Abstract:
:Cytokine profiles were studied during 19 episodes of chemotherapy-induced neutropenia in 17 patients with haematological malignancies. Circulating concentrations of interleukin 1 alpha (IL-1 alpha), tumour necrosis factor alpha (TNF-alpha) and IL-1 receptor antagonist (IL-1ra) were measured before chemotherapy and thereafter three times weekly. During and after chemotherapy no significant changes were found in circulating cytokines. After start of chemotherapy, the ex-vivo LPS-stimulated production of cytokines in whole blood decreased and subsequently disappeared completely in all patients, and recovered after the end of treatment. The decrease of cytokine production could not be attributed to the decreased number of cells only, as the net production per circulating neutrophil or monocyte also decreased significantly, and was restored after completion of chemotherapy. These results show that the production of IL-1 beta, TNF-alpha and IL-1ra in blood disappears during chemotherapy-induced neutropenia, not only due to the decreased number of producing cells, but also as a result of a decreased production per cell, suggesting a mechanism of downregulation.
journal_name
Cytokinejournal_title
Cytokineauthors
Denecker NE,Kullberg BJ,Drenth JP,Raemaekers JM,Van der Meer JWdoi
10.1006/cyto.1997.0223subject
Has Abstractpub_date
1997-09-01 00:00:00pages
702-10issue
9eissn
1043-4666issn
1096-0023pii
S1043-4666(97)90223-4journal_volume
9pub_type
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