Volume 123, Issue 1 pp. 106-109

Serum levels of macrophage inflammatory protein-1 alpha (MIP-1α) correlate with the extent of bone disease and survival in patients with multiple myeloma

Evangelos Terpos

Evangelos Terpos

Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, UK.

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Marianna Politou

Marianna Politou

Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, UK.

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Richard Szydlo

Richard Szydlo

Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, UK.

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John M. Goldman

John M. Goldman

Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, UK.

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Jane F. Apperley

Jane F. Apperley

Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, UK.

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Amin Rahemtulla

Amin Rahemtulla

Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, London, UK.

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First published: 26 September 2003
Citations: 142
Evangelos Terpos, Department of Haematology, Faculty of Medicine, Imperial College, Hammersmith Hospital, Du Cane Road, London W12 0NN, UK. E-mail: [email protected]

Abstract

Summary. The role of serum macrophage inflammatory protein-1 alpha (MIP-1α) in bone disease and survival was evaluated in 85 newly diagnosed multiple myeloma (MM) patients. MIP-1α was elevated in MM patients and correlated with the extent of bone disease, bone resorption markers and levels of soluble receptor activator of nuclear factor-κB (RANK) ligand. MIP-1α was also associated with survival; the 3-year probability of survival was 85% and 44% for MIP-1α levels below and above 48 pg/ml respectively (P = 0·021). This suggests that MIP-1α contributes to the pathogenesis of bone disease in MM and possibly in tumour growth, as reflected by its impact on survival.

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