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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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