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Blood, 15 March 2008, Vol. 111, No. 6, pp. 3155-3162.
Prepublished online as a Blood First Edition Paper on January 11, 2008; DOI 10.1182/blood-2007-09-110312.


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NEOPLASIA

Autologous antitumor activity by NK cells expanded from myeloma patients using GMP-compliant components

Evren Alici1,2, Tolga Sutlu1, Bo Björkstrand1, Mari Gilljam1, Birgitta Stellan1, Hareth Nahi1, Hernan Concha Quezada1,2, Gösta Gahrton1, Hans-Gustaf Ljunggren2, and M. Sirac Dilber1

1 Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm; and 2 Center for Infectious Medicine, Department of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden

Multiple myeloma (MM) is an incurable plasma cell malignancy with poor outcome. The most promising therapeutic options currently available are combinations of transplantation, targeted pharmacotherapy, and immunotherapy. Cell-based immunotherapy after hematopoietic stem-cell transplantation has been attempted, but with limited efficacy. Natural killer (NK) cells are interesting candidates for new means of immunotherapy; however, their potential clinical use in MM has not been extensively studied. Here, we explored the possibility of expanding NK cells from the peripheral blood of 7 newly diagnosed, untreated MM patients, using good manufacturing practice (GMP)–compliant components. After 20 days of culture, the number of NK cells from these patients had expanded on average 1600-fold. Moreover, expanded NK cells showed significant cytotoxicity against primary autologous MM cells, yet retained their tolerance against nonmalignant cells. Based on these findings, we propose that autologous NK cells expanded ex vivo deserve further attention as a possible new treatment modality for MM.


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