PMID- 14666473 OWN - NLM STAT- MEDLINE DCOM- 20031224 LR - 20190710 IS - 1531-5037 (Electronic) IS - 0022-3468 (Linking) VI - 38 IP - 12 DP - 2003 Dec TI - A role of cytokines in OK-432 injection therapy for cystic lymphangioma: an approach to the mechanism. PG - 1806-9 AB - PURPOSE: This study examines cytokine levels of aspirates from cystic lymphangiomas after injection of OK-432 and over the course of several weeks to better understand the process of tumor regression. METHODS: Fluids aspirated from lymphangioma cysts of 3 patients were collected sequentially before and after OK-432 injection. Mononuclear cells (MNCs) were separated and cultured with or without OK-432. Vascular endothelial growth factor (VEGF), soluble VEGF receptor 1 (sVEGFR1), sVEGFR2, transforming growth factor beta-1 (TGF-beta1), interleukin (IL)-6, IL-8, IL-12+p40, tumor necrosis factor alpha (TNF-alpha) and interferon gamma (IFN-gamma) levels in the supernatants of the aspirates and the culture supernatants of MNCs were then measured by ELISA. RESULTS: The aspirates exhibited a marked elevation in IL-6, IL-8, VEGF, and TGF-beta1 levels for a few weeks after the OK-432 injection. IL-6, IL-8, IL-12+p40, TNF-alpha, and IFN-gamma levels were elevated in the culture supernatants of the MNC cultured with OK-432 for up to 9 days. All the tumors regressed significantly, with sclerotic change, within 3 months after OK-432 injection. CONCLUSIONS: Cytokine production is maintained for a few weeks after OK-432 injection. Fibrotic changes may be another main mechanism in tumor regression in addition to cytotoxic effects on lymphangioma cells. A close relationship between cytokines from intracystic cells and lymphangioma cells is suggested. FAU - Fujino, Akihiro AU - Fujino A AD - Department of Surgery, Keio University School of Medicine, Japan. FAU - Moriya, Yoichiro AU - Moriya Y FAU - Morikawa, Yasuhide AU - Morikawa Y FAU - Hoshino, Ken AU - Hoshino K FAU - Watanabe, Toshihiko AU - Watanabe T FAU - Shimojima, Naoki AU - Shimojima N FAU - Kitajima, Masaki AU - Kitajima M LA - eng PT - Journal Article PL - United States TA - J Pediatr Surg JT - Journal of pediatric surgery JID - 0052631 RN - 0 (Cytokines) RN - 39325-01-4 (Picibanil) SB - IM MH - Child, Preschool MH - Cytokines/*analysis MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Infant, Newborn MH - Injections MH - Lymphangioma, Cystic/*drug therapy/immunology MH - Male MH - Picibanil/immunology/*therapeutic use EDAT- 2003/12/11 05:00 MHDA- 2003/12/25 05:00 CRDT- 2003/12/11 05:00 PHST- 2003/12/11 05:00 [pubmed] PHST- 2003/12/25 05:00 [medline] PHST- 2003/12/11 05:00 [entrez] AID - S0022346803006390 [pii] AID - 10.1016/j.jpedsurg.2003.08.041 [doi] PST - ppublish SO - J Pediatr Surg. 2003 Dec;38(12):1806-9. doi: 10.1016/j.jpedsurg.2003.08.041.