CORRELATION BETWEEN CLINICAL-FEATURES AND CIRCULATING LEVELS OF SOLUBLE INTERCELLULAR-ADHESION MOLECULE-1 IN HODGKINS-DISEASE

Previous reports have suggested soluble intercellular adhesion molecule-1 as a marker of disease activity in Hodgkin's disease. In the present study we investigated serum levels of intercellular adhesion molecule-1 at diagnosis in 104 patients with Hodgkin's disease and in 77 of these patients following the achievement of complete remission (within 12 months of diagnosis). Mean serum levels at diagnosis were significantly higher in patients than in controls (P<0.0001) and were related to advanced stages of disease (P=<0.0001), presence of ''B'' symptoms (P<0.0001), abnormality of laboratory indexes (P<0.0001), erythrocyte sedimentation rate values (r=0.41, P<0.0001) and serum levels of soluble interleukin-2 receptor a chain (r=0.51, P<0.0001). Mean values in complete remission were significantly lower than at diagnosis (P=0.003). Lower mean values at diagnosis were detected in 30 patients with advanced disease who attained complete remission, compared with 6 patients who failed to attain complete remission with standard treatment. We conclude that in Hodgkin's disease, high serum levels of soluble intercellular adhesion molecule-1 are detectable at presentation and strictly correlate with some clinical features. Response to treatment is paralleled by reduced serum levels. Larger prospective studies are needed to evaluate the possible prognostic significance of serum levels of soluble intercellular adhesion molecule-1 at diagnosis.