Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients

Background: Neuroblastoma is a complex heterogeneous disease. Bone marrow is the most commonly affected metastatic site. The aim of the work: The current study aimed to assess the role of tyrosine hydroxylase in diagnosing bone marrow infiltration in neuroblastoma. Methods: Tyrosine hydroxylase was...

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Autores principales: Samar El-Shazly, Mona Abdellateif, Fadwa Said
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Lenguaje:EN
Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2021
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Acceso en línea:https://doaj.org/article/f7e97f358b2a49149618648689520284
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spelling oai:doaj.org-article:f7e97f358b2a491496186486895202842021-12-02T14:49:25ZTyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients2636-41742682-378010.21608/ijma.2021.70994.1292https://doaj.org/article/f7e97f358b2a491496186486895202842021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_172330_77f1ddf07e6a3325cd87a9449d7afa82.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Neuroblastoma is a complex heterogeneous disease. Bone marrow is the most commonly affected metastatic site. The aim of the work: The current study aimed to assess the role of tyrosine hydroxylase in diagnosing bone marrow infiltration in neuroblastoma. Methods: Tyrosine hydroxylase was assessed in the bone marrow aspirate of 104 pediatric neuroblastoma patients, compared to 25 matched normal controls by real time polymerase chain reaction. The data were correlated to the clinic-pathological features of the patients, response to treatment, bone marrow infiltration, disease free survival and overall survival. Results: Tyrosine hydroxylase was expressed in 78/104 [75%] of the patients. Bone marrow infiltration was significantly higher in patients with high tyrosine hydroxylase expression compared to those with tyrosine hydroxylase low expression [median [range]: 193 [0-277750] versus 4 [0- 7849]; p=0.003]. Use of tyrosine hydroxylase for diagnosis of bone marrow involvement in neuroblastoma had a sensitivity of 55.2%, a specificity of 65.2%, and positive predictive value of 66.7% and negative predictive value of 53.6%. Conclusions: Tyrosine hydroxylase may serve as a useful tool for diagnosis of bone marrow infiltration in neuroblastoma. Bone marrow infiltration is associated with poor disease free survival and overall survival.Samar El-ShazlyMona AbdellateifFadwa SaidAl-Azhar University, Faculty of Medicine (Damietta)articleneuroblastomatyrosine hydroxylasebone marrowMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1562-1569 (2021)
institution DOAJ
collection DOAJ
language EN
topic neuroblastoma
tyrosine hydroxylase
bone marrow
Medicine (General)
R5-920
spellingShingle neuroblastoma
tyrosine hydroxylase
bone marrow
Medicine (General)
R5-920
Samar El-Shazly
Mona Abdellateif
Fadwa Said
Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients
description Background: Neuroblastoma is a complex heterogeneous disease. Bone marrow is the most commonly affected metastatic site. The aim of the work: The current study aimed to assess the role of tyrosine hydroxylase in diagnosing bone marrow infiltration in neuroblastoma. Methods: Tyrosine hydroxylase was assessed in the bone marrow aspirate of 104 pediatric neuroblastoma patients, compared to 25 matched normal controls by real time polymerase chain reaction. The data were correlated to the clinic-pathological features of the patients, response to treatment, bone marrow infiltration, disease free survival and overall survival. Results: Tyrosine hydroxylase was expressed in 78/104 [75%] of the patients. Bone marrow infiltration was significantly higher in patients with high tyrosine hydroxylase expression compared to those with tyrosine hydroxylase low expression [median [range]: 193 [0-277750] versus 4 [0- 7849]; p=0.003]. Use of tyrosine hydroxylase for diagnosis of bone marrow involvement in neuroblastoma had a sensitivity of 55.2%, a specificity of 65.2%, and positive predictive value of 66.7% and negative predictive value of 53.6%. Conclusions: Tyrosine hydroxylase may serve as a useful tool for diagnosis of bone marrow infiltration in neuroblastoma. Bone marrow infiltration is associated with poor disease free survival and overall survival.
format article
author Samar El-Shazly
Mona Abdellateif
Fadwa Said
author_facet Samar El-Shazly
Mona Abdellateif
Fadwa Said
author_sort Samar El-Shazly
title Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients
title_short Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients
title_full Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients
title_fullStr Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients
title_full_unstemmed Tyrosine Hydroxylase Expression is Associated with Bone Marrow Infiltration in Neuroblastoma Patients
title_sort tyrosine hydroxylase expression is associated with bone marrow infiltration in neuroblastoma patients
publisher Al-Azhar University, Faculty of Medicine (Damietta)
publishDate 2021
url https://doaj.org/article/f7e97f358b2a49149618648689520284
work_keys_str_mv AT samarelshazly tyrosinehydroxylaseexpressionisassociatedwithbonemarrowinfiltrationinneuroblastomapatients
AT monaabdellateif tyrosinehydroxylaseexpressionisassociatedwithbonemarrowinfiltrationinneuroblastomapatients
AT fadwasaid tyrosinehydroxylaseexpressionisassociatedwithbonemarrowinfiltrationinneuroblastomapatients
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