Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders

In this article mechanisms of anaemia development in patients with lymphatic tissue malignant diseases are presented. Therapy efficacy of erythropoiesis-stimulating agents (EPO) in patients with lymphoproliferative disorders and anaemia (n = 21) is studied. Study group included patients with a chron...

Full description

Saved in:
Bibliographic Details
Main Authors: N. A. Romanenko, S. S. Bessmeltsev, O. E. Rozanova, N. S. Karpova, K. M. Abdulkadyrov
Format: Article
Language:Russian
Published: ABV-press 2022-11-01
Series:Онкогематология
Subjects:
Online Access:https://oncohematology.abvpress.ru/ongm/article/view/731
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849689863298744320
author N. A. Romanenko
S. S. Bessmeltsev
O. E. Rozanova
N. S. Karpova
K. M. Abdulkadyrov
author_facet N. A. Romanenko
S. S. Bessmeltsev
O. E. Rozanova
N. S. Karpova
K. M. Abdulkadyrov
author_sort N. A. Romanenko
collection DOAJ
description In this article mechanisms of anaemia development in patients with lymphatic tissue malignant diseases are presented. Therapy efficacy of erythropoiesis-stimulating agents (EPO) in patients with lymphoproliferative disorders and anaemia (n = 21) is studied. Study group included patients with a chronic lymphoid leukemia (n = 5), indolent lymphomas (n = 7) and multiple myeloma (n = 9). Patients were 49–80 years of age (63.6 ± 8.2 years). The positive response to EPO therapy was considered if hemoglobin level increased on 20 g/l or its rising to 120 g/l. With given therapy hemoglobin level was increased from 86.8 ± 18.5 g/l to 111.4 ± 26.5 g/l (p < 0.001). EPO therapy efficacy was 61.9 % for total group of patients. Importance of TNF-alpha detection as the prognosis factor of EPO therapy efficacy was studied. Patients with low level of TNF-alpha (less than 15 pg/ml) achieved the positive response in 92.9 %, with a high level of TNF-alpha (more than 15 pg/ml) – the positive response was not observed. Inversely proportional correlation between initial TNF-alpha level and therapy response has been established (r = -0.487; p < 0.03; n = 21). Thus, detection of TNF-alpha level in patients with lymphoproliferative disorders before EPO therapy allows to predict therapy response with high degree of significance.
format Article
id doaj-art-0e4ef83caabe4f74bd9265350f9824e9
institution DOAJ
issn 1818-8346
2413-4023
language Russian
publishDate 2022-11-01
publisher ABV-press
record_format Article
series Онкогематология
spelling doaj-art-0e4ef83caabe4f74bd9265350f9824e92025-08-20T03:21:28ZrusABV-pressОнкогематология1818-83462413-40232022-11-01032228609Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disordersN. A. Romanenko0S. S. Bessmeltsev1O. E. Rozanova2N. S. Karpova3K. M. Abdulkadyrov4Russian Federal Medico-biological AgencyRussian Federal Medico-biological AgencyRussian Federal Medico-biological AgencyRussian Federal Medico-biological AgencyRussian Federal Medico-biological AgencyIn this article mechanisms of anaemia development in patients with lymphatic tissue malignant diseases are presented. Therapy efficacy of erythropoiesis-stimulating agents (EPO) in patients with lymphoproliferative disorders and anaemia (n = 21) is studied. Study group included patients with a chronic lymphoid leukemia (n = 5), indolent lymphomas (n = 7) and multiple myeloma (n = 9). Patients were 49–80 years of age (63.6 ± 8.2 years). The positive response to EPO therapy was considered if hemoglobin level increased on 20 g/l or its rising to 120 g/l. With given therapy hemoglobin level was increased from 86.8 ± 18.5 g/l to 111.4 ± 26.5 g/l (p < 0.001). EPO therapy efficacy was 61.9 % for total group of patients. Importance of TNF-alpha detection as the prognosis factor of EPO therapy efficacy was studied. Patients with low level of TNF-alpha (less than 15 pg/ml) achieved the positive response in 92.9 %, with a high level of TNF-alpha (more than 15 pg/ml) – the positive response was not observed. Inversely proportional correlation between initial TNF-alpha level and therapy response has been established (r = -0.487; p < 0.03; n = 21). Thus, detection of TNF-alpha level in patients with lymphoproliferative disorders before EPO therapy allows to predict therapy response with high degree of significance.https://oncohematology.abvpress.ru/ongm/article/view/731anemiachronic lymphocytic leukemiamultiple myelomalymphomarecombinant erythropoietinepoietin alphaeralfontnf-alpha
spellingShingle N. A. Romanenko
S. S. Bessmeltsev
O. E. Rozanova
N. S. Karpova
K. M. Abdulkadyrov
Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
Онкогематология
anemia
chronic lymphocytic leukemia
multiple myeloma
lymphoma
recombinant erythropoietin
epoietin alpha
eralfon
tnf-alpha
title Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
title_full Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
title_fullStr Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
title_full_unstemmed Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
title_short Influence of TNF-alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
title_sort influence of tnf alpha on the efficacy of anemia correction in patients with lymphoproliferative disorders
topic anemia
chronic lymphocytic leukemia
multiple myeloma
lymphoma
recombinant erythropoietin
epoietin alpha
eralfon
tnf-alpha
url https://oncohematology.abvpress.ru/ongm/article/view/731
work_keys_str_mv AT naromanenko influenceoftnfalphaontheefficacyofanemiacorrectioninpatientswithlymphoproliferativedisorders
AT ssbessmeltsev influenceoftnfalphaontheefficacyofanemiacorrectioninpatientswithlymphoproliferativedisorders
AT oerozanova influenceoftnfalphaontheefficacyofanemiacorrectioninpatientswithlymphoproliferativedisorders
AT nskarpova influenceoftnfalphaontheefficacyofanemiacorrectioninpatientswithlymphoproliferativedisorders
AT kmabdulkadyrov influenceoftnfalphaontheefficacyofanemiacorrectioninpatientswithlymphoproliferativedisorders