PLASMA-LEVELS OF IL-1, TNF-ALPHA, IL-6, IL-8, G-CSF, AND IL1-RA DURING FEBRILE NEUTROPENIA - RESULTS OF A PROSPECTIVE-STUDY IN PATIENTS UNDERGOING CHEMOTHERAPY FOR ACUTE MYELOGENOUS LEUKEMIA

被引:8
作者
SCHONBOHN, H [1 ]
SCHULER, M [1 ]
KOLBE, K [1 ]
PESCHEL, C [1 ]
HUBER, C [1 ]
BEMB, W [1 ]
AULITZKY, WE [1 ]
机构
[1] UNIV HOSP MAINZ,DEPT INTERNAL MED 3,DIV HEMATOL,DEPT MICROBIOL,D-55131 MAINZ,GERMANY
关键词
PLASMA LEVELS; INTERLEUKIN; NEUTROPENIA;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Plasma levels of IL-1, IL-6, IL-8, IL1-RA, TNF alpha, and G-CSF were prospectively studied during 23 chemotherapy cycles of 20 patients suffering from acute myelogenous leukemia. Increased plasma levels of IL-6, IL-8, and G-CSF were observed in patients with febrile neutropenia and/or major infection. Plasma levels of IL-6, IL-1, TNF alpha and IL-1-RA measured 1 day before and 1 day after the onset of febrile episodes did not accurately predict the development of major infection. In contrast, IL-8 plasma levels were significantly higher in those patients who subsequently developed major infection. The question whether IL-8 plasma levels identify high risk or low risk patients with sufficient specificity and sensitivity has to be answered in large scale clinical trials.
引用
收藏
页码:161 / 168
页数:8
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