期刊
BRITISH JOURNAL OF HAEMATOLOGY
卷 133, 期 3, 页码 301-304出版社
BLACKWELL PUBLISHING
DOI: 10.1111/j.1365-2141.2006.06017.x
关键词
Waldenstrom macroglobulinaemia; macrophage inflammatory protein-1 alpha; receptor activator of nuclear factor-kappa B ligand; osteoprotegerin; bone markers
类别
Serum levels of macrophage inflammatory protein-1 alpha (MIP-1 alpha) and bone remodelling markers were evaluated in 38 patients with Waldenstrom macroglobulinaemia (WM) and correlated with clinical and laboratory variables. MIP-1 alpha was elevated in WM; untreated patients had higher MIP-1 alpha levels than patients in remission or with active disease after treatment. MIP-1 alpha correlated with increased bone resorption, beta(2)-microglobulin and splenomegaly. Receptor activator of nuclear factor-kappa B ligand serum levels were elevated in WM patients; the subsequent increased bone resorption was balanced by a comparable elevation of osteoprotegerin production and bone formation. These findings may explain the absence of lytic lesions in WM patients and suggest a potential role of MIP-1 alpha in WM.
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