Clinical characteristics of patients and cytokine responses
Patient no. . | Stage* . | Ig class . | Age . | Debut† . | Treatment response‡ . | IL-6 response1-153 . | BMP-4 response1-153 . | IL-6/BMP-4 interaction1-153 . |
---|---|---|---|---|---|---|---|---|
1 | IIIA | IgG | 75 | No | No | + | + | + |
2 | IIA | IgA | 74 | Yes | Yes | − | − | − |
3 | IIA | IgA | 79 | No | ND | − | − | − |
4 | IIA | IgD | 48 | Yes | Yes | − | − | − |
5 | IIIA | IgG | 76 | No | No | − | + | + |
6 | IIIA | IgG | 60 | No | No | − | − | − |
7 | IIIA | IgA | 73 | Yes | Yes | − | − | − |
8 | IA | IgG | 84 | No | Yes | − | − | − |
9 | 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 class . | Age . | Debut† . | Treatment response‡ . | IL-6 response1-153 . | BMP-4 response1-153 . | IL-6/BMP-4 interaction1-153 . |
---|---|---|---|---|---|---|---|---|
1 | IIIA | IgG | 75 | No | No | + | + | + |
2 | IIA | IgA | 74 | Yes | Yes | − | − | − |
3 | IIA | IgA | 79 | No | ND | − | − | − |
4 | IIA | IgD | 48 | Yes | Yes | − | − | − |
5 | IIIA | IgG | 76 | No | No | − | + | + |
6 | IIIA | IgG | 60 | No | No | − | − | − |
7 | IIIA | IgA | 73 | Yes | Yes | − | − | − |
8 | IA | IgG | 84 | No | Yes | − | − | − |
9 | 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.
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.