Abstract
Little is known about the clinical significance of interleukin (IL)-18, a novel immunoregulatory cytokine, in acute myeloid leukemia (AML). Using reverse transcriptase polymerase chain reaction (RT-PCR) analysis, levels of IL-18 mRNA were assessed in bone marrow mononuclear cells (BMMC) from 47 adult patients with de novo or CR AML in order to explore the clinical significance of IL-18. The relationship between expression levels and the established prognostic factors such as age, cytogenetic aberrations, CD34 expression and FAB subtypes was investigated. Either disease status, age or CD34 expression were found to significantly correlate with the expression of IL-18. With respect to FAB cytotypes, expression of IL-18 gene in M4/M5 (n=15) was statistically higher than that in other subtypes (n=32, P<0.001). Moreover, a significant difference in IL-18 gene expression was obtained between the high risk group and the intermediate risk group (0.5627 versus 0.3111, P=0.038). In addition, a relationship between IL-18 expression of BMMC and initial white blood cell (WBC) was clearly demonstrated by a statistical analysis (r=0.806, P<0.001). These observations suggest that IL-18 gene over-expression might reflect the convergence of several important unfavorable prognostic factors in AML.
Original language | English (US) |
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Pages (from-to) | 887-892 |
Number of pages | 6 |
Journal | Leukemia Research |
Volume | 26 |
Issue number | 10 |
DOIs | |
State | Published - 2002 |
Funding
This work was supported by the Chinese National Natural Sciences Foundation (Grant No. 39980014). We also thank Ms. Xiao-Jin Sha, Ms. Qing Rao, Ms.Yan-Ping Xue and Mr. Zhen-Yu Cao for their technical assistance. B. Zhang provided the concept, design, collected and analyzed the data, provided statistical expertise, drafted the manuscript, and gave final approval. Y. Wang contributed to the study design, gave technical support, provided critical input to the revision, and gave final approval as well as assisting in drafting the manuscript. G.-G. Zheng contributed to the analysis and drafting of the paper, provided input to the revision, provided funding, and gave final approval. X.-T. Ma provided technical support, helped to analyze the data, contributed to the drafting and revision of the manuscript, and gave final approval. G. Li provided technical support, helped with the analysis and the revision and gave final approval. F.-K. Zhang provided study materials, assisted with data interpretation, contributed to the review, and gave final approval. K.-F. Wu contributed to the study design, gave critical input to the revision, obtained funding and gave final approval.
Keywords
- Acute myeloid leukemia
- Gene expression
- Interleukin-18
- Prognostic factor
ASJC Scopus subject areas
- Hematology
- Oncology
- Cancer Research