Increased and highly stable levels of functional soluble interleukin‐6 receptor in sera of patients with monoclonal gammopathy

Soluble human interleukin‐6 receptor (sIL‐6R) was measured in the serum of 30 healthy individuals, 32 individuals with monoclonal gammopathy of undetermined significance (MGUS), 20 patients with early multiple myeloma (MM) and 54 patients with overt MM. The serum activity recognized by an immunoradi...

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Veröffentlicht in:European journal of immunology 1993-04, Vol.23 (4), p.820-824
Hauptverfasser: Gaillard, Jean‐Philippe, Bataille, Régis, Brailly, Hervé, Zuber, Caroline, Yasukawa, Kiyoshi, Attal, Michel, Maruo, Naoko, Taga, Tetsuya, Kishimoto, Tadamitsu, Klein, Bernard
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container_issue 4
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container_title European journal of immunology
container_volume 23
creator Gaillard, Jean‐Philippe
Bataille, Régis
Brailly, Hervé
Zuber, Caroline
Yasukawa, Kiyoshi
Attal, Michel
Maruo, Naoko
Taga, Tetsuya
Kishimoto, Tadamitsu
Klein, Bernard
description Soluble human interleukin‐6 receptor (sIL‐6R) was measured in the serum of 30 healthy individuals, 32 individuals with monoclonal gammopathy of undetermined significance (MGUS), 20 patients with early multiple myeloma (MM) and 54 patients with overt MM. The serum activity recognized by an immunoradiometric assay was determined to be sIL‐6R, because of its binding capacity to IL‐6 and its molecular mass of 55 kDa. All sera of healthy individuals contained sIL‐6R (mean value: 89 ng/ml, range 17‐300 ng/ml). Serum sIL‐6R levels were increased by 51% in patients with MGUS (mean value: 135 ng/ml, p
doi_str_mv 10.1002/eji.1830230408
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The serum activity recognized by an immunoradiometric assay was determined to be sIL‐6R, because of its binding capacity to IL‐6 and its molecular mass of 55 kDa. All sera of healthy individuals contained sIL‐6R (mean value: 89 ng/ml, range 17‐300 ng/ml). Serum sIL‐6R levels were increased by 51% in patients with MGUS (mean value: 135 ng/ml, p&lt;0.005), by 44% in patients with early myeloma (mean value: 128 ng/ml, p&lt;0.001) and by 116 % in patients with overt MM (mean value: 193 ng/ml, p&lt;0.001). In patients with MM, a complete lack of correlation (p&gt;0.7) was found between serum sIL‐6R levels and other previously recognized prognostic factors in this disease, particularly serum IL‐6 levels and those factors related to tumor cell mass. The independence of serum sIL‐6R levels on tumor cell mass was directly demonstrated by studying four patients with MM treated with autologous bone marrow transplantation for periods of between 320 and 760 days. These levels were found to be remarkably stable and constant, independent of whether patients relapsed or achieved complete remission. Finally, physiological concentrations of sIL‐6R were found to increase by tenfold the sensitivity of human myeloma cell lines to IL‐6. These observations suggest a high control of the sIL‐6R level in vivo, and, possibly, an important functional role of this circulating protein in patients with monoclonal gammopathies.</description><identifier>ISSN: 0014-2980</identifier><identifier>EISSN: 1521-4141</identifier><identifier>DOI: 10.1002/eji.1830230408</identifier><identifier>PMID: 8458373</identifier><identifier>CODEN: EJIMAF</identifier><language>eng</language><publisher>Weinheim: WILEY‐VCH Verlag GmbH</publisher><subject>Biological and medical sciences ; Female ; Humans ; Immunodeficiencies. 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The serum activity recognized by an immunoradiometric assay was determined to be sIL‐6R, because of its binding capacity to IL‐6 and its molecular mass of 55 kDa. All sera of healthy individuals contained sIL‐6R (mean value: 89 ng/ml, range 17‐300 ng/ml). Serum sIL‐6R levels were increased by 51% in patients with MGUS (mean value: 135 ng/ml, p&lt;0.005), by 44% in patients with early myeloma (mean value: 128 ng/ml, p&lt;0.001) and by 116 % in patients with overt MM (mean value: 193 ng/ml, p&lt;0.001). In patients with MM, a complete lack of correlation (p&gt;0.7) was found between serum sIL‐6R levels and other previously recognized prognostic factors in this disease, particularly serum IL‐6 levels and those factors related to tumor cell mass. The independence of serum sIL‐6R levels on tumor cell mass was directly demonstrated by studying four patients with MM treated with autologous bone marrow transplantation for periods of between 320 and 760 days. These levels were found to be remarkably stable and constant, independent of whether patients relapsed or achieved complete remission. Finally, physiological concentrations of sIL‐6R were found to increase by tenfold the sensitivity of human myeloma cell lines to IL‐6. These observations suggest a high control of the sIL‐6R level in vivo, and, possibly, an important functional role of this circulating protein in patients with monoclonal gammopathies.</abstract><cop>Weinheim</cop><pub>WILEY‐VCH Verlag GmbH</pub><pmid>8458373</pmid><doi>10.1002/eji.1830230408</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Access via Wiley Online Library
subjects Biological and medical sciences
Female
Humans
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulinopathies
Immunopathology
Interleukin-6 - metabolism
Interleukin‐6
Male
Medical sciences
Monoclonal gammopathy
Monoclonal Gammopathy of Undetermined Significance - blood
Multiple Myeloma - blood
Receptors, Immunologic - chemistry
Receptors, Immunologic - metabolism
Receptors, Interleukin-6
Solubility
Soluble interleukin‐6 receptor
Time Factors
title Increased and highly stable levels of functional soluble interleukin‐6 receptor in sera of patients with monoclonal gammopathy
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