Induction of tumor necrosis factor-alpha as a cause of bleomycin-related toxicity

S. Sleijfer, Z. Vujaskovic, PC Limburg, NH Mulder*, H. Schraffordt Koops

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    33 Citations (Scopus)

    Abstract

    BACKGROUND, The application of bleomycin is characterized by acute side effects, such as fever, chills, and sometimes hypotension and tachypnea. Furthermore, bleomycin is known to induce pneumonitis. There are several indications that the induction of cytokines by bleomycin is involved in the development of these side effects.

    METHODS, In this study, the authors determined the plasma levels of tumor necrosis factor-alpha (TNF-alpha), interleukin-1 beta (IL-1 beta), and transforming growth factor-beta (TGF-beta) before and after bleomycin infusion in 14 patients treated for disseminated nonseminomatous germ cell tumor.

    RESULTS, Compared with the pretreatment value, TNF-alpha was significantly increased 3, 4.5, and 24 hours after bleomycin infusion. For IL-1 beta and TGF-beta, no significant alterations were observed within 24 hours after administration of bleomycin.

    CONCLUSIONS. The increase in TNF-alpha after administration of bleomycin suggests a role for this cytokine in the development of the acute side effects and probably also in the occurrence of bleomycin-induced pulmonary toxicity. The involvement of IL-1 beta and TGF-beta deserve further study. (C) 1998 American Cancer Society.

    Original languageEnglish
    Pages (from-to)970-974
    Number of pages5
    JournalCancer
    Volume82
    Issue number5
    DOIs
    Publication statusPublished - 1-Mar-1998

    Keywords

    • bleomycin
    • toxicity
    • germ cell tumor
    • tumor necrosis factor-alpha
    • interleukin-1 beta
    • transforming growth factor-beta
    • GROWTH-FACTOR-BETA
    • INDUCED PULMONARY FIBROSIS
    • RECOMBINANT INTERLEUKIN-1-BETA
    • COMBINATION CHEMOTHERAPY
    • CELL-PROLIFERATION
    • INTERFERON-GAMMA
    • FACTOR CACHECTIN
    • PHASE-I
    • EXPRESSION
    • MICE

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