Journal
JOURNAL OF CLINICAL PATHOLOGY
Volume 69, Issue 11, Pages 1009-1016Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/jclinpath-2016-203614
Keywords
MYELOMA; CYTOKINES; CYTOMETRY; DIAGNOSIS; ELISA
Categories
Funding
- Ministry of Education, Science and Technological Development of the Republic of Serbia [175056]
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Aim As innate immune cells natural killer (NK), NK-like T and CTL are important in antitumour response in multiple myeloma (MM), the aim of this study was to investigate some functional and phenotypical characteristics of these cells in MM. Methods 29 patients with MM prior to therapy, in clinical stage I-III and 15 healthy controls (HCs) were investigated. Percent of immune cells in peripheral blood, NK cell activity, expression of activating (CD161) and inhibitory (CD158a, CD158b) NK cell receptors on CD3(-)CD16(+) NK cells were evaluated using 51-chromium-release assay and by flow cytometry. Production of interleukin (IL) 2 and tumour necrosis factor (TNF) was analysed in supernatants from in vitro activated peripheral blood mononuclear cells. Results In patients with MM the percent of NK cells and their two subsets did not differ from controls, while NK-like T and CTL cells were significantly decreased. Significant impairment of NK cell cytotoxicity, CD107a expression and interferon intracellular level was also shown. There was a significant decrease in CD161 and an increase in CD158a receptor expression on NK cells in these patients. Also IL-2 production was lowest in clinical stage III. However, TNF- production did not differ between patients and HCs. Conclusions Altered expression of CD161 activating and CD158a KIR inhibitory receptor is responsible for impaired antitumour activity of NK cells in MM patients. These new biomarkers may be helpful for patient selection for immunotherapy with cytokines, and novel KIR blocking monoclonal antibodies that enhance NK cell antimyeloma activity and provide clinical benefit.
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