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The Indian Journal of Pediatrics

, Volume 86, Issue 6, pp 551–554 | Cite as

Prognostic Significance of IL-6 in Hodgkin Lymphoma

  • Sainath Bhethanabhotla
  • Akash Tiwari
  • M. C. Sharma
  • Sreenivas Vishnubhatla
  • Sameer BakhshiEmail author
Clinical Brief
  • 49 Downloads

Abstract

Elevated serum interleukin-6 (IL-6) in Hodgkin lymphoma (HL) is reported to correlate with B symptoms, response rate and survival in adult patients. The authors studied prognostic significance of IL-6 expression by immunohistochemistry on Hodgkin-Reed Sternberg cells and background reactive cells in a retrospective cohort of pediatric HL patients treated with doxorubicin, bleomycin, vinblastine and dacarbazine (ABVD) from January 2009 through December 2013. Of 142 patients, tissue blocks were retrieved in 110 patients. On logistic regression analysis, IL-6 expression on background cells alone was among the factors associated with inferior response rate (OR-9.9, 95%CI-1.2, 78.3; p = 0.03). On multivariate analysis, IL-6 expression on background cells alone had significant impact on 5 y freedom from treatment failure (FFTF) (HR-7.7, 95% CI-1.2, 48.6; p = 0.03). IL-6 expression by immunohistochemistry in the background cells is an independent poor predictor of response and FFTF in pediatric HL. Further prospective studies in children are needed to confirm the current findings and whether IL-6 expression can be used to stratify treatment.

Keywords

Interleukin-6 Pediatric Hodgkin lymphoma 

Notes

Compliance with Ethical Standards

Conflict of Interest

None.

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Copyright information

© Dr. K C Chaudhuri Foundation 2019

Authors and Affiliations

  • Sainath Bhethanabhotla
    • 1
    • 2
  • Akash Tiwari
    • 1
    • 2
  • M. C. Sharma
    • 3
  • Sreenivas Vishnubhatla
    • 4
  • Sameer Bakhshi
    • 1
    • 2
    Email author
  1. 1.Department of Medical OncologyAll India Institute of Medical SciencesNew DelhiIndia
  2. 2.Dr. B. R. A. Institute Rotary Cancer HospitalAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of PathologyAll India Institute of Medical SciencesNew DelhiIndia
  4. 4.Department of BiostatisticsAll India Institute of Medical SciencesNew DelhiIndia

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