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Observational Study
Epiregulin: A new prognostic molecule in non-Hodgkin lymphoma.
- Ismail Demir, AkanOzden YildirimOYDepartment of Internal Medicine, Izmir Bozyaka Training and Research Hospital, Health Sciences University, 35170, Karabaglar, Izmir, Turkey., Ferda Bilgir, Ismail Yilmaz, Giray Bozkaya, and Oktay Bilgir.
- Department of Internal Medicine, Izmir Bozyaka Training and Research Hospital, Health Sciences University, 35170, Karabaglar, Izmir, Turkey. dr.ismail.demir.36@gmail.com.
- Ir J Med Sci. 2024 Jun 1; 193 (3): 120112071201-1207.
BackgroundEpiregulin is a molecule that plays a role in cell proliferation, tumor development, inflammation, and angiogenesis in malignant diseases.AimOur study aims to reveal, for the first time, the predictive value of this molecule in non-Hodgkin lymphoma (NHL) and its association with disease stage, cell type, and extranodal involvement.MethodsThe study is an observational case-control trial involving 60 newly diagnosed NHL patients and 60 healthy individuals (control group) between 18 and 75 years old. Demographic characteristics of all volunteers, stages of patients' illnesses and lymphoma cell types, hemogram, biochemistry tests, beta 2-microglobulin, C-reactive protein (CRP), and epiregulin levels were measured and statistically evaluated.ResultsEpiregulin levels were significantly higher in NHL patients compared to the control group (P < 0.0001). Similarly, a significant increase in epiregulin levels was observed in advanced NHL patients. Furthermore, the most common NHL subgroup within the NHL group, diffuse Large B Cell Lymphoma (DLBCL), and the subgroup with extranodal involvement also had significantly higher levels of epiregulin. A positive correlation was found between the epiregulin molecule and CRP, beta 2-microglobulin, and lactate dehydrogenase (LDH) levels in NHL patients.ConclusionOur study suggests that serum epiregulin levels, discovered to increase in NHL patients for the first time, may be an independent predictive molecule in an advanced stage, extranodal involvement, and the DLBCL subtype of this disease. Epiregulin positively correlates with prognostic molecules such as beta 2-microglobulin, LDH, and CRP. Illuminating its potential role in NHL pathogenesis could make epiregulin a vital drug target for treatment.© 2024. The Author(s), under exclusive licence to Royal Academy of Medicine in Ireland.
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