Research Article

Expression of PD-L1 and YWHAZ in Patients with Diffuse Large B Cell Lymphoma: A Possible Association with the Prognosis of Lymphoma

Table 3

Relationship between the protein expression levels of YWHAZ, AKT, p-AKT, BAD, BAX, and BCL-2 and clinicopathological features in patients with DLBCL ().

ItemYWHAZAKTp-AKTBADBAXBCL-2
PositiveNegativePositiveNegativePositiveNegativePositiveNegativePositiveNegativePositiveNegative

Age (year), (%)
 ≥6042 (48.3%)22 (41.5%)28 (58.3%)36 (39.1%)43 (46.2%)21 (44.7%)14 (34.1%)50 (50.5%)29 (49.2%)35 (43.2%)32 (46.4%)32 (45.1%)
 <6045 (51.7%)31 (58.5%)20 (41.7%)56 (60.9%)50 (53.8%)26 (55.3%)27 (65.9%)49 (49.5%)30 (50.8%)46 (56.8%)37 (53.6%)39 (54.9%)
value0.4390.0300.8630.0780.4890.314

Sex, (%)
 Male50 (57.5%)32 (60.4%)28 (58.3%)54 (58.7%)53 (57.0%)29 (61.7%)25 (61.0%)57 (57.6%)32 (54.2%)50 (61.7%)37 (53.6%)45 (63.4%)
 Female37 (42.5%)21 (39.6%)20 (41.7%)38 (41.3%)40 (43.0%)18 (38.3%)16 (39.0%)42 (42.4%)27 (45.8%)31 (38.3%)32 (46.4%)26 (36.6%)
value0.7370.9670.5960.7130.3780.244

C-MYC, (%)
 Positive22 (25.3%)25 (47.2%)11 (22.9%)36 (39.1%)27 (29.0%)20 (42.6%)17 (41.5%)30 (30.3%)18 (30.5%)29 (35.8%)20 (29.0%)27 (38.0%)
 Negative65 (74.7%)28 (52.8%)37 (77.1%)56 (60.9%)66 (71.0%)27 (57.4%)24 (58.5%)69 (69.7%)41 (69.5%)52 (64.2%)49 (71.0%)44 (62.0%)
value0.0080.0540.1110.2060.5160.261

BCL-6, (%)
 Positive70 (80.5%)47 (88.7%)40 (83.3%)77 (83.7%)77 (82.8%)40 (85.1%)37 (90.2%)80 (80.8%)52 (88.1%)65 (80.2%)58 (84.1%)59 (83.1%)
 Negative17 (19.5%)6 (11.3%)8 (16.7%)15 (16.3%)16 (17.2%)7 (14.9%)4 (9.8%)19 (19.2%)7 (11.9%)16 (19.8%)11 (15.9%)12 (16.9%)
value0.2060.9570.7300.1730.2160.879

MUM-1, (%)
 Positive75 (86.2%)43 (81.1%)41 (85.4%)77 (83.7%)82 (88.2%)36 (76.6%)29 (70.7%)89 (89.9%)44 (74.6%)74 (91.4%)57 (82.6%)61 (85.9%)
 Negative12 (13.8%)10 (18.9%)7 (14.6%)15 (16.3%)11 (11.8%)11 (23.4%)12 (29.3%)10 (10.1%)15 (25.4%)7 (8.6%)12 (17.4%)10 (14.1%)
value0.4270.7920.0760.0040.0070.594

CD10, (%)
 Positive16 (18.4%)15 (28.3%)13 (27.1%)18 (19.6%)20 (21.5%)11 (23.4%)13 (31.7%)18 (18.2%)15 (25.4%)16 (19.8%)18 (26.1%)13 (18.3%)
 Negative71 (81.6%)38 (71.7%)35 (72.9%)74 (80.4%)73 (78.5%)36 (76.6%)28 (68.3%)81 (81.8%)44 (74.6%)65 (80.2%)51 (73.9%)58 (81.7%)
value0.1730.3130.8000.0800.4290.271

LDH, (%)
 Positive27 (31.0%)11 (20.8%)14 (29.2%)24 (26.1%)28 (30.1%)10 (21.3%)14 (34.1%)24 (24.2%)17 (28.8%)21 (25.9%)19 (27.5%)19 (26.8%)
 Negative60 (69.0%)42 (79.2%)34 (70.8%)68 (73.9%)65 (69.9%)37 (78.7%)27 (65.9%)75 (75.8%)42 (71.2%)60 (74.1%)50 (72.5%)52 (73.2%)
value0.1870.7000.2700.2330.7070.919

SCr, (%)
 Increased2 (2.3%)4 (7.5%)2 (4.2%)4 (4.3%)6 (6.5%)0 (0.0%)1 (2.4%)5 (5.1%)1 (1.7%)5 (6.2%)3 (4.3%)3 (4.2%)
 Normal85 (97.7%)49 (92.5%)46 (95.8%)88 (95.7%)87 (93.5%)47 (100.0%)40 (97.6%)94 (94.9%)58 (98.3%)76 (93.8%)66 (95.7%)68 (95.8%)
value0.1390.9600.0760.4910.1990.972
Immunophenotyping, (%)
 Non-GCB62 (71.3%)31 (58.5%)32 (66.7%)61 (66.3%)66 (71.0%)27 (57.4%)20 (48.8%)73 (73.7%)33 (55.9%)60 (74.1%)43 (62.3%)50 (70.4%)
 GCB25 (28.7%)22 (41.5%)16 (33.3%)31 (33.7%)27 (29.0%)20 (42.6%)21 (51.2%)26 (26.3%)26 (44.1%)21 (25.9%)26 (37.7%)21 (29.6%)
value0.1220.9660.1110.0040.0250.878

Ann Arbor stage, (%)
 III-IV (late stage)74 (85.1%)38 (71.7%)41 (85.4%)71 (77.2%)76 (81.7%)36 (76.6%)33 (80.5%)79 (79.8%)44 (74.6%)68 (84.0%)54 (78.3%)58 (81.7%)
 I-II (early stage)13 (14.9%)15 (28.3%)7 (14.6%)21 (22.8%)17 (18.3%)11 (23.4%)8 (19.5%)20 (20.2%)15 (25.4%)13 (16.0%)15 (21.7%)13 (18.3%)
value0.0560.2500.4780.9270.1730.615

Monocyte count (109/l), (%)
 Decreased or increased31 (35.6%)13 (24.5%)10 (20.8%)34 (37.0%)31 (33.3%)13 (27.7%)13 (31.7%)31 (31.3%)17 (28.8%)27 (33.3%)22 (31.9%)22 (31.0%)
 Normal56 (64.4%)40 (75.5%)38 (79.2%)58 (63.0%)62 (66.7%)34 (72.3%)28 (68.3%)68 (68.7%)42 (71.2%)54 (66.7%)47 (68.1%)49 (69.0%)
value0.1720.0520.4980.9640.5730.910

B symptoms, (%)
 Positive23 (26.4%)10 (18.9%)7 (14.6%)26 (28.3%)17 (18.3%)16 (34.0%)7 (17.1%)26 (26.3%)11 (18.6%)22 (27.2%)14 (20.3%)19 (26.8%)
 Negative64 (73.6%)43 (81.1%)41 (85.4%)66 (71.7%)76 (81.7%)31 (66.0%)34 (82.9%)73 (73.7%)48 (81.4%)59 (72.8%)55 (79.7%)52 (73.2%)
value0.3100.0710.0380.2470.2440.371

AaIPI, (%)
 >222 (25.3%)9 (17.0%)16 (33.3%)15 (16.3%)26 (28.0%)5 (10.6%)8 (19.5%)23 (23.2%)13 (22.0%)18 (22.2%)20 (29.0%)11 (15.5%)
 ≤265 (74.7%)44 (83.0%)32 (66.7%)77 (83.7%)67 (72.0%)42 (89.4%)33 (80.5%)76 (76.8%)46 (78.0%)63 (77.8%)49 (71.0%)60 (84.5%)
value0.2540.0210.0200.6320.9790.055

RBC (109/L), (%)
 Decreased56 (64.4%)29 (54.7%)24 (50.0%)61 (66.3%)53 (57.0%)32 (68.1%)27 (65.9%)58 (58.6%)31 (52.5%)54 (66.7%)45 (65.2%)40 (56.3%)
 Normal31 (35.6%)24 (45.3%)24 (50.0%)31 (33.7%)40 (43.0%)15 (31.9%)14 (34.1%)41 (41.4%)28 (47.5%)27 (33.3%)24 (34.8%)31 (43.7%)
value0.2600.0610.2070.4270.0920.285

Hemoglobin (g/L), (%)
 Decreased35 (40.2%)9 (17.0%)15 (31.3%)29 (31.5%)30 (32.3%)14 (29.8%)11 (26.8%)33 (33.3%)21 (35.6%)23 (28.4%)20 (29.0%)24 (33.8%)
 Normal52 (59.8%)44 (83.0%)33 (68.7%)63 (68.5%)63 (67.7%)33 (70.2%)30 (73.2%)66 (66.7%)38 (64.4%)58 (71.6%)49 (71.0%)47 (66.2%)
value0.0040.9740.7680.4540.3690.543

Platelet count (109/L), (%)
 Decreased22 (25.3%)11 (20.8%)10 (20.8%)23 (25.0%)19 (20.4%)14 (29.8%)9 (22.0%)24 (24.2%)13 (22.0%)20 (24.7%)16 (23.2%)17 (23.9%)
 Normal65 (74.7%)42 (79.2%)38 (79.2%)69 (75.0%)74 (79.6%)33 (70.2%)32 (78.0%)75 (75.8%)46 (78.0%)61 (75.3%)53 (76.8%)54 (76.1%)
value0.5430.5850.2210.7730.7170.917
WBC (109/L), (%)
 Decreased or increased19 (21.8%)11 (20.8%)10 (20.8%)20 (21.7%)19 (20.4%)11 (23.4%)9 (22.0%)21 (21.2%)9 (15.3%)21 (25.9%)15 (21.7%)15 (21.1%)
 Normal68 (78.2%)42 (79.2%)38 (79.2%)72 (78.3%)74 (79.6%)36 (76.6%)32 (78.0%)78 (78.8%)50 (84.7%)60 (74.1%)54 (78.3%)56 (78.9%)
value0.8810.9020.6880.9230.1300.930

Systemic diseases, (%)
 Positive42 (48.3%)24 (45.3%)25 (52.1%)41 (44.6%)44 (47.3%)22 (46.8%)20 (48.8%)46 (46.5%)34 (57.6%)32 (39.5%)37 (53.6%)29 (40.8%)
 Negative45 (51.7%)29 (54.7%)23 (47.9%)51 (55.4%)49 (52.7%)25 (53.2%)21 (51.2%)53 (53.5%)25 (42.4%)49 (60.5%)32 (46.4%)42 (59.2%)
value0.7330.4010.9550.8040.0340.132

Primary localization, (%)
 Extranodal59 (67.8%)35 (66.0%)37 (77.1%)57 (62.0%)61 (65.6%)33 (70.2%)26 (63.4%)68 (68.7%)44 (74.6%)50 (61.7%)46 (66.7%)48 (67.6%)
 Nodal28 (32.2%)18 (34.0%)11 (22.9%)35 (38.0%)32 (34.4%)14 (29.8%)15 (36.6%)31 (31.3%)15 (25.4%)31 (38.3%)23 (33.3%)23 (32.4%)
value0.8290.0710.5860.5490.1120.907

Ki67, (%)
 ≥70%59 (67.8%)38 (71.7%)35 (72.9%)62 (67.4%)71 (76.3%)26 (55.3%)31 (75.6%)66 (66.7%)35 (59.3%)62 (76.5%)49 (71.0%)48 (67.6%)
 <70%28 (32.2%)15 (28.3%)13 (27.1%)30 (32.6%)22 (23.7%)21 (44.7%)10 (24.4%)33 (33.3%)24 (40.7%)19 (23.5%)20 (29.0%)23 (32.4%)
value0.6320.5050.0110.3000.0290.665

ECOG PS, (%)
 ≥250 (57.5%)18 (34.0%)27 (56.3%)41 (44.6%)54 (58.1%)14 (29.8%)19 (46.3%)49 (49.5%)25 (42.4%)43 (53.1%)38 (55.1%)30 (42.3%)
 <237 (42.5%)35 (66.0%)21 (43.7%)51 (55.4%)39 (41.9%)33 (70.2%)22 (53.7%)50 (50.5%)34 (57.6%)38 (46.9%)31 (44.9%)41 (57.7%)
value0.0070.1920.0010.7360.2130.131

The calculation of value is related to the Spearman rank. represents statistical differences. DLBCL: diffuse large B cell lymphoma; LDH: lactate dehydrogenase; Scr: serum creatinine; WBC: white blood cell count; RBC: red blood cell count; GCB subtype: germinal center B cell-like subtype; Non-GCB subtype: nongerminal center B cell-like subtype; ECOG PS: Eastern Cooperative Oncology Group performance status.