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  2. Research Domains
  3. Biomedical And Clinical Sciences
  4. Oncology And Carcinogenesis
  5. Predictive And Prognostic Markers
  6. Prognostic Value Of Circulating Cell-free Dna Concentration And Neutrophil-to-lymphocyte Ratio In Patients With Pancreatic Ductal Adenocarcinoma: A Prospective Cohort Study

Prognostic Value of Circulating Cell-Free DNA Concentration and Neutrophil-to-Lymphocyte Ratio in Patients with Pancreatic Ductal Adenocarcinoma: A Prospective Cohort Study

Bianca Varzaru1,2, Razvan Andrei Iacob1,2,3, Stefania Bunduc1,2,3

  • 1Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

International Journal of Molecular Sciences
|March 13, 2024

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Semi-automatic PD-L1 Characterization and Enumeration of Circulating Tumor Cells from Non-small Cell Lung Cancer Patients by Immunofluorescence
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View abstract on PubMed

Summary
This summary is machine-generated.

Circulating cell-free DNA (ccfDNA) and neutrophil-to-lymphocyte ratio (NLR) predict survival in pancreatic cancer. Higher ccfDNA and NLR levels are associated with shorter overall survival in patients with pancreatic ductal adenocarcinoma (PDAC).

Area of Science:

  • Oncology
  • Molecular Diagnostics

Background:

  • Circulating cell-free DNA (ccfDNA) quantity is linked to prognosis in various cancers.
  • The prognostic value of ccfDNA and neutrophil-to-lymphocyte ratio (NLR) in pancreatic ductal adenocarcinoma (PDAC) requires further investigation.

Purpose of the Study:

  • To evaluate the prognostic significance of ccfDNA levels and NLR in patients with PDAC.
  • To determine if the combination of ccfDNA and NLR improves prognostic accuracy for PDAC.

Main Methods:

  • Peripheral blood samples were collected from 82 PDAC patients before treatment.
  • Plasma DNA was isolated to determine ccfDNA concentration.
  • Neutrophil-to-lymphocyte ratio (NLR) was calculated.

Main Results:

  • ccfDNA levels correlated with age and tumor burden.
Keywords:
cell-free DNAneutrophil-to-lymphocyte ratiooverall survivalpancreatic ductal adenocarcinoma

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  • Elevated NLR (≥3.31) was associated with significantly shorter overall survival (OS) (4 vs. 10 months; p=0.011).
  • Higher ccfDNA concentration (≥25.79 ng/mL) was strongly linked to shorter OS (4 vs. 8 months; p=0.009).
  • Baseline ccfDNA was an independent prognostic factor for OS (HR 0.45, p=0.041).
  • Combining ccfDNA and NLR enhanced prognostic accuracy for PDAC patients.
  • Conclusions:

    • ccfDNA concentration and NLR are independent predictors of survival in PDAC.
    • The combination of ccfDNA and NLR shows potential for improved prognostic assessment in PDAC.
    • Further studies are warranted to validate this combined marker for guiding therapeutic decisions.