Acute myeloid leukemia (AML) is a malignant hematological neoplastic disease. Autocrine or paracrine cytokines released by leukemic cells regulate the proliferation of AML cells. It is uncertain whether cytokines can indicate whether patients with AML are in remission with chemotherapy. The goal of this study was to evaluate the levels of Th1/Th2/Th17 cytokines in AML patients before and after chemotherapy to determine whether the cytokine levels could predict disease remission after chemotherapy. It was found that the levels of IL-5, IL-6, IL-8, IL-10, TNF-alpha, TNF-beta, IL-17F, and IL-22 were significantly increased at the time of AML diagnosis in patients who achieved remission after two chemotherapy treatments (P < 0.05). After chemotherapy, the cytokine levels were reduced in patients with remission, while the levels of IL-6 and IL-8 were raised in patients without remission (P < 0.05). A comparison of cytokine levels before and after chemotherapy in patients who achieved remission showed areas under the curve (AUCs) of 0.69 for both IL-6 and IL-8. In addition, a comparison of the remission and non-remission groups after chemotherapy showed an AUC of 0.77 for IL-6. We then calculated the cutoff value using receiver operating characteristic curves. Values of IL-6 < 9.99 and IL-8 < 8.46 at the time of diagnosis were predictive of chemotherapy success and remission, while IL-6 > 14.89 at diagnosis suggested that chemotherapy would not be successful and remission would not be achieved. Multifactorial analysis showed that age, Neu, IL-6, and IL-8 were independent risk factors for AML prognosis, and IL-6 (OR = 5.48, P = 0.0038) was superior to age (OR = 3.36, P = 0.0379), Neu (OR = 0.28, P = 0.0308), IL-8 (OR = 0.0421, P = 0.0421). In conclusion, IL-6 levels were found to be predictive of the likelihood of remission.
基金:
This work was supported by the National Natural Science
Foundation of China (82060810), Yunnan Provincial Department
of Science and Technology- Kunming Medical University Joint
Special Project on Applied Basic Research (202101AY070001-
027,202201AY070001-230 and 202301AY070001-064) and Open Pro-
ject of Yunnan Blood Clinical Medical Center (2022LCZXKF-XY11,
2021LCZXXF-XY09 and 2022LCZXKF-XY
第一作者机构:[1]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Dept Hematol, Affiliated Hosp, Kunming, Peoples R China[2]First Peoples Hosp Yunnan Prov, Yunnan Prov Clin Ctr Hematol Dis, Kunming, Peoples R China[3]First Peoples Hosp Yunnan Prov, Yunnan Blood Dis Hosp, Kunming, Peoples R China[4]First Peoples Hosp Yunnan Prov, Yunnan Prov Clin Res Ctr Hematol Dis, Kunming, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Kunming Univ Sci & Technol, Peoples Hosp Yunnan Prov 1, Dept Hematol, Affiliated Hosp, Kunming, Peoples R China[2]First Peoples Hosp Yunnan Prov, Yunnan Prov Clin Ctr Hematol Dis, Kunming, Peoples R China[3]First Peoples Hosp Yunnan Prov, Yunnan Blood Dis Hosp, Kunming, Peoples R China[4]First Peoples Hosp Yunnan Prov, Yunnan Prov Clin Res Ctr Hematol Dis, Kunming, Peoples R China
推荐引用方式(GB/T 7714):
Hu Rui,Ling Xiaosui,Yang Tonghua,et al.Cytokine levels in patients with non-M3 myeloid leukemia are key indicators of how well the disease responds to chemotherapy[J].CLINICAL AND EXPERIMENTAL MEDICINE.2023,23(8):4623-4632.doi:10.1007/s10238-023-01242-7.
APA:
Hu, Rui,Ling, Xiaosui,Yang, Tonghua,Zhang, Jinping,Gu, Xuezhong...&Du, Yunyun.(2023).Cytokine levels in patients with non-M3 myeloid leukemia are key indicators of how well the disease responds to chemotherapy.CLINICAL AND EXPERIMENTAL MEDICINE,23,(8)
MLA:
Hu, Rui,et al."Cytokine levels in patients with non-M3 myeloid leukemia are key indicators of how well the disease responds to chemotherapy".CLINICAL AND EXPERIMENTAL MEDICINE 23..8(2023):4623-4632