Effects of AGEs, sRAGE and HMGB1 on clinical outcomes in multiple myeloma

Yükleniyor...
Küçük Resim

Tarih

2023

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Springer India

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Purpose The receptor for advanced glycation end products (RAGE) upregulated during the onset and progression of cancer and bone-related pathologies. In this study, we aimed to investigate the role of serum advanced glycation end products (AGEs), soluble RAGE (sRAGE) and high mobility group box 1 (HMGB1), in multiple myeloma (MM). Methods AGEs, sRAGE and HMGB1 concentrations of 54 newly diagnosed MM patients and 30 healthy volunteers were measured by ELISA. The estimations were done only once at diagnosis. The medical records of the patients were evaluated. Results There was no significant difference between the AGEs and sRAGE levels between the patient and control groups (p = 0.273, p = 0.313). In ROC analysis, a HMGB1 cutoff value of > 9170 pg/ml accurately discriminated MM patients (AUC = 0.672, 95% CI 0.561-0.77, p = 0.0034). AGEs level was found to be significantly higher in early-stage disease and HMGB1 in advanced disease (p = 0.022, p = 0.026). High HMGB1 levels were detected in patients whose with better first-line treatment response (p = 0.019). At 36 months, 54% of patients with low AGE were alive, compared to 79% of patients with high AGE (p = 0.055). Patients with high HMGB1 levels tended to have a longer PFS (median 43 mo [95% CI; 20.68-65.31] ) compared to patients with low HMGB1 levels (median 25 mo [95% CI; 12.39-37.6], p = 0.054). Conclusion In this study, a significant elevation of serum HMGB1 level was found in MM patients. In addition, the positive effects of RAGE ligands on treatment response and prognosis were determined.

Açıklama

This study was supported by Kocaeli University Scientific Research Projects Coordination Unit. Project Number: 2559.

Anahtar Kelimeler

AGEs, sRAGE, HMGB1, Glycation End-Products, Soluble Receptor, Oxidative Stress

Kaynak

Indian Journal of Hematology and Blood Transfusion

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

39

Sayı

2

Künye

Geduk¹, A., Oztas, B., Eryılmaz, B. H., Demirsoy, E. T., Menguc, M. U., Unal, S., ... & Hacihanefioglu¹, A. (2023). Effects of AGEs, sRAGE and HMGB1 on Clinical Outcomes in Multiple Myeloma. Indian Journal of Hematology and Blood Transfusion, 39(2), 220-227.