Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia

Background: Chronic lymphocytic leukemia (CLL) is the most common type of leukemia in the Western world. The zeta-chain-associated protein (ZAP-70) an intracellular tyrosine kinase which play an important role in T-cell receptor signaling, natural killer cell activation, and early B-cell development...

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Main Authors: Haider S Al-Dahery, Alaa Fadhil Alwan, Hassnien S Muslit
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Iraqi Journal of Hematology
Subjects:
Online Access:http://www.ijhonline.org/article.asp?issn=2072-8069;year=2016;volume=5;issue=2;spage=173;epage=177;aulast=Al-Dahery
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author Haider S Al-Dahery
Alaa Fadhil Alwan
Hassnien S Muslit
author_facet Haider S Al-Dahery
Alaa Fadhil Alwan
Hassnien S Muslit
author_sort Haider S Al-Dahery
collection DOAJ
description Background: Chronic lymphocytic leukemia (CLL) is the most common type of leukemia in the Western world. The zeta-chain-associated protein (ZAP-70) an intracellular tyrosine kinase which play an important role in T-cell receptor signaling, natural killer cell activation, and early B-cell development. Interleukin-10 (IL-10) production has strong immunosuppressive effects through inhibition of Th1 type cytokines. IL-6 is a pleiotropic cytokine produced by a variety of cell types, including normal hematopoietic cells, and lymphocytes. Objectives: The objective of this study is to assess the level of ZAP-70, IL-10, and IL-6 in CLL and to correlate these levels with prognosis. Materials and Methods: A prospective cohort study carried out at the National Center of Hematology from October 2013 to September 2015. Eighteen patients with newly diagnosis of CLL compared to 19 apparently healthy controls were also involved in this study. ZAP-70 was measured by while IL-10 and IL-6 were measured using serological methods including the enzyme-linked immunosorbent assay. Results: ZAP-70 range between (24% and 90%) with a mean of 46.89 ± 19.15, two patients out of 18 were negative (<24%) for ZAP-70 as compared with control. The levels of IL-6 in the serum of untreated patients with CLL were increased in compared with healthy control (2.53 ± 1.98), ranged between (0.12 and 6.94) pg/ml. The range of the IL-10 expression of the untreated CLL patients was between (the lowest positive value (212 pg/ml) and which is the highest positive value (987 pg/ml) with a mean 614 ± 301 pg/ml, with all the morphologically diagnosed CLL cases show positive expression for IL-10. Conclusion: ZAP-70 level was higher in CLL patients than control and immunochemotherapy can normalize this which indicated good response to treatment. On the other hand, IL6 and IL10 were also higher in patients with CLL but not affected by therapy.
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spelling doaj.art-1ba81b67a8ef4d679442e5038b11b6002022-12-21T19:00:57ZengWolters Kluwer Medknow PublicationsIraqi Journal of Hematology2072-80692016-01-015217317710.4103/2072-8069.198123Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemiaHaider S Al-DaheryAlaa Fadhil AlwanHassnien S MuslitBackground: Chronic lymphocytic leukemia (CLL) is the most common type of leukemia in the Western world. The zeta-chain-associated protein (ZAP-70) an intracellular tyrosine kinase which play an important role in T-cell receptor signaling, natural killer cell activation, and early B-cell development. Interleukin-10 (IL-10) production has strong immunosuppressive effects through inhibition of Th1 type cytokines. IL-6 is a pleiotropic cytokine produced by a variety of cell types, including normal hematopoietic cells, and lymphocytes. Objectives: The objective of this study is to assess the level of ZAP-70, IL-10, and IL-6 in CLL and to correlate these levels with prognosis. Materials and Methods: A prospective cohort study carried out at the National Center of Hematology from October 2013 to September 2015. Eighteen patients with newly diagnosis of CLL compared to 19 apparently healthy controls were also involved in this study. ZAP-70 was measured by while IL-10 and IL-6 were measured using serological methods including the enzyme-linked immunosorbent assay. Results: ZAP-70 range between (24% and 90%) with a mean of 46.89 ± 19.15, two patients out of 18 were negative (<24%) for ZAP-70 as compared with control. The levels of IL-6 in the serum of untreated patients with CLL were increased in compared with healthy control (2.53 ± 1.98), ranged between (0.12 and 6.94) pg/ml. The range of the IL-10 expression of the untreated CLL patients was between (the lowest positive value (212 pg/ml) and which is the highest positive value (987 pg/ml) with a mean 614 ± 301 pg/ml, with all the morphologically diagnosed CLL cases show positive expression for IL-10. Conclusion: ZAP-70 level was higher in CLL patients than control and immunochemotherapy can normalize this which indicated good response to treatment. On the other hand, IL6 and IL10 were also higher in patients with CLL but not affected by therapy.http://www.ijhonline.org/article.asp?issn=2072-8069;year=2016;volume=5;issue=2;spage=173;epage=177;aulast=Al-DaheryChronic lymphocytic leukemiainterleukin-10interleukin-6zeta-chain-associated protein 70
spellingShingle Haider S Al-Dahery
Alaa Fadhil Alwan
Hassnien S Muslit
Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia
Iraqi Journal of Hematology
Chronic lymphocytic leukemia
interleukin-10
interleukin-6
zeta-chain-associated protein 70
title Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia
title_full Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia
title_fullStr Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia
title_full_unstemmed Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia
title_short Estimation of zeta-chain-associated protein 70, interleukin-6 and interleukin-10 levels in sera of Iraqi newly diagnosed chronic lymphocytic leukemia
title_sort estimation of zeta chain associated protein 70 interleukin 6 and interleukin 10 levels in sera of iraqi newly diagnosed chronic lymphocytic leukemia
topic Chronic lymphocytic leukemia
interleukin-10
interleukin-6
zeta-chain-associated protein 70
url http://www.ijhonline.org/article.asp?issn=2072-8069;year=2016;volume=5;issue=2;spage=173;epage=177;aulast=Al-Dahery
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AT alaafadhilalwan estimationofzetachainassociatedprotein70interleukin6andinterleukin10levelsinseraofiraqinewlydiagnosedchroniclymphocyticleukemia
AT hassniensmuslit estimationofzetachainassociatedprotein70interleukin6andinterleukin10levelsinseraofiraqinewlydiagnosedchroniclymphocyticleukemia