Plasma Soluble CD30 as a Possible Marker of Adult T-cell Leukemia in HTLV-1 Carriers: a Nested Case-Control Study

  • Takemoto, Shigeki (Clinical Laboratory, National Hospital Organization Kumamoto Medical Center, Graduate School of Medical Sciences Kumamoto University) ;
  • Iwanaga, Masako (Department of Frontier Life Science, Nagasaki University Graduate School of Biomedical Sciences) ;
  • Sagara, Yasuko (Department of Quality, Japanese Red Cross Kyushu Block Blood Center) ;
  • Watanabe, Toshiki (Department of Medical Genome Science, Graduate School of Frontier Sciences, University of Tokyo)
  • Published : 2016.01.11


Elevated levels of soluble CD30 (sCD30) are linked with various T-cell neoplasms. However, the relationship between sCD30 levels and the development of adult T-cell leukemia (ATL) in human T-cell leukemia virus type 1 (HTLV-1) carriers remains to be clarified. We here investigated whether plasma sCD30 is associated with risk of ATL in a nested case-control study within a cohort of HTLV-1 carriers. We compared sCD30 levels between 11 cases (i.e., HTLV-1 carriers who later progressed to ATL) and 22 age-, sex- and institution-matched control HTLV-1 carriers (i.e., those with no progression). The sCD30 concentration at baseline was significantly higher in cases than in controls (median 65.8, range 27.2-134.5 U/mL vs. median 22.2, range 8.4-63.1 U/mL, P=0.001). In the univariate logistic regression analysis, a higher sCD30 (${\geq}30.2U/mL$) was significantly associated with ATL development (odds ratio 7.88 and the 95% confidence intervals 1.35-45.8, P = 0.02). Among cases, sCD30 concentration tended to increase at the time of diagnosis of aggressive-type ATL, but the concentration was stable in those developing the smoldering-type. This suggests that sCD30 may serve as a predictive marker for the onset of aggressive-type ATL in HTLV-1 carriers.


Adult T-cell leukemia (ATL);CD30;human T-cell leukemia virus type 1 (HTLV-1)


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