Prognostic significance of Ki67 and its correlation with mitotic index in dogs with diffuse large B-cell lymphoma treated with 19-week CHOP-based protocol

J Vet Diagn Invest. 2018 Mar;30(2):263-267. doi: 10.1177/1040638717743280. Epub 2017 Dec 1.

Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most common type of lymphoma in dogs. We evaluated Ki67 immunoexpression and mitotic index (MI) in dogs diagnosed with DLBCL and treated with a 19-wk CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) protocol. Twenty-nine lymph node samples from dogs diagnosed with DLBCL were analyzed for Ki67 immunostaining, and positive cells present in 1 cm2 were counted in a grid reticle for comparison of survival times above and below the means. The Ki67 mean was 107, and the MI mean was 21. There was a significant ( p < 0.05) difference in median survival time between Ki67 immunostaining above and below the mean, with no difference in MI groups. Ki67 values >107 positive cells per 5 HPF counted in a grid reticle were associated with shorter survival times in dogs with DLBCL treated with a 19-wk CHOP-based protocol.

Keywords: Cell proliferation; dogs; immunohistochemistry; mitosis; prognosis.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Biomarkers / metabolism*
  • Brazil
  • Cyclophosphamide / therapeutic use
  • Dog Diseases / drug therapy*
  • Dog Diseases / metabolism
  • Dogs
  • Doxorubicin / therapeutic use
  • Female
  • Ki-67 Antigen / metabolism*
  • Lymph Nodes / pathology
  • Lymphoma, Large B-Cell, Diffuse / drug therapy
  • Lymphoma, Large B-Cell, Diffuse / metabolism
  • Lymphoma, Large B-Cell, Diffuse / veterinary*
  • Male
  • Mitotic Index
  • Predictive Value of Tests
  • Prednisone / therapeutic use
  • Prognosis
  • Survival Analysis
  • Vincristine / therapeutic use

Substances

  • Biomarkers
  • Ki-67 Antigen
  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisone

Supplementary concepts

  • CHOP protocol