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Peer-reviewedCC BY-NC-NDLeukemia research reports

CD20 antibody-based combination therapy may reduces the adverse prognostic impact of M-protein positivity in marginal zone lymphoma.

  1. 1Nuclear Radiation Injury Protection and Treatment Department, Navy Medical Center of PLA, Shanghai, 200050, China.

Abstract

Background

Monoclonal M-protein is frequently detected in marginal zone lymphoma (MZL) and has been historically associated with adverse clinical features. Its prognostic value in the era of modern immunotherapy remains unclear.Patients and methods

We retrospectively analyzed 43 patients with MZL, comparing clinical characteristics, treatments, and outcomes between patients with and without M-protein. Progression-free survival (PFS) and overall survival (OS) were assessed using Kaplan-Meier analysis, and prognostic factors were evaluated by Cox regression.Results

M-protein was detected in 39.5% of patients and was associated with higher tumor burden, worse performance status, and elevated inflammatory and biochemical markers. However, no significant differences in PFS or OS were observed between groups, and M-protein was not an independent prognostic factor. Most patients received contemporary CD20 antibody-based combination therapies.Conclusion

In the setting of modern treatments, M-protein positivity may not confer an adverse prognostic impact in MZL.

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BibTeX
@article{zhang2026cd20,
  title = {{CD20 antibody-based combination therapy may reduces the adverse prognostic impact of M-protein positivity in marginal zone lymphoma.}},
  author = {Yajun Zhang and Wanqian Hu and Ying Fang and Bo Zheng and Yi Zhang and Wenda Chen and Rong Li},
  journal = {Leukemia research reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.lrr.2026.100616},
  url = {https://europepmc.org/article/MED/42921349},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - CD20 antibody-based combination therapy may reduces the adverse prognostic impact of M-protein positivity in marginal zone lymphoma.
AU  - Yajun Zhang
AU  - Wanqian Hu
AU  - Ying Fang
AU  - Bo Zheng
AU  - Yi Zhang
AU  - Wenda Chen
AU  - Rong Li
PY  - 2026
DA  - 2026/10/09
JO  - Leukemia research reports
DO  - 10.1016/j.lrr.2026.100616
UR  - https://europepmc.org/article/MED/42921349
AB  - Background  Monoclonal M-protein is frequently detected in marginal zone lymphoma (MZL) and has been historically associated with adverse clinical features. Its prognostic value in the era of modern immunotherapy remains unclear.Patients and methods  We retrospectively analyzed 43 patients with MZL, comparing clinical characteristics, treatments, and outcomes between patients with and without M-protein. Progression-free survival (PFS) and overall survival (OS) were assessed using Kaplan-Meier analysis, and prognostic factors were evaluated by Cox regression.Results  M-protein was detected in 39.5% of patients and was associated with higher tumor burden, worse performance status, and elevated inflammatory and biochemical markers. However, no significant differences in PFS or OS were observed between groups, and M-protein was not an independent prognostic factor. Most patients received contemporary CD20 antibody-based combination therapies.Conclusion  In the setting of modern treatments, M-protein positivity may not confer an adverse prognostic impact in MZL.
SN  - 2213-0489
ER  -