Serum levels of interferon-gamma, cytotoxic factor and soluble interleukin-2 receptor in childhood hemophagocytic syndromes

Shinsaku Imashuku, Satoshi Ikushima, Noriko Esumi, Shinjiro Todo, Motoo Saito

Research output: Contribution to journalArticlepeer-review

Abstract

Serum levels of interferon (IFN)-gamma, cytotoxic factor (CF) and soluble interleukin-2 receptor (sIL2R) were assayed in relation to hyperferritinemia in eleven cases of malignant histiocytosis (MH), seven of virus-associated hemophagocytic syndrome (VAHS) and one of familial erythrophagocytic lymphohistiocytosis (FEL). IFN-gamma was markedly elevated (>10,000 U/ml) in 5 MH cases and only in one case of VAHS. CF was significantly elevated (> 150 U/ml) in 5 MH and 4 VAHS/FEL patients. sIL2R were remarkably elevated (> 10,000 U/ml) in 5 MH and 4 VAHS patients. In individual cases, the patterns of these parameters were quite different, suggesting the existence of a variable pathophysiology in cases with hemophagocytic syndromes. In terms of the patients' outcome, high IFN-gamma or sIL2R levels were associated with a poor prognosis while high CF appeared to be associated with a better prognosis.

Original languageEnglish (US)
Pages (from-to)287-292
Number of pages6
JournalLeukemia and Lymphoma
Volume3
Issue number4
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

Keywords

  • Cytotoxic factor
  • Interferon-gamma
  • Malignant histiocytosis
  • Soluble interleukin-2 receptor
  • Virus-associated hemophagocytic syndrome

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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