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18 September 2019

Osteopontin Expression and Its Relationship with Prognostic Factors in Diffuse Large B-Cell Lymphoma

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1
Department of Hematology, General Hospital of Mexico, Mexico City 06720, Mexico
2
Translational Medicine, National Institute of Cancerology, Mexico City 14080, Mexico
3
Computational Genomics, National Institute of Genomic Medicine, Mexico City 14610, Mexico
4
Department of Hematology, National Institute of Cancerology, Mexico City 14080, Mexico

Abstract

The aim of this study is to explore the expression of osteopontin (OPN) and its relationship with prognostic factors and survival in diffuse large B cell lymphoma (DLBCL). A tissue microarray was performed for immunohistochemical evaluation. Contingency tables were analyzed for trends; chi-square test was used to determine differences between groups. Univariate and multivariate Cox proportional hazards-regression analyses were performed to evaluate the impact of prognostic factors on survival. Expression of OPN was observed in 28%. It was different in non-germinal center DLBCL (p = 0.04). The mean overall survival (OS) was lower in patients with positive OPN expression (19.762; CI 95% 14.269–25.255) it was not significant (p = 0.123). It is not possible to establish a clear relationship between the expression by immunohistochemistry of osteopontin and a poor prognosis but it would be important to complement the analysis with other techniques as PCR or NGS that allow us to assess the influence of the isoforms and post-translational modifications of OPN on the biological behavior of DLBCL. Our findings indicate that OPN expression could be associated with a more aggressive variant of lymphoma: non-germinal center DLBCL.

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