Serum CD163 and TARC as Disease Response Biomarkers in Classical Hodgkin Lymphoma

Candidate circulating disease response biomarkers for classical Hodgkin lymphoma (cHL) might arise from Hodgkin-Reed-Sternberg (HRS) cells or nonmalignant tumor-infiltrating cells. HRS cells are sparse within the diseased node, whereas benign CD163(+) M2 tissue-associated macrophages (TAM) are promi...

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Veröffentlicht in:Clinical cancer research 2013-02, Vol.19 (3), p.731-742
Hauptverfasser: JONES, Kimberley, VARI, Frank, KEANE, Colm, CROOKS, Pauline, NOURSE, Jamie P, SEYMOUR, Louise A, GOTTLIEB, David, RITCHIE, David, GILL, Devinder, GANDHI, Maher K
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container_issue 3
container_start_page 731
container_title Clinical cancer research
container_volume 19
creator JONES, Kimberley
VARI, Frank
KEANE, Colm
CROOKS, Pauline
NOURSE, Jamie P
SEYMOUR, Louise A
GOTTLIEB, David
RITCHIE, David
GILL, Devinder
GANDHI, Maher K
description Candidate circulating disease response biomarkers for classical Hodgkin lymphoma (cHL) might arise from Hodgkin-Reed-Sternberg (HRS) cells or nonmalignant tumor-infiltrating cells. HRS cells are sparse within the diseased node, whereas benign CD163(+) M2 tissue-associated macrophages (TAM) are prominent. CD163(+) cells within the malignant node may be prognostic, but there is no data on serum CD163 (sCD163). The HRS-specific serum protein sTARC shows promise as a disease response biomarker. Tumor-specific and tumor-infiltrating circulating biomarkers have not been compared previously. We prospectively measured sCD163 and sTARC in 221 samples from 47 patients with Hodgkin lymphoma and 21 healthy participants. Blood was taken at five fixed time-points prior, during, and after first-line therapy. Results were compared with radiological assessment and plasma Epstein-Barr virus DNA (EBV-DNA). Potential sources of circulating CD163 were investigated, along with immunosuppressive properties of CD163. Pretherapy, both sCD163 and sTARC were markedly elevated compared with healthy and complete remission samples. sCD163 better reflected tumor burden during therapy, whereas sTARC had greater value upon completion of therapy. sCD163 correlated with plasma EBV-DNA, and associated with B symptoms, stage, and lymphopenia. Circulating CD163(+) monocytes were elevated in patients, indicating that sCD163 are likely derived from circulating and intratumoral cells. Depletion of cHL CD163(+) monocytes markedly enhanced T-cell proliferation, implicating monocytes and/or TAMs as potential novel targets for immunotherapeutic manipulation. The combination of circulating tumor-infiltrate (sCD163) and tumor-specific (sTARC) proteins is more informative than either marker alone as disease response biomarkers in early and advanced disease during first-line therapy for cHL.
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HRS cells are sparse within the diseased node, whereas benign CD163(+) M2 tissue-associated macrophages (TAM) are prominent. CD163(+) cells within the malignant node may be prognostic, but there is no data on serum CD163 (sCD163). The HRS-specific serum protein sTARC shows promise as a disease response biomarker. Tumor-specific and tumor-infiltrating circulating biomarkers have not been compared previously. We prospectively measured sCD163 and sTARC in 221 samples from 47 patients with Hodgkin lymphoma and 21 healthy participants. Blood was taken at five fixed time-points prior, during, and after first-line therapy. Results were compared with radiological assessment and plasma Epstein-Barr virus DNA (EBV-DNA). Potential sources of circulating CD163 were investigated, along with immunosuppressive properties of CD163. Pretherapy, both sCD163 and sTARC were markedly elevated compared with healthy and complete remission samples. sCD163 better reflected tumor burden during therapy, whereas sTARC had greater value upon completion of therapy. sCD163 correlated with plasma EBV-DNA, and associated with B symptoms, stage, and lymphopenia. Circulating CD163(+) monocytes were elevated in patients, indicating that sCD163 are likely derived from circulating and intratumoral cells. Depletion of cHL CD163(+) monocytes markedly enhanced T-cell proliferation, implicating monocytes and/or TAMs as potential novel targets for immunotherapeutic manipulation. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lipopolysaccharide Receptors - metabolism ; Lymphocyte Count ; Male ; Medical sciences ; Middle Aged ; Monocytes - metabolism ; Neoplasm Staging ; Pharmacology. 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HRS cells are sparse within the diseased node, whereas benign CD163(+) M2 tissue-associated macrophages (TAM) are prominent. CD163(+) cells within the malignant node may be prognostic, but there is no data on serum CD163 (sCD163). The HRS-specific serum protein sTARC shows promise as a disease response biomarker. Tumor-specific and tumor-infiltrating circulating biomarkers have not been compared previously. We prospectively measured sCD163 and sTARC in 221 samples from 47 patients with Hodgkin lymphoma and 21 healthy participants. Blood was taken at five fixed time-points prior, during, and after first-line therapy. Results were compared with radiological assessment and plasma Epstein-Barr virus DNA (EBV-DNA). Potential sources of circulating CD163 were investigated, along with immunosuppressive properties of CD163. Pretherapy, both sCD163 and sTARC were markedly elevated compared with healthy and complete remission samples. sCD163 better reflected tumor burden during therapy, whereas sTARC had greater value upon completion of therapy. sCD163 correlated with plasma EBV-DNA, and associated with B symptoms, stage, and lymphopenia. Circulating CD163(+) monocytes were elevated in patients, indicating that sCD163 are likely derived from circulating and intratumoral cells. Depletion of cHL CD163(+) monocytes markedly enhanced T-cell proliferation, implicating monocytes and/or TAMs as potential novel targets for immunotherapeutic manipulation. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lipopolysaccharide Receptors - metabolism</subject><subject>Lymphocyte Count</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monocytes - metabolism</subject><subject>Neoplasm Staging</subject><subject>Pharmacology. Drug treatments</subject><subject>Prognosis</subject><subject>Receptors, Cell Surface - blood</subject><subject>Receptors, Cell Surface - metabolism</subject><subject>Sensitivity and Specificity</subject><subject>T-Lymphocytes - immunology</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1078-0432</issn><issn>1557-3265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1PwzAMhiME4vsngHJB4lKIU7dpj9DxJU1CjHGO0jSDsn6MeD3w70nFBidb1vPa8sPYGYgrgCS7BqGySGAsr6z1EchIpnm8ww4hSVQUyzTZDf2WOWBHRJ9CAILAfXYgYykRhThkL6_ODy0vJpDG3HQVn9_MCm6IT2pyhhyfOVr1XWhu6741fuk88brjRWOIamsa_thX78swmX63q4-AnLC9hWnInW7qMXu7v5sXj9H0-eGpuJlGFhO5jrJKOjBCoVKgEBYK88wqC9ZaWVXKYAISyxjzVGbCIVqTOyytKZUzISfiY3b5u3fl-6_B0Vq3NVnXNKZz_UAaZIYyS1KEgCa_qPU9kXcLvfJ1eOZbg9CjTT2a0qMpXRSzENWjzZA735wYytZVf6mtvgBcbABDwcXCm87W9M8pkUIus_gHzu97Lg</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>JONES, Kimberley</creator><creator>VARI, Frank</creator><creator>KEANE, Colm</creator><creator>CROOKS, Pauline</creator><creator>NOURSE, Jamie P</creator><creator>SEYMOUR, Louise A</creator><creator>GOTTLIEB, David</creator><creator>RITCHIE, David</creator><creator>GILL, Devinder</creator><creator>GANDHI, Maher K</creator><general>American Association for Cancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130201</creationdate><title>Serum CD163 and TARC as Disease Response Biomarkers in Classical Hodgkin Lymphoma</title><author>JONES, Kimberley ; VARI, Frank ; KEANE, Colm ; CROOKS, Pauline ; NOURSE, Jamie P ; SEYMOUR, Louise A ; GOTTLIEB, David ; RITCHIE, David ; GILL, Devinder ; GANDHI, Maher K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-8d2e1a074771741f7498c7c1ccc2dd7a45124b3496280e44ca9e4bcab7ea1a003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antigens, CD - blood</topic><topic>Antigens, CD - metabolism</topic><topic>Antigens, Differentiation, Myelomonocytic - blood</topic><topic>Antigens, Differentiation, Myelomonocytic - metabolism</topic><topic>Antineoplastic agents</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Chemokine CCL17 - blood</topic><topic>Female</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Hodgkin Disease - blood</topic><topic>Hodgkin Disease - immunology</topic><topic>Hodgkin Disease - pathology</topic><topic>Humans</topic><topic>Hypersensitivity - blood</topic><topic>Hypersensitivity - immunology</topic><topic>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lipopolysaccharide Receptors - metabolism</topic><topic>Lymphocyte Count</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monocytes - metabolism</topic><topic>Neoplasm Staging</topic><topic>Pharmacology. 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HRS cells are sparse within the diseased node, whereas benign CD163(+) M2 tissue-associated macrophages (TAM) are prominent. CD163(+) cells within the malignant node may be prognostic, but there is no data on serum CD163 (sCD163). The HRS-specific serum protein sTARC shows promise as a disease response biomarker. Tumor-specific and tumor-infiltrating circulating biomarkers have not been compared previously. We prospectively measured sCD163 and sTARC in 221 samples from 47 patients with Hodgkin lymphoma and 21 healthy participants. Blood was taken at five fixed time-points prior, during, and after first-line therapy. Results were compared with radiological assessment and plasma Epstein-Barr virus DNA (EBV-DNA). Potential sources of circulating CD163 were investigated, along with immunosuppressive properties of CD163. Pretherapy, both sCD163 and sTARC were markedly elevated compared with healthy and complete remission samples. sCD163 better reflected tumor burden during therapy, whereas sTARC had greater value upon completion of therapy. sCD163 correlated with plasma EBV-DNA, and associated with B symptoms, stage, and lymphopenia. Circulating CD163(+) monocytes were elevated in patients, indicating that sCD163 are likely derived from circulating and intratumoral cells. Depletion of cHL CD163(+) monocytes markedly enhanced T-cell proliferation, implicating monocytes and/or TAMs as potential novel targets for immunotherapeutic manipulation. The combination of circulating tumor-infiltrate (sCD163) and tumor-specific (sTARC) proteins is more informative than either marker alone as disease response biomarkers in early and advanced disease during first-line therapy for cHL.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>23224400</pmid><doi>10.1158/1078-0432.ccr-12-2693</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Antigens, CD - blood
Antigens, CD - metabolism
Antigens, Differentiation, Myelomonocytic - blood
Antigens, Differentiation, Myelomonocytic - metabolism
Antineoplastic agents
Biological and medical sciences
Biomarkers - blood
Chemokine CCL17 - blood
Female
Hematologic and hematopoietic diseases
Hodgkin Disease - blood
Hodgkin Disease - immunology
Hodgkin Disease - pathology
Humans
Hypersensitivity - blood
Hypersensitivity - immunology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lipopolysaccharide Receptors - metabolism
Lymphocyte Count
Male
Medical sciences
Middle Aged
Monocytes - metabolism
Neoplasm Staging
Pharmacology. Drug treatments
Prognosis
Receptors, Cell Surface - blood
Receptors, Cell Surface - metabolism
Sensitivity and Specificity
T-Lymphocytes - immunology
Treatment Outcome
Young Adult
title Serum CD163 and TARC as Disease Response Biomarkers in Classical Hodgkin Lymphoma
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