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Erschienen in: Journal of Cancer Research and Clinical Oncology 8/2012

01.08.2012 | Rapid Communication

Low number of invariant NKT cells is associated with poor survival in acute myeloid leukemia

verfasst von: Alicia E. Najera Chuc, Laura A. Montiel Cervantes, Flor Pérez Retiguin, Jorge Vela Ojeda, Elba Reyes Maldonado

Erschienen in: Journal of Cancer Research and Clinical Oncology | Ausgabe 8/2012

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Abstract

Background

T lymphocytes play an important role in the immunosurveillance of patients with hematologic malignancies. No study has so far examined the association between the number of lymphocyte subsets at diagnosis and overall survival (OS). We examined this relationship in adult patients with de novo acute myeloid leukemia (AML).

Methods

A longitudinal prospective study was conducted on 28 AML patients. Peripheral blood (PB) and bone marrow (BM) were obtained before chemotherapy to quantify the number of CD4+ and CD8+ T cells, natural killer (NK), invariant NKT (iNKT), and type-1 and type-2 dendritic cells. The Kaplan–Meier and Cox proportional hazard model were used to determine significant association between the number of each cell subtype and survival.

Results

BM counts of CD4+ lymphocytes >506.11/μL and CD8+ T lymphocytes >556.02/μL and a PB count of iNKT cells <0.2/μL were associated with poor OS by univariate analysis (P = 0.015, P = 0.009, P = 0.033 respectively). Multivariate analysis showed that an iNKT count <0.2 cells/μL is an independent prognostic factor for OS.

Conclusion

An iNKT cell number of <0.2/μL confers a poor prognosis in de novo AML patients.
Literatur
Zurück zum Zitat Behl D, Porrata LF, Markovic SN, Letendre L, Pruthi RK, Hook CC, Tefferi A, Elliot MA, Kaufmann SH, Mesa RA, Litzow MR (2006) Absolute lymphocyte count recovery after induction chemotherapy predicts superior survival in acute myelogenous leukemia. Leukemia 20:1632–1633. doi:10.1038/sj.leu.2404032 CrossRef Behl D, Porrata LF, Markovic SN, Letendre L, Pruthi RK, Hook CC, Tefferi A, Elliot MA, Kaufmann SH, Mesa RA, Litzow MR (2006) Absolute lymphocyte count recovery after induction chemotherapy predicts superior survival in acute myelogenous leukemia. Leukemia 20:1632–1633. doi:10.​1038/​sj.​leu.​2404032 CrossRef
Zurück zum Zitat Döhner H, Estey EH, Amadori S, Appelbaum FR, Büchner T, Burnet AK, Dombret H, Fenaux P, Grimwade D, Larson RA, Lo-Coco F, Naoe T, Niederwieser D, Ossenkoppele GJ, Sanz MA, Sierra J, Tallman MS, Löwenberg B, Bloomfield CD (2010) Diagnosis and management of acute myeloid leukemia in adults: recommendations from an international expert panel, on behalf of the European LeukemiaNet. Blood 115:453–474. doi:10.1182/blood-2009-07-235358 PubMedCrossRef Döhner H, Estey EH, Amadori S, Appelbaum FR, Büchner T, Burnet AK, Dombret H, Fenaux P, Grimwade D, Larson RA, Lo-Coco F, Naoe T, Niederwieser D, Ossenkoppele GJ, Sanz MA, Sierra J, Tallman MS, Löwenberg B, Bloomfield CD (2010) Diagnosis and management of acute myeloid leukemia in adults: recommendations from an international expert panel, on behalf of the European LeukemiaNet. Blood 115:453–474. doi:10.​1182/​blood-2009-07-235358 PubMedCrossRef
Zurück zum Zitat Hsia JY, Chen JT, Chen CY, Hsu CP, Miaw J, Huang YS, Yang CY (2005) Prognostic significance of intratumoral natural killer cells in primary resected esophageal squamous cell carcinoma. Chang Gung Med J 28:335–340PubMed Hsia JY, Chen JT, Chen CY, Hsu CP, Miaw J, Huang YS, Yang CY (2005) Prognostic significance of intratumoral natural killer cells in primary resected esophageal squamous cell carcinoma. Chang Gung Med J 28:335–340PubMed
Zurück zum Zitat Ikeda H, Chamoto K, Tsuji T, Suzuki Y, Wakita D, Takeshima T, Nishimura T (2004) The critical role of type-1 innate and acquired immunity in tumor immunotherapy. Cancer Sci 95:697–703PubMedCrossRef Ikeda H, Chamoto K, Tsuji T, Suzuki Y, Wakita D, Takeshima T, Nishimura T (2004) The critical role of type-1 innate and acquired immunity in tumor immunotherapy. Cancer Sci 95:697–703PubMedCrossRef
Zurück zum Zitat Kawano T, Cui J, Koezuka Y, Toura I, Kaneko Y, Sato H, Kondo E, Harada M, Koseki H, Nakayama T, Tanaka Y, Taniguchi M (1998) Natural killer-like nonspecific tumor cell lysis mediated by specific ligand-activated valpha14NKT cells. Proc Natl Acad Sci USA 95:5690–5693PubMedCrossRef Kawano T, Cui J, Koezuka Y, Toura I, Kaneko Y, Sato H, Kondo E, Harada M, Koseki H, Nakayama T, Tanaka Y, Taniguchi M (1998) Natural killer-like nonspecific tumor cell lysis mediated by specific ligand-activated valpha14NKT cells. Proc Natl Acad Sci USA 95:5690–5693PubMedCrossRef
Zurück zum Zitat Kawano T, Nakayama T, Kamada N, Kaneko Y, Harada M, Ogura N, Akutsu Y, Motohashi S, Lizasa T, Endo H, Fujisawa T, Shinkai H, Taniguchi M (1999) Antitumor cytotoxicity mediated by ligand–activated human Vα24 NKT cells. Cancer Res 59:5102–5105 Kawano T, Nakayama T, Kamada N, Kaneko Y, Harada M, Ogura N, Akutsu Y, Motohashi S, Lizasa T, Endo H, Fujisawa T, Shinkai H, Taniguchi M (1999) Antitumor cytotoxicity mediated by ligand–activated human Vα24 NKT cells. Cancer Res 59:5102–5105
Zurück zum Zitat Leite-de-Moraes MC, Herbelin A, Govarin C, Koezuka Y, Schneider E, Dy M (2000) Fas/Fas ligand interactions promote activation induced cell death of NKT lymphocytes. J Immunol 165:4367–4371PubMed Leite-de-Moraes MC, Herbelin A, Govarin C, Koezuka Y, Schneider E, Dy M (2000) Fas/Fas ligand interactions promote activation induced cell death of NKT lymphocytes. J Immunol 165:4367–4371PubMed
Zurück zum Zitat Metelitsa LS, Naidenko OV, Kant A, Wu H-W, Loza MJ, Perussia B, Kronemberg M, Seeger RC (2001) Human cells mediated antitumor cytotoxicity directly by recognizing target cell CD1d with bound ligand or indirectly by producing IL-2 to activate NK cells. J Immunol 167:3114–3122PubMed Metelitsa LS, Naidenko OV, Kant A, Wu H-W, Loza MJ, Perussia B, Kronemberg M, Seeger RC (2001) Human cells mediated antitumor cytotoxicity directly by recognizing target cell CD1d with bound ligand or indirectly by producing IL-2 to activate NK cells. J Immunol 167:3114–3122PubMed
Zurück zum Zitat Molling JW, Langius JA, Langendijk JA, Leemans CR, Bontikes HJ, van der Vliet HJJ, von Blomberg BME, Scheper RJ, van den Eertwegh AJM (2007) Low levels of circulating invariant natural killer T cells predicts poor clinical outcome in patients with head and neck squamous cell carcinoma. J Clin Oncol 7:862–868. doi:10.1200/JCO.2006.08.5787 CrossRef Molling JW, Langius JA, Langendijk JA, Leemans CR, Bontikes HJ, van der Vliet HJJ, von Blomberg BME, Scheper RJ, van den Eertwegh AJM (2007) Low levels of circulating invariant natural killer T cells predicts poor clinical outcome in patients with head and neck squamous cell carcinoma. J Clin Oncol 7:862–868. doi:10.​1200/​JCO.​2006.​08.​5787 CrossRef
Zurück zum Zitat Naito Y, Saito K, Shiiba K, Ohuchi A, Saigenji K, Nagura H, Ohtani H (1998) CD8+ T cells infiltrated within cancer cell nests as a prognostic factor in human colorectal cancer. Cancer Res 58:3491–3494PubMed Naito Y, Saito K, Shiiba K, Ohuchi A, Saigenji K, Nagura H, Ohtani H (1998) CD8+ T cells infiltrated within cancer cell nests as a prognostic factor in human colorectal cancer. Cancer Res 58:3491–3494PubMed
Zurück zum Zitat Porrata LF, Litzow MR, Tefferi A, Letendre L, Kumar S, Geyer SM, Markovic SN (2002) Early lymphocyte recovery is a predictive factor for prolonged survival after autologous hematopoietic stem cell transplantation for acute myelogenous leukemia. Leukemia 16:1311–1318. doi:10.1038/sj.leu.24055003 PubMedCrossRef Porrata LF, Litzow MR, Tefferi A, Letendre L, Kumar S, Geyer SM, Markovic SN (2002) Early lymphocyte recovery is a predictive factor for prolonged survival after autologous hematopoietic stem cell transplantation for acute myelogenous leukemia. Leukemia 16:1311–1318. doi:10.​1038/​sj.​leu.​24055003 PubMedCrossRef
Zurück zum Zitat Tachibana T, Onodera H, Tsuruyama T, Mori A, Nagayama S, Hiai H, Imamura M (2005) Increased intratumor valpha24-positive natural killer T cells: a prognostic factor for primary colorectal carcinomas. Clin Cancer Res 15:7322–7327. doi:10.1158/1078-0432.CCR-05-0877 CrossRef Tachibana T, Onodera H, Tsuruyama T, Mori A, Nagayama S, Hiai H, Imamura M (2005) Increased intratumor valpha24-positive natural killer T cells: a prognostic factor for primary colorectal carcinomas. Clin Cancer Res 15:7322–7327. doi:10.​1158/​1078-0432.​CCR-05-0877 CrossRef
Zurück zum Zitat Tahir SMA, Cheng O, Shaulov A, Koezuka Y, Bubley GJ, Wilson SB, Balk SP, Exley MA (2001) Loss of IFN-γ production by invariant NK T cells in advanced cancer. J Immunol 167:4046–4050 Tahir SMA, Cheng O, Shaulov A, Koezuka Y, Bubley GJ, Wilson SB, Balk SP, Exley MA (2001) Loss of IFN-γ production by invariant NK T cells in advanced cancer. J Immunol 167:4046–4050
Zurück zum Zitat Yanagisawa K, Seino K-I, Ishikawa Y, Nozue M, Todoroki T, Fukao K (2002) Impaired proliferative response of Vα24 NKT cells from cancer patients against α- galactosylceramide. J Immunol 168:6494–6499PubMed Yanagisawa K, Seino K-I, Ishikawa Y, Nozue M, Todoroki T, Fukao K (2002) Impaired proliferative response of Vα24 NKT cells from cancer patients against α- galactosylceramide. J Immunol 168:6494–6499PubMed
Zurück zum Zitat Zhu LY, Zhou J, Liu YZ, Pan WD (2009) Prognostic significance of natural killer cell infiltration in hepatocellular carcinoma. Ai Zhen 28:1198–1202 Zhu LY, Zhou J, Liu YZ, Pan WD (2009) Prognostic significance of natural killer cell infiltration in hepatocellular carcinoma. Ai Zhen 28:1198–1202
Metadaten
Titel
Low number of invariant NKT cells is associated with poor survival in acute myeloid leukemia
verfasst von
Alicia E. Najera Chuc
Laura A. Montiel Cervantes
Flor Pérez Retiguin
Jorge Vela Ojeda
Elba Reyes Maldonado
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
Journal of Cancer Research and Clinical Oncology / Ausgabe 8/2012
Print ISSN: 0171-5216
Elektronische ISSN: 1432-1335
DOI
https://doi.org/10.1007/s00432-012-1251-x

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