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Blood, 1 April 2001, Vol. 97, No. 7, pp. 2173-2176

BRIEF REPORT

Detection of viral interleukin-6 in Kaposi sarcoma-associated herpesvirus-linked disorders

Yoshiyasu Aoki, Robert Yarchoan, Kathleen Wyvill, Shin-ichiro Okamoto, Richard F. Little, and Giovanna Tosato

From the Medicine Branch and the HIV and AIDS Malignancy Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD; and the Division of Hematology, Keio University School of Medicine, Tokyo, Japan.

Expression of a viral interleukin-6 (vIL-6) has been detected in certain Kaposi sarcoma (KS)-associated herpesvirus positive (KSHV+) lesions. The release of vIL-6 systemically and its contribution to the pathogenesis of HIV-related malignancies was studied. Serum vIL-6 was detected in 13 (38.2%) of 34 HIV+ patients with KS, in 6 (85.7%) of 7 HIV+ patients with primary effusion lymphoma (PEL) and/or multicentric Castleman disease (MCD), and in 18 (60.0%) of 30 HIV+, mostly homosexual, individuals without KS, MCD, or PEL. By contrast, serum vIL-6 was detected in only 3 (23.1%) of 13 patients with classic KS, 1 (2.5%) of 40 blood donors from the United States, and 4 (19.0%) of 21 blood donors from Italy. Circulating vIL-6 levels were associated with HIV+ status (P < .0001). However, within the HIV+ cohort, serum vIL-6 levels were not associated with the occurrence of KSHV-associated malignancies (P = .43).

© 2001 by The American Society of Hematology.
 

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