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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).

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