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Tumor necrosis factor-beta in the serum of adult T-cell leukemia with
hypercalcemia
K Ishibashi, K Ishitsuka, Y Chuman, M Otsuka, Y Kuwazuru, M Iwahashi, A Utsunomiya, S Hanada, T Sakurami and T Arima
Second Department of Internal Medicine, Faculty of Medicine, Kagoshima
University, Japan.
Serum tumor necrosis factor-beta (TNF-beta) from patients with adult T-
cell leukemia (ATL) was studied by a sandwich enzyme-linked immunosorbent
assay (ELISA) developed in our laboratory using biotinylated monoclonal
anti-TNF-beta and recombinant TNF-beta. Seven of eight patients with
hypercalcemia showed elevation of serum TNF- beta. On the other hand,
TNF-beta could not be detected by the ELISA in 28 patients without
hypercalcemia. The lower detection limit in this assay was 100 pg/mL,
corresponding to 500 pg/mL by the conventional method. In two patients
serum TNF-beta level decreased after treatment in association with the
level of serum calcium. Furthermore, immuno- staining using anti-TNF-beta
and avidin-biotin complex showed the presence of cytoplasmic TNF-beta in
not only human T-cell leukemia virus type I infected cell lines, but also
freshly isolated cells from ATL patients with hypercalcemia. The actual
biologic activity of TNF- beta in serum was confirmed by a conventional
bioassay in a patient with hypercalcemia, and its cytotoxic activity was
inhibited by the addition of anti-TNF-beta antibody in the assay. These
results suggested that serum TNF-beta might be one of the factors
contributing to the hypercalcemia, at least in patients with ATL.
Volume 77,
Issue 11,
pp. 2451-2455,
06/01/1991
Copyright © 1991 by The American Society of Hematology

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