期刊
ONCOLOGY REPORTS
卷 35, 期 5, 页码 2699-2706出版社
SPANDIDOS PUBL LTD
DOI: 10.3892/or.2016.4657
关键词
acute lymphoblastic leukemia; pro-inflammatory cytokines; Th1 immune response; sterile inflammation; circulating cytokines; immunoregulation
类别
资金
- Hospital Infantil de Mexico Federico Gomez [HIM/2011/22]
- Terry Fox Fundation [HIM/2010/076]
- CONACYT
Children with acute lymphoblastic leukemia (ALL) often present fever. Febrile states are usually associated with infectious processes that generate an inflammatory response involving various molecules, including cytokines. However, an inflammatory response may also occur in the absence of infection. We hypothesized that the levels of inflammatory cytokines are increased in children with ALL without apparent infection. The serum levels of 13 cytokines in 99 patients with ALL and 48 non-oncological patients without apparent infection were measured using multiplex analyte profiling technology (Luminex (R)). The concentration of circulating pro-inflammatory cytokines associated with fever was similar between patients with ALL and fever at diagnosis and those without fever. The levels of tumor necrosis factor a, interleukin (IL)-6, IL-8, monocyte chemoattractant protein-1 (MCP-1) and IL-10 were higher in patients with ALL vs. the control group (P<0.05). Moreover, the levels of the T helper 1 (interferon-gamma and IL-12) cytokines were higher in patients with ALL vs. the control group. Transforming growth factor beta was lower in patients with ALL vs. the control group (P<0.05). The levels of IL-1 beta, IL-2, IL-4, IL-13, and IL-17 were similar in the two groups. Our results indicate that the circulating levels of seven of the important studied cytokines are elevated in patients with newly diagnosed ALL without apparent infection, reflecting a strong and deregulated inflammatory state in this disease, with a Th1-polarization profile.
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