Open Access

Plasma levels of YKL‑40 as a prognostic factor in childhood acute lymphoblastic leukemia

  • Authors:
    • Alinne Ayulieth Rivas‑Alarcón
    • Yazmin Gómez‑Gómez
    • Jorge Organista‑Nava
    • Marco Antonio Jiménez‑López
    • Ana Berta Rivera‑Ramírez
    • Eloisa Ibarra‑Sierra
    • Mónica Virginia Saavedra‑Herrera
    • Berenice Illades‑Aguiar
    • Marco Antonio Leyva‑Vázquez
  • View Affiliations

  • Published online on: June 18, 2021     https://doi.org/10.3892/mco.2021.2330
  • Article Number: 168
  • Copyright: © Rivas‑Alarcón et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Abstract. YKL‑40, also known as chitinase‑3‑like protein 1 (CHI3L1), is an inflammatory glycoprotein secreted by different types of cells, such as inflammatory cells. The levels of this protein are elevated in the serum or plasma of patients with different types of cancer, and high concentrations are associated with poor prognosis and short survival in patients with liver, breast, lung, bladder and endometrial cancers. In Mexico, acute lymphoblastic leukemia (ALL) is the most common type of cancer affecting the pediatric population. The prognosis of patients with ALL is difficult to establish. Hence, the objective of the present study was to analyze the plasma levels of YKL‑40 in Mexican children with ALL and investigate its role as a prognostic factor. A case‑control study was performed in a population of 90 children aged 1‑18 years, among whom 45 had ALL and 45 were hematologically healthy. The levels of YKL‑40 in plasma samples were measured using ELISA and were found to be significantly higher in children with ALL compared with those in controls (P<0.0001). Children with ALL who had high plasma levels of YKL‑40 (≥36.34 ng/ml) had shorter survival compared with those with low levels (<36.34 ng/ml; P<0.05). The findings of the present study revealed that the YKL‑40 plasma level, age/initial leukocyte count and central nervous system invasion were associated with the prognosis of children with ALL [odds ratio (OR)=6.06, 95% confidence interval (CI): 1.1‑31.6, P=0.03; OR=8.53, 95% CI: 1.2‑58.2, P=0.03; and OR=6.45, 95% CI: 1.01‑41.2, P=0.04, respectively]. Therefore, YKL‑40 plasma levels may serve as a prognostic biomarker in pediatric patients with ALL.
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August-2021
Volume 15 Issue 2

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Spandidos Publications style
Rivas‑Alarcón AA, Gómez‑Gómez Y, Organista‑Nava J, Jiménez‑López MA, Rivera‑Ramírez AB, Ibarra‑Sierra E, Saavedra‑Herrera MV, Illades‑Aguiar B and Leyva‑Vázquez MA: Plasma levels of YKL‑40 as a prognostic factor in childhood acute lymphoblastic leukemia. Mol Clin Oncol 15: 168, 2021
APA
Rivas‑Alarcón, A.A., Gómez‑Gómez, Y., Organista‑Nava, J., Jiménez‑López, M.A., Rivera‑Ramírez, A.B., Ibarra‑Sierra, E. ... Leyva‑Vázquez, M.A. (2021). Plasma levels of YKL‑40 as a prognostic factor in childhood acute lymphoblastic leukemia. Molecular and Clinical Oncology, 15, 168. https://doi.org/10.3892/mco.2021.2330
MLA
Rivas‑Alarcón, A. A., Gómez‑Gómez, Y., Organista‑Nava, J., Jiménez‑López, M. A., Rivera‑Ramírez, A. B., Ibarra‑Sierra, E., Saavedra‑Herrera, M. V., Illades‑Aguiar, B., Leyva‑Vázquez, M. A."Plasma levels of YKL‑40 as a prognostic factor in childhood acute lymphoblastic leukemia". Molecular and Clinical Oncology 15.2 (2021): 168.
Chicago
Rivas‑Alarcón, A. A., Gómez‑Gómez, Y., Organista‑Nava, J., Jiménez‑López, M. A., Rivera‑Ramírez, A. B., Ibarra‑Sierra, E., Saavedra‑Herrera, M. V., Illades‑Aguiar, B., Leyva‑Vázquez, M. A."Plasma levels of YKL‑40 as a prognostic factor in childhood acute lymphoblastic leukemia". Molecular and Clinical Oncology 15, no. 2 (2021): 168. https://doi.org/10.3892/mco.2021.2330