PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia

Background. Recently, studies have been conducted all over the world to study the role of immune checkpoints in the pathogenesis of chronic lymphocytic leukemia (CLL) and the possibility of their use as prognostic markers. Of greatest interest are PD-1 (programmed cell death-1) and LAG-3 protein (ly...

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Main Authors: O. N. Selyutina, I. B. Lysenko, N. K. Guskova, I. А. Novikova, E. Yu. Zlatnik, T. F. Pushkareva, N. V. Nikolaeva, I. A. Kamaeva, E. A. Kapuza, Ya. S. Gaysultanova, L. Ya. Rozenko
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Language:Russian
Published: ABV-press 2023-12-01
Series:Онкогематология
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Online Access:https://oncohematology.abvpress.ru/ongm/article/view/876
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author O. N. Selyutina
I. B. Lysenko
N. K. Guskova
I. А. Novikova
E. Yu. Zlatnik
T. F. Pushkareva
N. V. Nikolaeva
I. A. Kamaeva
E. A. Kapuza
Ya. S. Gaysultanova
L. Ya. Rozenko
author_facet O. N. Selyutina
I. B. Lysenko
N. K. Guskova
I. А. Novikova
E. Yu. Zlatnik
T. F. Pushkareva
N. V. Nikolaeva
I. A. Kamaeva
E. A. Kapuza
Ya. S. Gaysultanova
L. Ya. Rozenko
author_sort O. N. Selyutina
collection DOAJ
description Background. Recently, studies have been conducted all over the world to study the role of immune checkpoints in the pathogenesis of chronic lymphocytic leukemia (CLL) and the possibility of their use as prognostic markers. Of greatest interest are PD-1 (programmed cell death-1) and LAG-3 protein (lymphocyte-activation gene 3).Aim. To study the features of PD-1 (CD279) and LAG-3 (CD223) expression on blood B-cells of CLL patients and the possibility of their use as early markers for predicting the hematological response to therapy.Materials and methods. The blood of 30 patients with CLL in stage C according to Binet and 20 healthy individuals was studied by 10-color flow cytometry.Results. In patients with CLL, there were significant differences in the initial lymphocytes level, PD-1 and LAG-3 expression on B-lymphocytes, both with persons in the control group and among themselves with different hematological responses to therapy with rituximab according to the results of minimal residual disease monitoring.Conclusion. PD-1 and LAG-3 can be used as early markers for predicting the response of CLL patients to therapy. The combined use of initial lymphocytes level and PD-1 and LAG-3 expression on CD19+ blood cells has a greater prognostic value. New data obtained from the study of immune checkpoints PD-1 and LAG-3 may be useful in the development of targeted therapeutic agents.
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spelling doaj-art-c9fd483985ff443b9b5c1bca686dca5f2025-08-20T03:35:32ZrusABV-pressОнкогематология1818-83462413-40232023-12-0118415616210.17650/1818-8346-2023-18-4-156-162720PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemiaO. N. Selyutina0I. B. Lysenko1N. K. Guskova2I. А. Novikova3E. Yu. Zlatnik4T. F. Pushkareva5N. V. Nikolaeva6I. A. Kamaeva7E. A. Kapuza8Ya. S. Gaysultanova9L. Ya. Rozenko10National Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaNational Medical Research Center of Oncology, Ministry of Health of RussiaBackground. Recently, studies have been conducted all over the world to study the role of immune checkpoints in the pathogenesis of chronic lymphocytic leukemia (CLL) and the possibility of their use as prognostic markers. Of greatest interest are PD-1 (programmed cell death-1) and LAG-3 protein (lymphocyte-activation gene 3).Aim. To study the features of PD-1 (CD279) and LAG-3 (CD223) expression on blood B-cells of CLL patients and the possibility of their use as early markers for predicting the hematological response to therapy.Materials and methods. The blood of 30 patients with CLL in stage C according to Binet and 20 healthy individuals was studied by 10-color flow cytometry.Results. In patients with CLL, there were significant differences in the initial lymphocytes level, PD-1 and LAG-3 expression on B-lymphocytes, both with persons in the control group and among themselves with different hematological responses to therapy with rituximab according to the results of minimal residual disease monitoring.Conclusion. PD-1 and LAG-3 can be used as early markers for predicting the response of CLL patients to therapy. The combined use of initial lymphocytes level and PD-1 and LAG-3 expression on CD19+ blood cells has a greater prognostic value. New data obtained from the study of immune checkpoints PD-1 and LAG-3 may be useful in the development of targeted therapeutic agents.https://oncohematology.abvpress.ru/ongm/article/view/876chronic lymphocytic leukemialag-3pd-1lymphocyte countminimal residual disease
spellingShingle O. N. Selyutina
I. B. Lysenko
N. K. Guskova
I. А. Novikova
E. Yu. Zlatnik
T. F. Pushkareva
N. V. Nikolaeva
I. A. Kamaeva
E. A. Kapuza
Ya. S. Gaysultanova
L. Ya. Rozenko
PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
Онкогематология
chronic lymphocytic leukemia
lag-3
pd-1
lymphocyte count
minimal residual disease
title PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
title_full PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
title_fullStr PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
title_full_unstemmed PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
title_short PD-1 and LAG-3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
title_sort pd 1 and lag 3 as early prognostic markers in the treatment of patients with chronic lymphocytic leukemia
topic chronic lymphocytic leukemia
lag-3
pd-1
lymphocyte count
minimal residual disease
url https://oncohematology.abvpress.ru/ongm/article/view/876
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