FOXP3 and CTLA4 overexpression in multiple myeloma bone marrow as a sign of accumulation of CD4(+) T regulatory cells
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FOXP3 and CTLA4 overexpression in multiple myeloma bone marrow as a sign of accumulation of CD4(+) T regulatory cells. / Braga, Walter Moises Tobias; da Silva, Bruna Raphaeli; de Carvalho, Ana Carolina; Maekawa, Yumi H; Bortoluzzo, Adriana Bruscato; Rizzatti, Edgar Gil; Atanackovic, Djordje; Colleoni, Gisele Wally Braga.
In: CANCER IMMUNOL IMMUN, Vol. 63, No. 11, 2014, p. 1189-97.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - FOXP3 and CTLA4 overexpression in multiple myeloma bone marrow as a sign of accumulation of CD4(+) T regulatory cells
AU - Braga, Walter Moises Tobias
AU - da Silva, Bruna Raphaeli
AU - de Carvalho, Ana Carolina
AU - Maekawa, Yumi H
AU - Bortoluzzo, Adriana Bruscato
AU - Rizzatti, Edgar Gil
AU - Atanackovic, Djordje
AU - Colleoni, Gisele Wally Braga
PY - 2014
Y1 - 2014
N2 - INTRODUCTION: Multiple myeloma (MM) development involves a series of genetic abnormalities and changes in the bone marrow (BM) microenvironment, favoring the growth of the tumor and failure of local immune control. T regulatory (Treg) cells play an important role in dampening anti-tumor immune responses while T-helper-17 (Th17) cells seem to be critical for the eradication of malignant cells. The aim of our study was to characterize the expression of Treg- and Th17-related genes in total myeloma BM samples to assess their role as biomarkers, prognostic factors, and possible therapeutic targets in this incurable disease.METHODS: Expression of markers for Treg (FOXP3, CTLA4) and Th17 cells (RORγt) was determined by quantitative real-time PCR in BM aspirates of 46 MM patients, four patients with monoclonal gammopathy of undetermined significance, five solitary plasmacytomas, and five healthy BM donors. Gene expression was evaluated regarding an influence on the patients' overall survival (OS).RESULTS: FOXP3 and CTLA4 presented a sixfold (p = 0.02) and 30-fold higher expression (p = 0.03), respectively, in MM patients than in controls. RORγt expression was similar in MM patients and controls. Median OS of MM patients was 16.8 (range 4.5-29.1) months, and international staging system was the only independent prognostic factor for patients survival.CONCLUSIONS: Overexpression of FOXP3 and CTLA4 in total BM samples suggests a local accumulation of immunosuppressive Tregs, the MM tumor environment, possibly dampening anti-tumor host immune responses. Therapeutic approaches targeting Treg cells and restoring local anti-tumor immunity may provide new treatment strategies for this incurable malignancy.
AB - INTRODUCTION: Multiple myeloma (MM) development involves a series of genetic abnormalities and changes in the bone marrow (BM) microenvironment, favoring the growth of the tumor and failure of local immune control. T regulatory (Treg) cells play an important role in dampening anti-tumor immune responses while T-helper-17 (Th17) cells seem to be critical for the eradication of malignant cells. The aim of our study was to characterize the expression of Treg- and Th17-related genes in total myeloma BM samples to assess their role as biomarkers, prognostic factors, and possible therapeutic targets in this incurable disease.METHODS: Expression of markers for Treg (FOXP3, CTLA4) and Th17 cells (RORγt) was determined by quantitative real-time PCR in BM aspirates of 46 MM patients, four patients with monoclonal gammopathy of undetermined significance, five solitary plasmacytomas, and five healthy BM donors. Gene expression was evaluated regarding an influence on the patients' overall survival (OS).RESULTS: FOXP3 and CTLA4 presented a sixfold (p = 0.02) and 30-fold higher expression (p = 0.03), respectively, in MM patients than in controls. RORγt expression was similar in MM patients and controls. Median OS of MM patients was 16.8 (range 4.5-29.1) months, and international staging system was the only independent prognostic factor for patients survival.CONCLUSIONS: Overexpression of FOXP3 and CTLA4 in total BM samples suggests a local accumulation of immunosuppressive Tregs, the MM tumor environment, possibly dampening anti-tumor host immune responses. Therapeutic approaches targeting Treg cells and restoring local anti-tumor immunity may provide new treatment strategies for this incurable malignancy.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Biological Markers
KW - Bone Marrow
KW - Bone Marrow Cells
KW - CTLA-4 Antigen
KW - Female
KW - Forkhead Transcription Factors
KW - Gene Expression Regulation, Neoplastic
KW - Humans
KW - Immunosuppression
KW - Male
KW - Middle Aged
KW - Monoclonal Gammopathy of Undetermined Significance
KW - Multiple Myeloma
KW - Nuclear Receptor Subfamily 1, Group F, Member 3
KW - Plasmacytoma
KW - Syndecan-1
KW - T-Lymphocytes, Regulatory
KW - Th17 Cells
KW - Treatment Outcome
U2 - 10.1007/s00262-014-1589-9
DO - 10.1007/s00262-014-1589-9
M3 - SCORING: Journal article
C2 - 25099367
VL - 63
SP - 1189
EP - 1197
JO - CANCER IMMUNOL IMMUN
JF - CANCER IMMUNOL IMMUN
SN - 0340-7004
IS - 11
ER -