T‐cell expansions in patients with multiple myeloma have a phenotype of cytotoxic T cells

The presence of T‐cell clones in peripheral blood has been previously shown to be associated with a survival advantage in patients with multiple myeloma and suggests that the expanded T‐cell populations may be involved in an anti‐tumour response. We studied the T‐cell receptor (TCR) repertoire of 38...

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Veröffentlicht in:British journal of haematology 2000-07, Vol.110 (1), p.203-209
Hauptverfasser: Raitakari, Maria, Brown, Ross D., Sze, Daniel, Yuen, Edna, Barrow, Lisa, Nelson, Margaret, Pope, Belinda, Esdale, Warren, Gibson, John, Joshua, Douglas E.
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container_issue 1
container_start_page 203
container_title British journal of haematology
container_volume 110
creator Raitakari, Maria
Brown, Ross D.
Sze, Daniel
Yuen, Edna
Barrow, Lisa
Nelson, Margaret
Pope, Belinda
Esdale, Warren
Gibson, John
Joshua, Douglas E.
description The presence of T‐cell clones in peripheral blood has been previously shown to be associated with a survival advantage in patients with multiple myeloma and suggests that the expanded T‐cell populations may be involved in an anti‐tumour response. We studied the T‐cell receptor (TCR) repertoire of 38 patients with myeloma to identify and characterize the expanded T‐cell populations by flow cytometry. T‐cell expansions were found in 79% of the patients. The expansions occurred randomly among the 21 variable regions of the TCR β chain (Vβ) studied, representing 62% of the V‐β repertoire, and were stable during an 18‐month follow‐up. The phenotype of the expanded V‐β populations was predominantly CD8+, CD57+, CD28− and perforin+, which differed significantly from the other non‐expanded Vβ populations. The expression of the apoptosis markers Fas (CD95) and bcl‐2 were similar between the expanded and non‐expanded Vβ populations. In conclusion, expanded T‐cell populations were frequent in patients with myeloma, they remained unchanged during follow‐up and had phenotypic characteristics of cytotoxic T cells. These data add further support to the concept that the T‐cell expansions may have an immunoregulatory role in myeloma.
doi_str_mv 10.1046/j.1365-2141.2000.02131.x
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We studied the T‐cell receptor (TCR) repertoire of 38 patients with myeloma to identify and characterize the expanded T‐cell populations by flow cytometry. T‐cell expansions were found in 79% of the patients. The expansions occurred randomly among the 21 variable regions of the TCR β chain (Vβ) studied, representing 62% of the V‐β repertoire, and were stable during an 18‐month follow‐up. The phenotype of the expanded V‐β populations was predominantly CD8+, CD57+, CD28− and perforin+, which differed significantly from the other non‐expanded Vβ populations. The expression of the apoptosis markers Fas (CD95) and bcl‐2 were similar between the expanded and non‐expanded Vβ populations. In conclusion, expanded T‐cell populations were frequent in patients with myeloma, they remained unchanged during follow‐up and had phenotypic characteristics of cytotoxic T cells. These data add further support to the concept that the T‐cell expansions may have an immunoregulatory role in myeloma.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>10930999</pmid><doi>10.1046/j.1365-2141.2000.02131.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection)
subjects Aged
Analysis of Variance
Biological and medical sciences
CD57 Antigens - analysis
CD8 Antigens - analysis
Female
Flow Cytometry
Hematologic and hematopoietic diseases
Humans
immunophenotype
Immunophenotyping
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Linear Models
Male
Medical sciences
Membrane Glycoproteins - analysis
Middle Aged
monoclonal antibody
Multiple Myeloma - immunology
myeloma
Perforin
Pore Forming Cytotoxic Proteins
Receptors, Antigen, T-Cell, alpha-beta - immunology
Reference Values
T cell
T-Lymphocytes, Cytotoxic - immunology
TCR
title T‐cell expansions in patients with multiple myeloma have a phenotype of cytotoxic T cells
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