Table 1.

Clinical characteristics of patients and cytokine responses

Patient no.Stage*Ig classAgeDebutTreatment responseIL-6 response1-153BMP-4 response1-153IL-6/BMP-4 interaction1-153
IIIA IgG 75 No No 
IIA IgA 74 Yes Yes − − − 
IIA IgA 79 No ND − − − 
IIA IgD 48 Yes Yes − − − 
IIIA IgG 76 No No − 
IIIA IgG 60 No No − − − 
IIIA IgA 73 Yes Yes − − − 
IA IgG 84 No Yes − − − 
IIA IgA 76 Yes Yes 
10 IIA IgA 70 Yes Yes − − − 
11 IIIA IgA 76 No No 
12 IIIA  51 No No − − − 
13 IIIA IgG 76 Yes Yes − − − 
Patient no.Stage*Ig classAgeDebutTreatment responseIL-6 response1-153BMP-4 response1-153IL-6/BMP-4 interaction1-153
IIIA IgG 75 No No 
IIA IgA 74 Yes Yes − − − 
IIA IgA 79 No ND − − − 
IIA IgD 48 Yes Yes − − − 
IIIA IgG 76 No No − 
IIIA IgG 60 No No − − − 
IIIA IgA 73 Yes Yes − − − 
IA IgG 84 No Yes − − − 
IIA IgA 76 Yes Yes 
10 IIA IgA 70 Yes Yes − − − 
11 IIIA IgA 76 No No 
12 IIIA  51 No No − − − 
13 IIIA IgG 76 Yes Yes − − − 
*

According to Durie and Salmon.60 

Denotes whether primary cells were harvested at the time of diagnosis or not.

Response to treatment with melphalan–prednisone or vincristine, doxorubicin, and dexamethasone regimens was defined as reduction of the M-component by 50% or more.

F1-153

Purified myeloma cells were incubated for 3 days with or without IL-6 (1 ng/mL) or BMP-4 (50 ng/mL), and cellular viability was determined. A positive response was defined as a 10% or greater absolute change in viability after BMP-4 or IL-6 stimulation compared with unstimulated cells. Interaction was defined to be present if the response of either cytokine was counteracted by ≥ 10% by the other. Patient 12 had nonsecretory myeloma.

ND, not determined.

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