PMID- 38002012 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231128 IS - 2227-9059 (Print) IS - 2227-9059 (Electronic) IS - 2227-9059 (Linking) VI - 11 IP - 11 DP - 2023 Nov 9 TI - The Clinical Relevance of Selected Cytokines in Newly Diagnosed Multiple Myeloma Patients. LID - 10.3390/biomedicines11113012 [doi] LID - 3012 AB - Multiple myeloma (MM) is the second most common hematological neoplasm. Cytokines, chemokines, and their receptors, induced by the microenvironment of MM, participate in tumor growth, the attraction of leukocytes, cell homing, and bone destruction. This study aimed to assess the correlation between the pretreatment serum concentrations of interleukin-6 (IL-6), interleukin-8 (IL-8), angiogenic chemokine monocyte chemoattractant protein-1 (MCP-1), and vascular endothelial growth factor (VEGF) and the clinical outcomes and survival of patients newly diagnosed with MM. The study group consisted of 82 individuals. The IL-8 concentration was significantly positively correlated with the age of onset (p = 0.007), the International Staging System (ISS) stage (p = 0.03), the Eastern Cooperative Oncology Group (ECOG) performance status (p < 0.001), the degree of anemia before treatment (p < 0.0001), the degree of kidney disease (p < 0.001), and VEGF (p = 0.0364). Chemotherapy responders had significantly lower concentrations of IL-8 (p < 0.001), IL-6 (p < 0.001), and VEGF (p = 0.04) compared with non-responders. Patients with treatment-induced polyneuropathy had significantly higher levels of IL-8 (p = 0.033). Patients with a high level of IL-6 had a 2-fold higher risk of progression-free survival (PFS) reduction (17 vs. 35 months; HR = 1.89; p = 0.0078), and a more than 2.5-fold higher risk of overall survival (OS) reduction (28 vs. 78 months; HR = 2.62; p < 0.001). High levels of IL-6, IL-8, and VEGF demonstrated significant predictive values for some clinical conditions or outcomes of newly diagnosed MM patients. Patients with an early response to chemotherapy had a significantly lower concentration of these cytokines. A high pretreatment IL-6 concentration was an independent negative prognostic marker for newly diagnosed MM patients. FAU - Mielnik, Michal AU - Mielnik M AUID- ORCID: 0000-0003-4473-5319 AD - Department of Hematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081 Lublin, Poland. FAU - Szudy-Szczyrek, Aneta AU - Szudy-Szczyrek A AUID- ORCID: 0000-0003-2352-394X AD - Department of Hematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081 Lublin, Poland. FAU - Homa-Mlak, Iwona AU - Homa-Mlak I AD - Department of Human Physiology, Medical University of Lublin, 20-080 Lublin, Poland. FAU - Mlak, Radoslaw AU - Mlak R AUID- ORCID: 0000-0001-7399-8340 AD - Department of Laboratory Diagnostics, Medical University of Lublin, Doktora Witolda Chodzki 1 Str., 20-093 Lublin, Poland. FAU - Podgajna-Mielnik, Martyna AU - Podgajna-Mielnik M AUID- ORCID: 0000-0002-2863-5142 AD - Department of Hematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081 Lublin, Poland. FAU - Goracy, Aneta AU - Goracy A AD - Department of Hematology and Bone Marrow Transplantation, Saint Jan of Dukla Oncology Centre of the Lublin Region, Doktora Kazimierza Jaczewskiego 7 Str., 20-090 Lublin, Poland. FAU - Malecka-Massalska, Teresa AU - Malecka-Massalska T AD - Department of Human Physiology, Medical University of Lublin, 20-080 Lublin, Poland. FAU - Hus, Marek AU - Hus M AD - Department of Hematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081 Lublin, Poland. LA - eng GR - DS177/Medical University of Lublin/ PT - Journal Article DEP - 20231109 PL - Switzerland TA - Biomedicines JT - Biomedicines JID - 101691304 PMC - PMC10669681 OTO - NOTNLM OT - VEGF OT - angiogenesis OT - cancer OT - cytokines OT - interleukins OT - multiple myeloma OT - tumor progression COIS- The authors declare no conflict of interest. EDAT- 2023/11/25 12:45 MHDA- 2023/11/25 12:46 PMCR- 2023/11/09 CRDT- 2023/11/25 01:07 PHST- 2023/09/09 00:00 [received] PHST- 2023/10/29 00:00 [revised] PHST- 2023/11/07 00:00 [accepted] PHST- 2023/11/25 12:46 [medline] PHST- 2023/11/25 12:45 [pubmed] PHST- 2023/11/25 01:07 [entrez] PHST- 2023/11/09 00:00 [pmc-release] AID - biomedicines11113012 [pii] AID - biomedicines-11-03012 [pii] AID - 10.3390/biomedicines11113012 [doi] PST - epublish SO - Biomedicines. 2023 Nov 9;11(11):3012. doi: 10.3390/biomedicines11113012.