KI-1 POSITIVE LARGE CELL ANAPLASTIC LYMPHOMA - MULTIPLE BONE LYTIC LESIONS AND INTERLEUKIN-6

被引:8
作者
AGEMATSU, K
KOMIYAMA, A
机构
[1] Department of Pediatrics, Shinshu University School of Medicine, Matsumoto 390
关键词
KI-1 LARGE CELL LYMPHOMA; INTERLEUKIN-6; MULTIPLE BONE DESTRUCTION;
D O I
10.3109/10428199209049783
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ki-1-positive large cell anaplastic lymphoma (Ki-1 LCAL) is recognized as a clinicopathologic syndrome with fever, peripheral lymphadenopathy and cutaneous nodules, the neoplastic cells express Hodgkin's disease-associated antigen, Ki-1 (CD30). We review here a recent case of Ki-1 LCAL with multiple bone lesions with destruction and present additional information. Although bone absorption is reported in some cases of Ki-1 LCAL, the genesis of bone absorption is unclear. Interleukin-6 (IL-6) is an important regulator of osteoclast formation and activation and can induce bone absorption. In our case, the surgically removed tumor tissue was studied for IL-6 mRNA expression and IL-6 secretion without any stimulation. Northern blot analysis showed strong IL-6 mRNA expression in the tumor tissue and ELISA assay showed a large amount of IL-6 in culture supernatants of the tumor tissue. Based on these results, coupled with the reported evidence, we discuss the close relationship between the presence of osteolytic lesions and IL-6 production in Ki-1 LCAL.
引用
收藏
页码:309 / 315
页数:7
相关论文
共 55 条
[1]  
Stein H., Mason D.Y., Gerdes J., O'Connor N., Wainscoat J., Pallesen G., Gatter K., Falini B., Delsol G., Lemke H., Schwarting R., Lennert K., The expression of the Hodgkin's disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: Evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells, Blood, 66, pp. 848-858, (1985)
[2]  
Kadin M.K., Sako D., Berliner N., Franklin W., Woda B., Borowitz M., Ireland K., Schweid A., Herzog P., Lange B., Dorfman R., Childhood Ki-1 lymphoma presenting with skin lesions and peripheral lymphadenopathy, Blood, 68, pp. 1042-1049, (1986)
[3]  
Pallesen G., The diagnostic significance of the CD30 (Ki-1) antigen, Histopathology, 16, pp. 409-413, (1990)
[4]  
Chott A., Kaserer K., Augustin I., Vesely M., Heinz R., Oehliner W., Hanak H., Radaszkiewicz T., Ki-1 positive large cell lymphoma: A clinicopathologic study of 41 cases, Am. J. Surg. Pathol., 14, pp. 439-448, (1990)
[5]  
Salhany K.E., Collins R.D., Greer J.P., Kinney M.C., Long-term survival in Ki-1 lymphoma, Cancer, 67, pp. 516-522, (1991)
[6]  
Nakamura S., Takagi N., Kojima M., Motoori T., Kitoh K., Osada H., Suzuki H., Ogura M., Kurita S., Oyama A., Clinico pathologic study of large cell anaplastic lymphoma (Ki-1-positive large cell lymphoma) among the Japanese, Cancer, 68, pp. 118-129, (1991)
[7]  
Penny R.J., Blaustein J., Longtine J.A., Pinks G.S., Ki-1-positive large cell lymphomas, heterogenous group of neoplasms. Morphologic, immunophenotypic, genotypic and clinical features of 24 cases, Cancer, 68, pp. 362-373, (1991)
[8]  
Greer J.P., Kinney M.C., Collins R.D., Salhany K.E., Wolff S.N., Hainsworth J.D., Flexner J.M., Stein R.S., Clinical features of 31 patients with Ki-1 anaplastic large-cell lymphoma, J. Clin. Oncol., 9, pp. 539-547, (1991)
[9]  
Ohshima K., Kikuchi M., Masuda Y., Yoshida T., Mohtai H., Eguchi F., Kimura N., Takihara Y., Genotypic and immunophenotypic analysis of anaplastic large cell lymphoma, Pathol. Res. Pract., 186, pp. 582-588, (1990)
[10]  
Kishimoto T., Hirano T., Molecular regulation of B lymphocyte response, Annu. Rev. Immunol., 6, pp. 485-490, (1988)