Serum level of intercellular adhesion molecule-1 in children with malignant lymphoma

Nabil Abdelrazik1, Manal Fouda, Mohammad Hosam El-Deen Zaghloul

  • 1Department of Pediatrics, Pediatric Hematology, and Oncology, and Bone Marrow Transplantation Unit, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt. nabeelabdelrazik2003@yahoo.com

Insights

Serum soluble intercellular adhesion molecule-1 (s-ICAM-1) levels are elevated in children with lymphoma, correlating with disease aggressiveness and poorer outcomes. This marker may aid in managing pediatric lymphoma cases.

Area of Science:

  • Pediatric Oncology
  • Immunology
  • Biomarker Discovery

Background:

  • Soluble intercellular adhesion molecule-1 (s-ICAM-1) is implicated in immune responses and cancer progression.
  • Elevated s-ICAM-1 levels have been observed in various malignancies.

Purpose of the Study:

  • To measure serum s-ICAM-1 levels in children with newly diagnosed lymphoma.
  • To correlate s-ICAM-1 levels with clinical stage, pathology, laboratory data, and patient outcomes in pediatric lymphoma.

Main Methods:

  • Studied 35 children with lymphoma (Hodgkin's disease and Non-Hodgkin's lymphoma) and 8 healthy controls.
  • Assessed complete blood count, liver function tests, lactate dehydrogenase (LDH), and serum s-ICAM-1 via ELISA.
  • Performed lymph node biopsy, bone marrow examination, and patient follow-up for over 12 months.

Main Results:

  • Serum s-ICAM-1 levels were significantly higher in lymphoma patients compared to controls (p < 0.000).
  • Elevated s-ICAM-1 correlated with advanced stages and high-grade Non-Hodgkin's lymphoma (p < 0.008, 0.04).
  • Positive correlations found between high s-ICAM-1 and increased LDH (Hodgkin's disease), ALT (NHL), B symptoms, and worse patient outcomes.

Conclusions:

  • High serum s-ICAM-1 levels in pediatric lymphoma indicate tumor aggressiveness.
  • Quantification of s-ICAM-1 may identify children with a worse prognosis.
  • Serum s-ICAM-1 can serve as an additional disease-associated marker for clinical management in pediatric lymphoma.
Abstract