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Blood, 20 August 2009, Vol. 114, No. 8, pp. 1528-1536. Prepublished online as a Blood First Edition Paper on May 6, 2009; DOI 10.1182/blood-2008-09-179697.
IMMUNOBIOLOGY Programmed death 1 signaling on chronic myeloid leukemia–specific T cells results in T-cell exhaustion and disease progression1 Tumor Immunology, Department of Clinical Research, University of Berne, Berne; 2 Department of Research, Childhood Leukemia, University of Basel, Basel; and 3 Department of Hematology and Central Hematology Laboratory and 4 Institute for Medical Oncology, Inselspital, Berne, Switzerland
Chronic myeloid leukemia (CML) is a malignant myeloproliferative disease with a characteristic chronic phase (cp) of several years before progression to blast crisis (bc). The immune system may contribute to disease control in CML. We analyzed leukemia-specific immune responses in cpCML and bcCML in a retroviral-induced murine CML model. In the presence of cpCML and bcCML expressing the glycoprotein of lymphocytic choriomeningitis virus as a model leukemia antigen, leukemia-specific cytotoxic T lymphocytes (CTLs) became exhausted. They maintained only limited cytotoxic activity, and did not produce interferon-
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