The Prognostic Value of Albumin-Globulin Ratio and Eosinophil-Neutrophil Ratio in Patients with Advanced Tumors Undergoing Treatment with PD-1/PD-L1 Inhibitors
单位:[1]Department of Oncology, Beijing Friendship Hospital, Capital Medical University, Beijing, Xicheng District, China临床科室肿瘤中心肿瘤内科首都医科大学附属北京友谊医院[2]Department of Clinical Epidemiology and EBM, Beijing Friendship Hospital, Capital Medical University, Beijing, Xicheng District, China医技科室北京市临床医学研究所国家消化中心(方法学平台)首都医科大学附属北京友谊医院
We investigated the prognostic value of peripheral serum biomarkers, including albumin-globulin ratio (AGR) and eosinophil-neutrophil ratio (ENR), in patients with advanced tumors treated with PD-1/PD-L1 inhibitors. We also retrospectively analyzed the clinical efficacy of PD-1/PD-L1 inhibition in 95 patients with advanced tumors treated at our center. The prognostic value of baseline AGR, baseline ENR, and baseline neutrophil-lymphocyte ratio (NLR) in the serum were evaluated. We also developed a risk scoring tool to stratify patients based on their prognosis. Univariate Cox regression analysis revealed that age, NLR, Eastern Cooperative Oncology Group (ECOG) performance status (PS), platelet-neutrophil ratio (PLR), ENR, AGR, lactate dehydrogenase levels, treatment line, and treatment type were correlated with progression-free survival (PFS). Multivariate Cox regression analysis showed that age, AGR, ENR, and treatment type were independent prognostic factors for PFS. Patients in the low-risk group had significantly longer PFS than those in the high-risk group. The nomogram concordance index (C-index) was 0.716. Patients with a decrease in AGR of over 20% after the first and second treatment cycles had significantly worse PFS than those without decreased AGR. These findings suggest that baseline AGR and ENR may be useful prognostic biomarkers for patients with advanced tumors treated with PD-1/PD-L1 inhibitors.
基金:
capital health research and development of special; Digestive Medical Coordinated Development Center of Beijing Hospitals Authority [XXT01]; Beijing key clinical specialty; project of clinical collaboration with traditional Chinese medicine and western medicine in major refractory disease-Esophageal cancer [2019-ZX-005]
第一作者单位:[1]Department of Oncology, Beijing Friendship Hospital, Capital Medical University, Beijing, Xicheng District, China
通讯作者:
通讯机构:[1]Department of Oncology, Beijing Friendship Hospital, Capital Medical University, Beijing, Xicheng District, China[*1]Department of Oncology, Beijing Friendship Hospital, Capital Medical University, #95 Yong An Road, Beijing, Xicheng District, 100050, China.
推荐引用方式(GB/T 7714):
Ma Yan,Shang Kun,Wu Shanshan,et al.The Prognostic Value of Albumin-Globulin Ratio and Eosinophil-Neutrophil Ratio in Patients with Advanced Tumors Undergoing Treatment with PD-1/PD-L1 Inhibitors[J].NUTRITION and CANCER-AN INTERNATIONAL JOURNAL.2022,doi:10.1080/01635581.2022.2032764.
APA:
Ma Yan,Shang Kun,Wu Shanshan,Wang Jing&Cao Bangwei.(2022).The Prognostic Value of Albumin-Globulin Ratio and Eosinophil-Neutrophil Ratio in Patients with Advanced Tumors Undergoing Treatment with PD-1/PD-L1 Inhibitors.NUTRITION and CANCER-AN INTERNATIONAL JOURNAL,,
MLA:
Ma Yan,et al."The Prognostic Value of Albumin-Globulin Ratio and Eosinophil-Neutrophil Ratio in Patients with Advanced Tumors Undergoing Treatment with PD-1/PD-L1 Inhibitors".NUTRITION and CANCER-AN INTERNATIONAL JOURNAL .(2022)