EHA Library - The official digital education library of European Hematology Association (EHA)

LACK OF CD56 AS A POOR PROGNOSTIC MARKER IN PATIENTS WITH MULTIPLE MYELOMA
Author(s): ,
Epameinondas Koumpis
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Theodora Malea
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Iliana Tassi
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Konstantina Papathanasiou
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Ioannis Papakonstantinou
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Anastasia Serpanou
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Evangelos Tsolas
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Eleni Kapsali
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
,
Alexandra Papoudou-Bai
Affiliations:
Department of Pathology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
Eleftheria Hatzimichael
Affiliations:
Department of Haematology,Faculty of Medicine, School of Health Sciences, University of Ioannina,Ioannina,Greece
EHA Library. Koumpis A. 06/09/21; 325713; EP955
Andreas Epameinondas Koumpis
Andreas Epameinondas Koumpis
Contributions
Abstract
Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP955

Type: E-Poster Presentation

Session title: Myeloma and other monoclonal gammopathies - Biology & Translational Research

Background
CD56 or neural cell adhesion molecule (NCAM) is a membrane glycoprotein expressed on neural cells, muscle tissues and myeloma cells. Expression of CD56 has been studied in patients with multiple myeloma (MM), however with controversial results.

Aims
The scope of this study was to examine the expression of CD56 and investigate its association with clinicopathologic parameters.

Methods

We retrospectively collected and analyzed data from 109 patients with MM diagnosed over the last decade (January 2010 to June 2020). We assessed the expression of CD56 in bone marrow biopsies with immunohistochemistry and investigated its association with a variety of clinicopathological parameters. For the statistical analysis χtest and Mann-Whitney U test were used to compare categorical and continues valuables in CD56+ and CD56- patients, respectively. Statistical analysis was performed using SPSS 21.0 for Windows (SPSS, Chicago, IL).

Results

We assessed 109 patients with MM; Based on the expression of CD56 the patient population was divided to CD56+patients and CD56- patients; Sixty-eight patients were CD56+ and 41 patients were CD56-. The median age at diagnosis of MM was 70 years in CD56+ patients and 72 years in CD56- patients (p=0.7). Lack of CD56 expression was associated with unfavorable prognostic parameters such as elevated lactate dehydrogenase (LDH) and β2-microglobulin levels, advanced stage in International Staging System (ISS) and clonal bone marrow plasma cell percentage ≥ 60%, while the expression of CD56 was associated with good differentiation of neoplastic plasma cells. The clinical and biological parameters of the patients at the time of diagnosis of MM are presented in Table 1.

Conclusion

Our study confirmed that CD56 is a possible marker of poor prognosis in patients with MM. The measurement of expression of CD56 via either immunohistochemistry or flow cytometry is simple and cheap, and it could be incorporated in future prognostic or predictive scores. Prospective studies are needed in order to evaluate the role of expression of CD56 as a predictive biomarker in the era of novel regimens.

Keyword(s): CD56, Multiple myeloma, Prognostic factor

Presentation during EHA2021: All e-poster presentations will be made available as of Friday, June 11, 2021 (09:00 CEST) and will be accessible for on-demand viewing until August 15, 2021 on the Virtual Congress platform.

Abstract: EP955

Type: E-Poster Presentation

Session title: Myeloma and other monoclonal gammopathies - Biology & Translational Research

Background
CD56 or neural cell adhesion molecule (NCAM) is a membrane glycoprotein expressed on neural cells, muscle tissues and myeloma cells. Expression of CD56 has been studied in patients with multiple myeloma (MM), however with controversial results.

Aims
The scope of this study was to examine the expression of CD56 and investigate its association with clinicopathologic parameters.

Methods

We retrospectively collected and analyzed data from 109 patients with MM diagnosed over the last decade (January 2010 to June 2020). We assessed the expression of CD56 in bone marrow biopsies with immunohistochemistry and investigated its association with a variety of clinicopathological parameters. For the statistical analysis χtest and Mann-Whitney U test were used to compare categorical and continues valuables in CD56+ and CD56- patients, respectively. Statistical analysis was performed using SPSS 21.0 for Windows (SPSS, Chicago, IL).

Results

We assessed 109 patients with MM; Based on the expression of CD56 the patient population was divided to CD56+patients and CD56- patients; Sixty-eight patients were CD56+ and 41 patients were CD56-. The median age at diagnosis of MM was 70 years in CD56+ patients and 72 years in CD56- patients (p=0.7). Lack of CD56 expression was associated with unfavorable prognostic parameters such as elevated lactate dehydrogenase (LDH) and β2-microglobulin levels, advanced stage in International Staging System (ISS) and clonal bone marrow plasma cell percentage ≥ 60%, while the expression of CD56 was associated with good differentiation of neoplastic plasma cells. The clinical and biological parameters of the patients at the time of diagnosis of MM are presented in Table 1.

Conclusion

Our study confirmed that CD56 is a possible marker of poor prognosis in patients with MM. The measurement of expression of CD56 via either immunohistochemistry or flow cytometry is simple and cheap, and it could be incorporated in future prognostic or predictive scores. Prospective studies are needed in order to evaluate the role of expression of CD56 as a predictive biomarker in the era of novel regimens.

Keyword(s): CD56, Multiple myeloma, Prognostic factor

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