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Soluble ICAM-1 in H...
Soluble ICAM-1 in Hodgkin´s disease : a promising independent predictive marker for survival
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- Christiansen, Ilse (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,KITM
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- Enblad, Gunilla (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi
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- Kälkner, Karl-Mikael (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi
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- Gidlöf, Cecilia (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,KITM
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- Glimelius, Bengt (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi
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- Tötterman, Thomas H. (author)
- Uppsala universitet,Institutionen för onkologi, radiologi och klinisk immunologi,KITM
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(creator_code:org_t)
- Informa UK Limited, 1995
- 1995
- English.
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In: Leukemia and Lymphoma. - : Informa UK Limited. - 1042-8194 .- 1029-2403. ; 19:3-4, s. 243-51
- Related links:
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https://urn.kb.se/re...
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http://kipublication...
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https://doi.org/10.3...
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Abstract
Subject headings
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- The serum levels of soluble ICAM-1 (sICAM-1, sCD54) were significantly elevated (p = .0006) in patients with Hodgkin's disease (HD) (n = 101) compared to healthy controls (n = 31). Serum levels of sICAM-1 in HD correlated significantly with the presence of B-symptoms, histology and tumour burden as reflected in the Ann Arbor staging system, but not to bulky disease. sICAM-1 was compared to other serum factors claimed to be of prognostic significance in HD, including erythrocyte sedimentation rate (ESR), lactate dehydrogenase (LDH), deoxythymidine kinase (TK), soluble interleukin-2 receptor (sIL-2R, sCD25) and soluble CD30 (sCD30, sKi-1-antigen). Serum levels of sICAM-1 correlated positively with all of these markers. In univariate regression analyses, all but ESR correlated with disease-free survival but only sICAM-1, sIL-2R and sCD30 correlated with overall survival. In multivariate analyses only sIL-2R (as a continuous variable) added independent prognostic information in addition to age, stage and B-symptoms. sICAM-1 and sCD30 approached significance (p = 0.07 and p = 0.08, respectively) for disease-free survival. sCD30 correlated with overall survival (p = 0.03) while sICAM-1 did not. When dichotomised at optimal cut-off levels, sICAM-1 as well as sIL-2R and sCD30 added independent prognostic information for both disease-free and overall survival. Based on the present observations, it appears that sICAM-1 may be a predictor for relapse and survival in HD. Determination of serum levels of sICAM-1 (in addition to sIL-2R and sCD30) may thus be of potential value when selecting HD patients eligible for intensive therapy in clinical trials.
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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