Frontiers in Immunology (May 2022)

Hematological Prognostic Scoring System Can Predict Overall Survival and Can Indicate Response to Immunotherapy in Patients With Osteosarcoma

  • Longqing Li,
  • Longqing Li,
  • Yang Wang,
  • Yang Wang,
  • Xuanhong He,
  • Xuanhong He,
  • Zhuangzhuang Li,
  • Zhuangzhuang Li,
  • Minxun Lu,
  • Minxun Lu,
  • Taojun Gong,
  • Taojun Gong,
  • Qing Chang,
  • Jingqi Lin,
  • Chuang Liu,
  • Yi Luo,
  • Yi Luo,
  • Li Min,
  • Li Min,
  • Yong Zhou,
  • Yong Zhou,
  • Chongqi Tu,
  • Chongqi Tu

DOI
https://doi.org/10.3389/fimmu.2022.879560
Journal volume & issue
Vol. 13

Abstract

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Osteosarcoma is the most common primary malignant bone tumor with a high metastatic potential. Nowadays, there is a lack of new markers to identify prognosis of osteosarcoma patients with response to medical treatment. Recent studies have shown that hematological markers can reflect to some extent the microenvironment of an individual with the potential to predict patient prognosis. However, most of the previous studies have studied the prognostic value of a single hematological index, and it is difficult to comprehensively reflect the tumor microenvironment of patients. Here, we comprehensively collected 16 hematological markers and constructed a hematological prognostic scoring system (HPSS) using LASSO cox regression analysis. HPSS contains many indicators such as immunity, inflammation, coagulation and nutrition. Our results suggest that HPSS is an independent prognostic factor for overall survival in osteosarcoma patients and is an optimal addition to clinical characteristics and well suited to further identify high-risk patients from clinically low-risk patients. HPSS-based nomograms have good predictive ability. Finally, HPSS also has some hints for immunotherapy response in osteosarcoma patients.

Keywords