PMID- 36221376 OWN - NLM STAT- MEDLINE DCOM- 20221013 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 101 IP - 40 DP - 2022 Oct 7 TI - Prognostic significance of CD56 antigen in newly diagnosed multiple myeloma: A real-world retrospective study. PG - e30988 LID - 10.1097/MD.0000000000030988 [doi] LID - e30988 AB - The prognostic value of plasma cell CD56 expression of patients with multiple myeloma (MM) has been reported in many studies, but the results are controversial. This study aimed to examine the prognostic significance of CD56 in MM patients. Eighty seven patients with newly diagnosed MM were enrolled in this study, and their clinical characteristics, immunophenotypes, and cytogenetics were retrospectively analyzed to explore the prognostic significance of CD56 expression. Multiparameter flow cytometry was used to detect MM in bone marrow samples from all patients. Patients were divided into 2 groups based on whether they expressed CD56: CD56 + group and CD56 - group. After 4 cycles of chemotherapy, the overall response rate of the CD56 - patients was lower than that of the CD56 + patients (60.0% vs 81.1%, P = .036). Survival analysis showed that the median progression-free survival (PFS) was 10 months for the CD56 - group and 27 months for the CD56 + group (P = .007). The median overall survival (OS) of patients for the CD56 - group was 25 months versus not reached in the CD56 + group (P = .010). In addition, among the high-risk patients detected by fluorescence in situ hybridization (FISH), the median PFS was 4 months for the CD56 - group and 16 months for the CD56 + group (P = .012). The median OS of the CD56 + group and CD56 - group was 36 months and 15 months, respectively, with statistically significant differences (P = .017). Our study confirmed that CD56 - patients with MM had a worse prognosis than that of CD56 + patients with MM. Among the patients with >/= 2 high-risk cytogenetics, the existence of the CD56 negativity can further identify MM patients with poor PFS and OS. CI - Copyright (c) 2022 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Li, Liping AU - Li L AD - Department of Oncology and Hematology, The Second Hospital of Jilin University, Nanguan District, Changchun City, Jilin, China. FAU - Li, Xiaofeng AU - Li X FAU - Shang, An AU - Shang A FAU - Zhao, Yan AU - Zhao Y FAU - Jin, Lifang AU - Jin L FAU - Zhao, Meng AU - Zhao M FAU - Shen, Weizhang AU - Shen W LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (CD56 Antigen) SB - IM MH - CD56 Antigen MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Multiple Myeloma/genetics MH - Prognosis MH - Retrospective Studies PMC - PMC9542762 COIS- The authors have no funding and conflicts of interest to disclose. EDAT- 2022/10/13 06:00 MHDA- 2022/10/14 06:00 PMCR- 2022/10/07 CRDT- 2022/10/12 01:52 PHST- 2022/10/12 01:52 [entrez] PHST- 2022/10/13 06:00 [pubmed] PHST- 2022/10/14 06:00 [medline] PHST- 2022/10/07 00:00 [pmc-release] AID - 00005792-202210070-00053 [pii] AID - 10.1097/MD.0000000000030988 [doi] PST - ppublish SO - Medicine (Baltimore). 2022 Oct 7;101(40):e30988. doi: 10.1097/MD.0000000000030988.