Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib

The aim of the study was to determine the levels of selected cytokines and chemokines in the serum of multiple myeloma (MM) patients treated with bortezomib-based regimens. A total of 71 MM patients were examined: 41 with primary refractory disease (17) or early relapse (28), and 30 who were bortezo...

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Main Authors: Paweł Robak, Edyta Węgłowska, Izabela Dróżdż, Damian Mikulski, Dariusz Jarych, Magdalena Ferlińska, Ewa Wawrzyniak, Małgorzata Misiewicz, Piotr Smolewski, Wojciech Fendler, Janusz Szemraj, Tadeusz Robak
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2020/1835836
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author Paweł Robak
Edyta Węgłowska
Izabela Dróżdż
Damian Mikulski
Dariusz Jarych
Magdalena Ferlińska
Ewa Wawrzyniak
Małgorzata Misiewicz
Piotr Smolewski
Wojciech Fendler
Janusz Szemraj
Tadeusz Robak
author_facet Paweł Robak
Edyta Węgłowska
Izabela Dróżdż
Damian Mikulski
Dariusz Jarych
Magdalena Ferlińska
Ewa Wawrzyniak
Małgorzata Misiewicz
Piotr Smolewski
Wojciech Fendler
Janusz Szemraj
Tadeusz Robak
author_sort Paweł Robak
collection DOAJ
description The aim of the study was to determine the levels of selected cytokines and chemokines in the serum of multiple myeloma (MM) patients treated with bortezomib-based regimens. A total of 71 MM patients were examined: 41 with primary refractory disease (17) or early relapse (28), and 30 who were bortezomib sensitive with no progression for at least six months. Patients who demonstrated CR or PR after bortezomib-based therapies longer than six months after treatment discontinuation were designated bortezomib sensitive. Serum cytokine levels were assayed with Bio-Rad Bio-Plex Pro Human Cytokine 27-Plex Assay on the MAGPIX Multiplex Reader and the Bio-Plex® 200 System (Bio-Rad). Higher levels of MIP-1α and lower levels of MIP-1β and IL-9 were associated with better responses to bortezomib-based treatment, and higher levels of IL-1ra and IL-8 were associated with bone involvement. MCP-1 was elevated in patients with hemoglobin<10 g/dl compared to those without anemia. The levels of IL-8, MIP-1α, and TNF-α were significantly higher in patients with renal insufficiency. Only MIP-1α was elevated in patients with hypercalcemia compared to patients with normal calcium levels. In conclusion, distinct cytokines are involved in the pathogenesis of MM and may play a prominent role in the prediction of treatment response. However, a single measurement of serum cytokines should be interpreted with caution and further studies are needed.
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spelling doaj-art-5bb8d754789348769a4d6f0835f322f22025-02-03T06:46:51ZengWileyMediators of Inflammation0962-93511466-18612020-01-01202010.1155/2020/18358361835836Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with BortezomibPaweł Robak0Edyta Węgłowska1Izabela Dróżdż2Damian Mikulski3Dariusz Jarych4Magdalena Ferlińska5Ewa Wawrzyniak6Małgorzata Misiewicz7Piotr Smolewski8Wojciech Fendler9Janusz Szemraj10Tadeusz Robak11Department of Experimental Hematology, Medical University of Lodz, PolandLaboratory of Personalized Medicine, Bionanopark, Lodz, PolandDepartment of Clinical Genetics, Medical University of Lodz, PolandDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, PolandLaboratory of Personalized Medicine, Bionanopark, Lodz, PolandLaboratory of Personalized Medicine, Bionanopark, Lodz, PolandDepartment of Hematology, Medical University of Lodz, PolandDepartment of Hematology, Medical University of Lodz, PolandDepartment of Experimental Hematology, Medical University of Lodz, PolandDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, PolandDepartment of Medical Biochemistry, Medical University of Lodz, PolandDepartment of Hematology, Medical University of Lodz, PolandThe aim of the study was to determine the levels of selected cytokines and chemokines in the serum of multiple myeloma (MM) patients treated with bortezomib-based regimens. A total of 71 MM patients were examined: 41 with primary refractory disease (17) or early relapse (28), and 30 who were bortezomib sensitive with no progression for at least six months. Patients who demonstrated CR or PR after bortezomib-based therapies longer than six months after treatment discontinuation were designated bortezomib sensitive. Serum cytokine levels were assayed with Bio-Rad Bio-Plex Pro Human Cytokine 27-Plex Assay on the MAGPIX Multiplex Reader and the Bio-Plex® 200 System (Bio-Rad). Higher levels of MIP-1α and lower levels of MIP-1β and IL-9 were associated with better responses to bortezomib-based treatment, and higher levels of IL-1ra and IL-8 were associated with bone involvement. MCP-1 was elevated in patients with hemoglobin<10 g/dl compared to those without anemia. The levels of IL-8, MIP-1α, and TNF-α were significantly higher in patients with renal insufficiency. Only MIP-1α was elevated in patients with hypercalcemia compared to patients with normal calcium levels. In conclusion, distinct cytokines are involved in the pathogenesis of MM and may play a prominent role in the prediction of treatment response. However, a single measurement of serum cytokines should be interpreted with caution and further studies are needed.http://dx.doi.org/10.1155/2020/1835836
spellingShingle Paweł Robak
Edyta Węgłowska
Izabela Dróżdż
Damian Mikulski
Dariusz Jarych
Magdalena Ferlińska
Ewa Wawrzyniak
Małgorzata Misiewicz
Piotr Smolewski
Wojciech Fendler
Janusz Szemraj
Tadeusz Robak
Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib
Mediators of Inflammation
title Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib
title_full Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib
title_fullStr Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib
title_full_unstemmed Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib
title_short Cytokine and Chemokine Profile in Patients with Multiple Myeloma Treated with Bortezomib
title_sort cytokine and chemokine profile in patients with multiple myeloma treated with bortezomib
url http://dx.doi.org/10.1155/2020/1835836
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