|
|
Previous Article | Table of Contents | Next Article 
Blood, 1 July 2002, Vol. 100, No. 1, pp. 230-237
NEOPLASIA
Dendritic cells are functionally defective in multiple
myeloma: the role of interleukin-6
Marina Ratta,
Francesco Fagnoni,
Antonio Curti,
Rosanna Vescovini,
Paolo Sansoni,
Barbara Oliviero,
Miriam Fogli,
Elisa Ferri,
Gioacchino Robustelli Della Cuna,
Sante Tura,
Michele Baccarani, and
Roberto M. Lemoli
From the Institute of Hematology and Medical Oncology,
"Lorenzo e Ariosto Seràgnoli," University of Bologna; the
Department of Internal Medicine, University of Parma; and S. Maugeri
Foundation, Instituto di Ricerca e Cura a Carattere Scientifico
(IRCCS), Clinica del Lavoro e della Riabilitazione, Scientific
Institute of Pavia, Italy.
We studied concentration, phenotype, and function of
peripheral blood (PB) dendritic cells (DCs) from patients with multiple myeloma (MM). The absolute number of circulating precursors of myeloid
and plasmacytoid DCs was significantly lower in MM patients than in
healthy subjects. After maturation, PBDCs from MM patients showed
significantly lower expression of HLA-DR, CD40, and CD80 antigens and
impaired induction of allogeneic T-cell proliferation compared with
controls. Remarkably, they were not capable of presenting the
patient-specific tumor idiotype to autologous T cells. Conversely, DCs generated in vitro from CD14+ monocytes from the same
patients, and PBDCs freshly isolated from healthy donors efficiently
stimulated allogeneic and autologous T cells. To clarify the mechanism
of PBDC deficiency in MM, we investigated the effects of the main
plasma cell growth factor, interleukin-6 (IL-6), on the development of
DCs from CD34+ cells. IL-6 inhibited the colony growth of
CD34+ DC progenitors and switched the commitment of
CD34+ cells from DCs to CD14+
CD1a
CD86 CD80 CD40±HLA-DR ± monocytic cells exerting potent phagocytic activity but no
antigen-presentation capacity. This effect was reversed by anti-IL-6
antibodies. Growing CD34+ cells in the presence of
autologous serum (without IL-6) also suppressed the development of
functional DCs. This study demonstrates that PBDCs from MM patients are
functionally defective, partially because of IL-6-mediated inhibition
of development. This brings into question the advisability of using
PBDCs as antigen carriers for immunotherapy trials in MM. The results
also suggest a novel mechanism whereby myeloma cells escape immune recognition.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
S. Mathew, K. L. Bauer, A. Fischoeder, N. Bhardwaj, and S. J. Oliver
The Anergic State in Sarcoidosis Is Associated with Diminished Dendritic Cell Function
J. Immunol.,
July 1, 2008;
181(1):
746 - 755.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Martin-Ayuso, J. Almeida, M. Perez-Andres, R. Cuello, J. Galende, M. I. Gonzalez-Fraile, G. Martin-Nunez, F. Ortega, M. J. Rodriguez, J. F. San Miguel, et al.
Peripheral Blood Dendritic Cell Subsets from Patients with Monoclonal Gammopathies Show an Abnormal Distribution and Are Functionally Impaired
Oncologist,
January 1, 2008;
13(1):
82 - 92.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Yu, C. Liu, K. Su, J. Wang, Y. Liu, L. Zhang, C. Li, Y. Cong, R. Kimberly, W. E. Grizzle, et al.
Tumor Exosomes Inhibit Differentiation of Bone Marrow Dendritic Cells
J. Immunol.,
June 1, 2007;
178(11):
6867 - 6875.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. v. Rhee
Idiotype Vaccination Strategies in Myeloma: How to Overcome a Dysfunctional Immune System
Clin. Cancer Res.,
March 1, 2007;
13(5):
1353 - 1355.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Wang, S. Hong, J. Yang, J. Qian, X. Zhang, E. Shpall, L. W. Kwak, and Q. Yi
Optimizing immunotherapy in multiple myeloma: restoring the function of patients' monocyte-derived dendritic cells by inhibiting p38 or activating MEK/ERK MAPK and neutralizing interleukin-6 in progenitor cells
Blood,
December 15, 2006;
108(13):
4071 - 4077.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Bellone, A. Carbone, C. Smirne, T. Scirelli, A. Buffolino, A. Novarino, A. Stacchini, O. Bertetto, G. Palestro, C. Sorio, et al.
Cooperative induction of a tolerogenic dendritic cell phenotype by cytokines secreted by pancreatic carcinoma cells.
J. Immunol.,
September 1, 2006;
177(5):
3448 - 3460.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Rutella, G. Bonanno, A. Procoli, A. Mariotti, D. G. de Ritis, A. Curti, S. Danese, G. Pessina, S. Pandolfi, F. Natoni, et al.
Hepatocyte growth factor favors monocyte differentiation into regulatory interleukin (IL)-10++IL-12low/neg accessory cells with dendritic-cell features
Blood,
July 1, 2006;
108(1):
218 - 227.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. P. J. J. Hegmans, A. Hemmes, H. Hammad, L. Boon, H. C. Hoogsteden, and B. N. Lambrecht
Mesothelioma environment comprises cytokines and T-regulatory cells that suppress immune responses
Eur. Respir. J.,
June 1, 2006;
27(6):
1086 - 1095.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Appel, A. Bringmann, F. Grunebach, M. M. Weck, J. Bauer, and P. Brossart
Epithelial-specific transcription factor ESE-3 is involved in the development of monocyte-derived DCs
Blood,
April 15, 2006;
107(8):
3265 - 3270.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Wang, J. Yang, J. Qian, M. Wezeman, L. W. Kwak, and Q. Yi
Tumor evasion of the immune system: inhibiting p38 MAPK signaling restores the function of dendritic cells in multiple myeloma
Blood,
March 15, 2006;
107(6):
2432 - 2439.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Jalili, S. Ozaki, T. Hara, H. Shibata, T. Hashimoto, M. Abe, Y. Nishioka, and T. Matsumoto
Induction of HM1.24 peptide-specific cytotoxic T lymphocytes by using peripheral-blood stem-cell harvests in patients with multiple myeloma
Blood,
November 15, 2005;
106(10):
3538 - 3545.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Y. Nefedova, S. Nagaraj, A. Rosenbauer, C. Muro-Cacho, S. M. Sebti, and D. I. Gabrilovich
Regulation of Dendritic Cell Differentiation and Antitumor Immune Response in Cancer by Pharmacologic-Selective Inhibition of the Janus-Activated Kinase 2/Signal Transducers and Activators of Transcription 3 Pathway
Cancer Res.,
October 15, 2005;
65(20):
9525 - 9535.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
I. L. Tourkova, G. V. Shurin, G. S. Chatta, L. Perez, J. Finke, T. L. Whiteside, S. Ferrone, and M. R. Shurin
Restoration by IL-15 of MHC Class I Antigen-Processing Machinery in Human Dendritic Cells Inhibited by Tumor-Derived Gangliosides
J. Immunol.,
September 1, 2005;
175(5):
3045 - 3052.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. Alberti, T. Bachelot, A. Duc, C. Biota, and J. Y. Blay
A Spliced Isoform of Interleukin 6 mRNA Produced by Renal Cell Carcinoma Encodes for an Interleukin 6 Inhibitor
Cancer Res.,
January 1, 2005;
65(1):
2 - 5.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Beckebaum, X. Zhang, X. Chen, Z. Yu, A. Frilling, G. Dworacki, H. Grosse-Wilde, C. E. Broelsch, G. Gerken, and V. R. Cicinnati
Increased Levels of Interleukin-10 in Serum from Patients with Hepatocellular Carcinoma Correlate with Profound Numerical Deficiencies and Immature Phenotype of Circulating Dendritic Cell Subsets
Clin. Cancer Res.,
November 1, 2004;
10(21):
7260 - 7269.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-J. Park, T. Nakagawa, H. Kitamura, T. Atsumi, H. Kamon, S.-i. Sawa, D. Kamimura, N. Ueda, Y. Iwakura, K. Ishihara, et al.
IL-6 Regulates In Vivo Dendritic Cell Differentiation through STAT3 Activation
J. Immunol.,
September 15, 2004;
173(6):
3844 - 3854.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Encabo, P. Solves, E. Mateu, P. Sepulveda, F. Carbonell-Uberos, and M. D. Minana
Selective Generation of Different Dendritic Cell Precursors from CD34+ Cells by Interleukin-6 and Interleukin-3
Stem Cells,
September 1, 2004;
22(5):
725 - 740.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. F. Fagnoni, B. Oliviero, G. Giorgiani, P. De Stefano, A. Deho, C. Zibera, N. Gibelli, R. Maccario, G. Da Prada, M. Zecca, et al.
Reconstitution dynamics of plasmacytoid and myeloid dendritic cell precursors after allogeneic myeloablative hematopoietic stem cell transplantation
Blood,
July 1, 2004;
104(1):
281 - 289.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. I. Bleier, V. G. Pillarisetty, A. B. Shah, and R. P. DeMatteo
Increased and Long-Term Generation of Dendritic Cells with Reduced Function from IL-6-Deficient Bone Marrow
J. Immunol.,
June 15, 2004;
172(12):
7408 - 7416.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. Dayyani, A. Joeinig, L. Ziegler-Heitbrock, R. Schmidmaier, C. Straka, B. Emmerich, and G. Meinhardt
Autologous stem-cell transplantation restores the functional properties of CD14+CD16+ monocytes in patients with myeloma and lymphoma
J. Leukoc. Biol.,
February 1, 2004;
75(2):
207 - 213.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Curti, E. Ferri, S. Pandolfi, A. Isidori, R. M. Lemoli, M. Dauer, K. Schad, J. Herten, S. Endres, and A. Eigler
Dendritic Cell Differentiation
J. Immunol.,
January 1, 2004;
172(1):
3 - 4.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Hayashi, T. Hideshima, M. Akiyama, N. Raje, P. Richardson, D. Chauhan, and K. C. Anderson
Ex vivo induction of multiple myeloma-specific cytotoxic T lymphocytes
Blood,
August 15, 2003;
102(4):
1435 - 1442.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Orsini, A. Guarini, S. Chiaretti, F. R. Mauro, and R. Foa
The Circulating Dendritic Cell Compartment in Patients with Chronic Lymphocytic Leukemia Is Severely Defective and Unable to Stimulate an Effective T-Cell Response
Cancer Res.,
August 1, 2003;
63(15):
4497 - 4506.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. K. De, K. Laudanski, and C. L. Miller-Graziano
Failure of Monocytes of Trauma Patients to Convert to Immature Dendritic Cells is Related to Preferential Macrophage-Colony-Stimulating Factor-Driven Macrophage Differentiation
J. Immunol.,
June 15, 2003;
170(12):
6355 - 6362.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Xie, Y. Wang, M. E. Freeman III, B. Barlogie, and Q. Yi
beta 2-Microglobulin as a negative regulator of the immune system: high concentrations of the protein inhibit in vitro generation of functional dendritic cells
Blood,
May 15, 2003;
101(10):
4005 - 4012.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. V. Dhodapkar, J. Krasovsky, and K. Olson
T cells from the tumor microenvironment of patients with progressive myeloma can generate strong, tumor-specific cytolytic responses to autologous, tumor-loaded dendritic cells
PNAS,
October 1, 2002;
99(20):
13009 - 13013.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|
|