Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients

Background: Elevated serum progranulin (PGRN) levels have been associated with a wide range of different human malignancies. However, data available on the role of PGRN in hematological malignancies are limited. Methods: Measurement of the PGRN level in serum of adult de novo acute myeloid leukemia...

Full description

Bibliographic Details
Main Authors: Mohamed O. Azazzi, Amro M.S. El-Ghammaz, Haydi S. Mohamed
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Hematology, Transfusion and Cell Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2531137921000559
_version_ 1811172227551330304
author Mohamed O. Azazzi
Amro M.S. El-Ghammaz
Haydi S. Mohamed
author_facet Mohamed O. Azazzi
Amro M.S. El-Ghammaz
Haydi S. Mohamed
author_sort Mohamed O. Azazzi
collection DOAJ
description Background: Elevated serum progranulin (PGRN) levels have been associated with a wide range of different human malignancies. However, data available on the role of PGRN in hematological malignancies are limited. Methods: Measurement of the PGRN level in serum of adult de novo acute myeloid leukemia (AML) patients using enzyme-linked immunosorbent assay (ELISA) was performed. Results: The mean serum PGRN level in AML patients was higher than that in controls (346.08 pg/ml ± 64.46 vs 155 pg/ml ± 63 respectively; p = 0.001). After a mean duration of follow-up equaling 140 days, patients with high serum PGRN (i.e., higher than 370.5 pg/ml) had inferior overall survival (OS) in comparison to patients with low serum PGRN (i.e., lower than 370.5 pg/ml) (OS = 25% vs 60.7%, mean survival = 107 days vs 256.5 days, p = 0.007). On the other hand, remitted patients on day 28 with high serum PGRN (i.e., higher than 307.5 pg/ml) did not differ from those with low serum PGRN (i.e., lower than 307.5 pg/ml) regarding disease-free survival (DFS) (DFS = 78.6% vs. 87.5%, mean survival = 301.3 days vs. 283.5 days, p = 0.789). Moreover, the serum PGRN level was associated with inferior OS (p = 0.024) on multivariate analysis. Conclusion: Adult de novo AML patients have elevated serum PGRN levels and a high PGRN level is associated with an inferior OS.
first_indexed 2024-04-10T17:26:19Z
format Article
id doaj.art-c329b5796803489294e399dbf97e2457
institution Directory Open Access Journal
issn 2531-1379
language English
last_indexed 2024-04-10T17:26:19Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Hematology, Transfusion and Cell Therapy
spelling doaj.art-c329b5796803489294e399dbf97e24572023-02-04T04:18:23ZengElsevierHematology, Transfusion and Cell Therapy2531-13792023-01-014512531Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patientsMohamed O. Azazzi0Amro M.S. El-Ghammaz1Haydi S. Mohamed2Faculty of Medicine, Ain Shams University, EgyptFaculty of Medicine, Ain Shams University, Egypt; Faculty of Medicine in Rabigh, King Abdulaziz University, Kingdom of Saudi ArabiaFaculty of Medicine, Ain Shams University, Egypt; Corresponding author at: Lecturer of Internal Medicine, Clinical Hematology and Bone Marrow Transplantation, Faculty of Medicine, Ain Shams University, Egypt.Background: Elevated serum progranulin (PGRN) levels have been associated with a wide range of different human malignancies. However, data available on the role of PGRN in hematological malignancies are limited. Methods: Measurement of the PGRN level in serum of adult de novo acute myeloid leukemia (AML) patients using enzyme-linked immunosorbent assay (ELISA) was performed. Results: The mean serum PGRN level in AML patients was higher than that in controls (346.08 pg/ml ± 64.46 vs 155 pg/ml ± 63 respectively; p = 0.001). After a mean duration of follow-up equaling 140 days, patients with high serum PGRN (i.e., higher than 370.5 pg/ml) had inferior overall survival (OS) in comparison to patients with low serum PGRN (i.e., lower than 370.5 pg/ml) (OS = 25% vs 60.7%, mean survival = 107 days vs 256.5 days, p = 0.007). On the other hand, remitted patients on day 28 with high serum PGRN (i.e., higher than 307.5 pg/ml) did not differ from those with low serum PGRN (i.e., lower than 307.5 pg/ml) regarding disease-free survival (DFS) (DFS = 78.6% vs. 87.5%, mean survival = 301.3 days vs. 283.5 days, p = 0.789). Moreover, the serum PGRN level was associated with inferior OS (p = 0.024) on multivariate analysis. Conclusion: Adult de novo AML patients have elevated serum PGRN levels and a high PGRN level is associated with an inferior OS.http://www.sciencedirect.com/science/article/pii/S2531137921000559Acute myeloid leukemiaSerum progranulin levelOutcome
spellingShingle Mohamed O. Azazzi
Amro M.S. El-Ghammaz
Haydi S. Mohamed
Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
Hematology, Transfusion and Cell Therapy
Acute myeloid leukemia
Serum progranulin level
Outcome
title Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
title_full Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
title_fullStr Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
title_full_unstemmed Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
title_short Prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
title_sort prognostic value of serum progranulin in de novo adult acute myeloid leukemia patients
topic Acute myeloid leukemia
Serum progranulin level
Outcome
url http://www.sciencedirect.com/science/article/pii/S2531137921000559
work_keys_str_mv AT mohamedoazazzi prognosticvalueofserumprogranulinindenovoadultacutemyeloidleukemiapatients
AT amromselghammaz prognosticvalueofserumprogranulinindenovoadultacutemyeloidleukemiapatients
AT haydismohamed prognosticvalueofserumprogranulinindenovoadultacutemyeloidleukemiapatients