Toubai T, Shono Y, Nishihira J, Ibata M, Suigita J, Kato N, Ohkawara T, Tone S, Lowler K P, Ota S, Tanaka J, Asaka M, Reddy P, Imamura M
Department of Hematology and Oncology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Int J Lab Hematol. 2009 Apr;31(2):161-8. doi: 10.1111/j.1751-553X.2007.01016.x. Epub 2007 Dec 12.
Macrophage migration inhibitory factor (MIF) may play an important role in the pathogenesis of acute graft-versus-host disease (aGVHD) after allogeneic hematopoietic stem cell transplantation (allo-HSCT), as MIF plays an important role to regulate the production of tumor necrosis factor-alpha (TNF-alpha), one of the inflammatory cytokines which induces and exacerbates aGVHD. We examined the association between serum MIF levels and aGVHD vs. chronic GVHD (cGVHD) in allo-SCT patients in this study. We found a significant increase in the peak serum MIF (14.46 ng +/- 1.47 ng/ml) at onset in patients that developed aGVHD (n = 23, P = 0.009). We also found that mean serum MIF levels in patients who developed extensive type cGVHD within 6 months (12.58 +/- 2.18 ng/ml, n = 13) were significantly higher than MIF levels before allo-HSCT (7.86 +/- 1.17 ng/ml, n = 19, P = 0.04). Therefore, we speculated that serum MIF levels increase during the active phase of both aGVHD and cGVHD.
巨噬细胞移动抑制因子(MIF)可能在异基因造血干细胞移植(allo-HSCT)后急性移植物抗宿主病(aGVHD)的发病机制中发挥重要作用,因为MIF在调节肿瘤坏死因子-α(TNF-α)的产生中起重要作用,TNF-α是诱导和加重aGVHD的炎性细胞因子之一。在本研究中,我们检测了allo-SCT患者血清MIF水平与aGVHD和慢性移植物抗宿主病(cGVHD)之间的关联。我们发现发生aGVHD的患者(n = 23,P = 0.009)在发病时血清MIF峰值(14.46 ng +/- 1.47 ng/ml)显著升高。我们还发现,在6个月内发生广泛型cGVHD的患者(12.58 +/- 2.18 ng/ml,n = 13)的平均血清MIF水平显著高于allo-HSCT前的水平(7.86 +/- 1.17 ng/ml,n = 19,P = 0.04)。因此,我们推测在aGVHD和cGVHD的活动期血清MIF水平会升高。