SERUM CONCENTRATIONS OF TUMOR-NECROSIS-FACTOR-ALPHA DURING CHEMOTHERAPY-INDUCED LEUKOPENIA IN PATIENTS WITH ACUTE-LEUKEMIA AND BACTERIAL-INFECTIONS

被引:15
作者
BRUSERUD, O
BERGHEIM, J
SHAMMAS, FV
NESTHUS, I
机构
[1] Division for Haematology, Medical Department B, Haukeland University Hospital, Bergen
关键词
TUMOR NECROSIS FACTOR-ALPHA; ACUTE LEUKEMIA; LEUKOPENIA; BACTERIAL INFECTIONS;
D O I
10.1016/0145-2126(94)90077-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Serum concentrations of tumour necrosis factor-alpha (TNF-alpha) increase during septicaemia in previously healthy individuals. To investigate whether a similar increase in TNF-alpha can be seen in severely immunocompromised patients with acute leukaemia and chemotherapy-induced leukopenia, serum TNF-alpha was analysed in leukopenic patients with bacterial infections. Pretherapy serum levels of TNF-alpha were decreased in leukaemia patients compared with healthy controls, and serum TNF-alpha levels showed a further decrease when patients developed chemotherapy-induced leukopenia. When leukopenic patients developed bacterial infections, serum concentrations of TNF-alpha increased. Serum levels of TNF-alpha decreased when clinical signs of infection resolved during antibiotic therapy, but an increase occurred later in parallel with haematopoietic reconstitution.
引用
收藏
页码:415 / 421
页数:7
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