of Hematology, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China; Key Laboratory of Hematology of Nanjing Medical University, Nanjing 210029, China; Collaborative Innovation Center for Cancer Personalized Medicine, Nanjing 210029, China. Electronic address: xuwei10000@hotmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210329 PL - England TA - Leuk Res JT - Leukemia research JID - 7706787 RN - 0 (Biomarkers, Tumor) RN - 1406-16-2 (Vitamin D) RN - A288AR3C9H (25-hydroxyvitamin D) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Biomarkers, Tumor/*blood MH - Child MH - Female MH - Hodgkin Disease/*blood/drug therapy MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - Progression-Free Survival MH - Retrospective Studies MH - Treatment Outcome MH - Vitamin D/analogs & derivatives/blood MH - Vitamin D Deficiency/*blood MH - Young Adult OTO - NOTNLM OT - 25-Hydroxy vitamin D OT - Hodgkin lymphoma OT - Overall survival OT - Prognosis OT - Progression-free survival EDAT- 2021/04/10 06:00 MHDA- 2021/08/25 06:00 CRDT- 2021/04/09 20:20 PHST- 2021/01/19 00:00 [received] PHST- 2021/02/19 00:00 [revised] PHST- 2021/03/09 00:00 [accepted] PHST- 2021/04/10 06:00 [pubmed] PHST- 2021/08/25 06:00 [medline] PHST- 2021/04/09 20:20 [entrez] AID - S0145-2126(21)00081-3 [pii] AID - 10.1016/j.leukres.2021.106580 [doi] PST - ppublish SO - Leuk Res. 2021 Jun;105:106580. doi: 10.1016/j.leukres.2021.106580. Epub 2021 Mar 29.