Abstract
The biomarker NLR, which was known as an indicator for systematic
inflammation, has been testified to be a prognostic factor for DLBCL
patients in recent years. Here, we conducted a systemic in-depth study
of neutrophils and lymphocyte subsets in peripheral blood of the
patients and their dynamics along with chemoimmunotherapy. A total of 61
patients diagnosed with DLBCL were enrolled. Detection of lymphocyte
subsets by flow cytometry was conducted at diagnose and after 2, 4, 6
and 8 cycles’ treatment of R-CHOP. Alterations of neutrophils and
lymphocyte subsets and their dynamics after treatment in patients were
analyzed. Neutrophils of stage III-IV DLBCL patients were
increased(p=0.012), while lymphocytes were decreased(p=0.025). So, the
patients had significantly increased NLR(p<0.001). Further analyze of
lymphocyte subsets showed a significantly reduced CD4+ T cells in DLBCL
patients(p=0.001). Patients with a lower lymphocyte count(<1.26*10E9/L)
were more susceptible to infection (p<0.001). NK cells was much higher
in patients achieved CR than that of non-CR(p=0.032). Higher neutrophils
and NLR were associated with poor PFS (p=0.001, p=0.045) . Cells in
peripheral blood of DLBCL patients were dysregulated, featured with
increased neutrophils and reduced lymphocytes. Higher NK cells in
patients predicted better treatment outcomes. Higher neutrophils and NLR
can be regarded as inferior prognostic factors for DLBCL patients.