Plasma cell proliferative index predicts outcome in immunoglobulin light chain amyloidosis treated with stem cell transplantation.

Plasma cell proliferative index predicts outcome in immunoglobulin light chain amyloidosis treated with stem cell transplantation. Haematologica. 2018 Apr 19;: Authors: Sidiqi MH, Aljama M, Jevremovic D, Morice WG, Timm M, Buadi FK, Warsame R, Lacy MQ, Dispenzieri A, Dingli D, Gonsalves WI, Kumar S, Kapoor P, Kourelis T, Leung N, Hogan WJ, Gertz M Abstract The plasma cell proliferative index provides an insight into plasma cell biology in plasma cell disorders and is an important prognostic marker in myeloma and smoldering myeloma. We analyzed the prognostic impact of the plasma cell proliferative index in 513 patients with systemic AL Amyloidosis undergoing stem cell transplantation at the Mayo Clinic between January 2003 and 31 August 2016. Two cohorts were identified; Low or Elevated plasma cell proliferative index. Patients with an Elevated plasma cell proliferative index had more cardiac involvement (56% vs 44%; p=0.01), less renal involvement (55% vs 70%; p=0.001) and were more likely to have bone marrow plasma cells ≥ 10% (58% vs 32%, p<0.0001) compared to those with a Low plasma cell proliferative index. Both progression free survival and overall survival were lower in patients with an Elevated compared to Low plasma cell proliferative index (Median progression free survival 44 vs 95 months, p<0.0001 and Median overall survival 102 vs 143 months, p=0.0003). All-cause mortality at 100 days was higher in patients with a...
Source: Haematologica - Category: Hematology Authors: Tags: Haematologica Source Type: research