Immune derangements in patients with myelofibrosis: the role of Treg, Th17, and sIL2Rα

Myelofibrosis (MF), including primary myelofibrosis, post-essential thrombocythemia MF, and post-polycythemia vera MF, has been reported to be associated with autoimmune phenomena. IMiDs have been reported to be effective in some patients with MF, presumably for their immune-modulator effects. We th...

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Veröffentlicht in:PloS one 2015-03, Vol.10 (3), p.e0116723-e0116723
Hauptverfasser: Wang, Jen C, Sindhu, Hemant, Chen, Chi, Kundra, Ajay, Kafeel, Muhammad I, Wong, Ching, Lichter, Stephen
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Sindhu, Hemant
Chen, Chi
Kundra, Ajay
Kafeel, Muhammad I
Wong, Ching
Lichter, Stephen
description Myelofibrosis (MF), including primary myelofibrosis, post-essential thrombocythemia MF, and post-polycythemia vera MF, has been reported to be associated with autoimmune phenomena. IMiDs have been reported to be effective in some patients with MF, presumably for their immune-modulator effects. We therefore sought to elucidate the immune derangements in patients with MF. We found no differences in T regulatory cells (Treg) and T helper 17 (Th17) cells in MF patients and normal healthy controls. However, we found significantly elevated soluble interleukin 2 alpha (sIL2Rα) in MF patients compared to those with other myeloproliferative neoplasm diseases and normal healthy controls. Our studies with MF patients further revealed that Treg cells were the predominant cells producing sIL2Rα. sIL2Rα and IL2 complex induced the formation of Treg cells but not the formation of Th1 or Th17 cells. sIL2Rα induced CD8+ T cell proliferation in the presence of Treg cells. Monocytes or neutrophils had no effect on the production of sIL2Rα by Treg cells. Furthermore, we found plasma sIL2Rα levels were correlated to the auto-immune serology in MPN patients and ruxolitinib significantly inhibits the sIL2Rα production by the Treg cells in MF patients which may explain the effects of ruxolitinib on the relief of constitutional symptoms. All these findings suggest that sIL2Rα likely plays a significant role in autoimmune phenomena seen in patients with MF. Further studies of immune derangement may elucidate the mechanism of IMiD, and exploration of immune modulators may prove to be important for treating myelofibrosis.
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IMiDs have been reported to be effective in some patients with MF, presumably for their immune-modulator effects. We therefore sought to elucidate the immune derangements in patients with MF. We found no differences in T regulatory cells (Treg) and T helper 17 (Th17) cells in MF patients and normal healthy controls. However, we found significantly elevated soluble interleukin 2 alpha (sIL2Rα) in MF patients compared to those with other myeloproliferative neoplasm diseases and normal healthy controls. Our studies with MF patients further revealed that Treg cells were the predominant cells producing sIL2Rα. sIL2Rα and IL2 complex induced the formation of Treg cells but not the formation of Th1 or Th17 cells. sIL2Rα induced CD8+ T cell proliferation in the presence of Treg cells. Monocytes or neutrophils had no effect on the production of sIL2Rα by Treg cells. Furthermore, we found plasma sIL2Rα levels were correlated to the auto-immune serology in MPN patients and ruxolitinib significantly inhibits the sIL2Rα production by the Treg cells in MF patients which may explain the effects of ruxolitinib on the relief of constitutional symptoms. All these findings suggest that sIL2Rα likely plays a significant role in autoimmune phenomena seen in patients with MF. 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IMiDs have been reported to be effective in some patients with MF, presumably for their immune-modulator effects. We therefore sought to elucidate the immune derangements in patients with MF. We found no differences in T regulatory cells (Treg) and T helper 17 (Th17) cells in MF patients and normal healthy controls. However, we found significantly elevated soluble interleukin 2 alpha (sIL2Rα) in MF patients compared to those with other myeloproliferative neoplasm diseases and normal healthy controls. Our studies with MF patients further revealed that Treg cells were the predominant cells producing sIL2Rα. sIL2Rα and IL2 complex induced the formation of Treg cells but not the formation of Th1 or Th17 cells. sIL2Rα induced CD8+ T cell proliferation in the presence of Treg cells. Monocytes or neutrophils had no effect on the production of sIL2Rα by Treg cells. Furthermore, we found plasma sIL2Rα levels were correlated to the auto-immune serology in MPN patients and ruxolitinib significantly inhibits the sIL2Rα production by the Treg cells in MF patients which may explain the effects of ruxolitinib on the relief of constitutional symptoms. All these findings suggest that sIL2Rα likely plays a significant role in autoimmune phenomena seen in patients with MF. Further studies of immune derangement may elucidate the mechanism of IMiD, and exploration of immune modulators may prove to be important for treating myelofibrosis.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25793623</pmid><doi>10.1371/journal.pone.0116723</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Autoimmune diseases
Autoimmunity
Blood cancer
Bone marrow
Case-Control Studies
CD8 antigen
CD8-Positive T-Lymphocytes - immunology
Cell Differentiation
Cell Proliferation
Cytokines
Female
Helper cells
Hematology
Hospitals
Humans
Immunomodulation
Immunoregulation
Interleukin
Interleukin 2
Interleukin-2 Receptor alpha Subunit - blood
Interleukin-2 Receptor alpha Subunit - metabolism
Leukemia
Leukocytes (neutrophilic)
Lupus
Lymphocytes T
Lymphoma
Lymphomas
Male
Melanoma
Middle Aged
Modulators
Monocytes
Monocytes - drug effects
Multiple sclerosis
Myelofibrosis
Neutrophils - drug effects
Oncology
Ovarian cancer
Patients
Polycythemia
Polycythemia vera
Primary Myelofibrosis - blood
Primary Myelofibrosis - immunology
Pyrazoles - pharmacology
Serology
Solubility
Studies
T cell receptors
T-Lymphocytes, Regulatory - drug effects
T-Lymphocytes, Regulatory - immunology
Th17 Cells - drug effects
Th17 Cells - immunology
Tumors
title Immune derangements in patients with myelofibrosis: the role of Treg, Th17, and sIL2Rα
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