Abstract | PURPOSE: T lymphocyte activation regulates the autocrine type secretion of interleukin-2, a T cell growth factor and the de novo expression of its cell-surface receptor (IL-2R). Afterwards, a special, truncated form of the IL-2R is secreted into the serum as a soluble molecule. Soluble interleukin-2 receptor (sIL-2R) in serum is non-specific marker of common activation of the cellular immune regulation. This study reports the results of an early diagnostic observation of sIL-2R level in the sera of 18 primary solid pediatric malignancies. PATIENTS AND METHODS: 18 children between the ages of 1 and 12 represented the Study Group of solid tumor bearing patients. 12 healthy children between the ages of 1 and 12 represented the Control Group. Concentrations of sIL-2R were detected in the sera of the children employing a double-antibody sandwich enzyme-linked immunosorbent assay (T Cell Sciences). RESULTS: Control Group concentrations of sIL-2R were in the range of 101.9 to 255.3 IU/mL with a mean value of 178.6 IU/mL. Serum levels of sIL-2R were markedly elevated in the sera of children with solid tumors (Study Group) to levels between 223.8 IU/mL and 927 IU/mL with a mean value of 575.4 IU/mL. CONCLUSIONS: 1) The shedding of cell-surface receptors of immunological effector cells is a common physiological mechanism; 2) Presence of sIL-2R represents a sign of an overall activation of the effector elements of the host's cellular immune system; 3) An increase in the levels of sIL-2R represents an active phase of progression; conversely, decreasing levels indicate tumor regression; 4) Serum levels of sIL-2Rs may represent a useful laboratory parameter in choosing an efficient anti- cancer therapy. Thus, the level of sIL-2R in childhood solid tumor patients has a prognostic significance.
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Authors | B Bodey, V Psenko, A L Lipsey, H E Kaiser |
Journal | Anticancer research
(Anticancer Res)
1996 Jan-Feb
Vol. 16
Issue 1
Pg. 219-24
ISSN: 0250-7005 [Print] Greece |
PMID | 8615612
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
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Topics |
- Cell Transformation, Neoplastic
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Lymphocyte Activation
- Male
- Neoplasm Staging
- Neoplasms
(blood, immunology, ultrastructure)
- Receptors, Interleukin-2
(analysis)
- Reference Values
- Solubility
- T-Lymphocytes
(immunology, metabolism, ultrastructure)
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