Is the neutrophil-to-lymphocyte ratio a useful prognostic indicator in melanoma patients?

被引:35
作者
Cohen, Joshua T. [1 ]
Miner, Thomas J. [1 ]
Vezeridis, Michael P. [1 ]
机构
[1] Brown Univ, Rhode Isl Hosp, Dept Surg, Warren Alpert Med Sch, Providence, RI 02903 USA
关键词
immunotherapy; melanoma; neutrophil-to-lymphocyte ratio; prognosis; INDUCED IMMUNOSUPPRESSION; CANCER-IMMUNOTHERAPY; SUPPRESSOR-CELLS; UP-REGULATION; SURVIVAL; IPILIMUMAB; COMBINATION; MULTICENTER; PREDICTOR; MECHANISM;
D O I
10.2217/mmt-2020-0006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The neutrophil-to-lymphocyte ratio (NLR) is gaining traction as a biomarker with utility in a variety of malignancies including melanoma. Intact lymphocyte function is necessary for tumor surveillance and destruction, and neutrophils play a role in suppressing lymphocyte proliferation and in the induction of lymphocyte apoptosis. Early research in melanoma indicates that in high-risk localized melanoma, a high NLR is correlated with worse overall and disease-free survival. Similarly, in metastatic melanoma treated with both metastasectomy and immunotherapies, an elevated NLR is predictive of shortened overall survival and progression-free survival. Future studies incorporating NLR into more traditional melanoma prognostic markers while employing more granular outcomes, are needed to realize the full potential of NLR.
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页数:9
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