Journal article
Cytokine gene polymorphisms and progression-free survival in classical Hodgkin lymphoma by EBV status: Results from two independent cohorts
Cytokine (Philadelphia, Pa.), Vol.64(2), pp.523-531
11/2013
DOI: 10.1016/j.cyto.2013.08.002
PMCID: PMC4017856
PMID: 24008079
Abstract
•Cytokines are important immune mediators in classical Hodgkin lymphoma.•SNPs in cytokine genes could influence cytokine production.•IL10, TNFA, IL6, IL1RN, INFG, CCL17 SNPs were not associated with cytokine levels.•Overall, none of these SNPs influence progression-free survival of CHL patients.•In analysis by EBV status, TNFA−308G>A influenced prognosis of EBV negative CHL.
Cytokines are important immune mediators of classical Hodgkin lymphoma (CHL) pathogenesis, and circulating levels at diagnosis may help predict prognosis. Germline single nucleotide polymorphisms (SNPs) in immune genes have been correlated with cytokine production and function.
We investigated whether selected germline SNPs in IL10 (rs1800890, rs1800896, rs1800871, rs1800872), TNFA (rs1800629), IL6 (rs1800795), ILRN (rs419598), INFG (rs2430561) and CCL17 (rs223828) were associated with circulating levels of related cytokines at diagnosis and progression-free survival (PFS) in CHL. Patients were from France (GELA, N=464; median age=32years) and the United States (Iowa/Mayo Specialized Program Of Research Excellence [SPORE], N=239; median age=38years); 22% of 346 CHL cases with EBV tumor status were positive.
There was no association with any of the SNPs with cytokine levels. Overall, there was no association of any of the SNPs with PFS. In exploratory analyses by EBV status, TNFA rs1800629 (HRAA/AG=2.41; 95%CI, 1.17–4.94) was associated with PFS in EBV-negative GELA patients, with similar trends in the SPORE patients (HRAA/AG=1.63; 95%CI, 0.61–4.40). In a meta-analysis of the two studies, TNFA (HRAA/AG=2.11; 95%CI, 1.18–3.77; P=0.01) was statistically significant, and further adjustment for the international prognostic system did not alter this result.
This study showed that germline variation in TNFA was associated with CHL prognosis for EBV-negative patients, which will require confirmation. These results support broader studies on the differential impact of genetic variation in immune genes on EBV-positive vs. EBV-negative CHL pathogenesis.
Details
- Title: Subtitle
- Cytokine gene polymorphisms and progression-free survival in classical Hodgkin lymphoma by EBV status: Results from two independent cohorts
- Creators
- Hervé Ghesquières - Onco-Hematology, Centre Léon Bérard, UMR CNRS 5239, Université Lyon 1, Lyon, FranceBrian K Link - University of Iowa, Holden Comprehensive Cancer Center, Iowa City, IA, USAJames R Cerhan - Health Sciences Research, Mayo Clinic, Rochester, MN, USAMatthew J Maurer - Health Sciences Research, Mayo Clinic, Rochester, MN, USAAhmet Dogan - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USAOlivier Casasnovas - Department of Hematology, CHU Dijon, Dijon, FranceStephen M Ansell - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USABeth R Larrabee - Health Sciences Research, Mayo Clinic, Rochester, MN, USAEva Lech-Maranda - Department of Hematology, Warsaw, PolandAnne J Novak - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USAAnne-Laure Borrel - UMR CNRS 5239, Université Lyon 1, Lyon, FranceSusan L Slager - Health Sciences Research, Mayo Clinic, Rochester, MN, USAPauline Brice - Department of Hematology, APHP, Hôpital Saint Louis, Paris, FranceCristine Allmer - Health Sciences Research, Mayo Clinic, Rochester, MN, USAAnnie Brion - Department of Hematology, CHU de Besançon, FranceSteven C Ziesmer - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USAFranck Morschhauser - Department of Hematology, CHU, Lille, FranceThomas M Habermann - Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USAIsabelle Gaillard - Unité Hémopathies lymphoïdes, Hôpital Henri Mondor, Créteil, FranceAspasia Stamatoullas - Department of Hematology, Centre Henri Becquerel, Rouen, FranceChristophe Fermé - Department of Hematology, Institut Gustave Roussy, Villejuif, FranceWilliam R Macon - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USAJosée Audouin - Department of Pathology, APHP, Hôtel Dieu, Paris, FranceGilles Salles - Department of Hematology, UMR CNRS 5239, Université Lyon 1, HCL, Pierre-Bénite, France
- Resource Type
- Journal article
- Publication Details
- Cytokine (Philadelphia, Pa.), Vol.64(2), pp.523-531
- DOI
- 10.1016/j.cyto.2013.08.002
- PMID
- 24008079
- PMCID
- PMC4017856
- NLM abbreviation
- Cytokine
- ISSN
- 1043-4666
- eISSN
- 1096-0023
- Publisher
- Elsevier Ltd
- Language
- English
- Date published
- 11/2013
- Academic Unit
- Hematology, Oncology, and Blood & Marrow Transplantation; Epidemiology; Internal Medicine
- Record Identifier
- 9984094391102771
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