IgG M-components in active myeloma patients induce a down-regulation of natural killer cell activity.

M A Frassanito, F Silvestris, P Cafforio, N Silvestris, F Dammacco
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引用次数: 34

Abstract

Natural killer cell activity and related cell surface markers of peripheral blood lymphocytes were studied in 73 patients with multiple myeloma, 25 with monoclonal gammopathy of undetermined significance and 20 normal controls. Natural killer cell number was significantly higher in both multiple myeloma and monoclonal gammopathy patients than in controls, whereas the natural killer activity of multiple myeloma patients was inversely related to their disease status. Incubation of peripheral blood lymphocytes or natural killer cells with IgG myeloma proteins purified from several patients induced a down-modulation of basic natural killer activity. This inhibitory effect of monoclonal IgG was dose dependent and significantly stronger in patients with active (at diagnosis and at relapse) than stable multiple myeloma or in normal controls. Addition of exogenous recombinant interleukin-2 restored natural killer cell activity against K562 target cells, indicating that natural killer cells were able to recover their functions. However, recombinant interleukin-2-stimulated natural killer cells were responsive to down-modulation of monoclonal IgG. These data suggest that impaired natural killer cell function in active multiple myeloma is caused by the inhibitory effect of M-component.

活动性骨髓瘤患者IgG m成分诱导自然杀伤细胞活性下调。
本文对73例多发性骨髓瘤患者、25例意义不明的单克隆γ病患者和20例正常对照患者外周血淋巴细胞的自然杀伤细胞活性及相关细胞表面标志物进行了研究。多发性骨髓瘤和单克隆伽玛病患者的自然杀伤细胞数量均显著高于对照组,而多发性骨髓瘤患者的自然杀伤细胞活性与其疾病状态呈负相关。外周血淋巴细胞或自然杀伤细胞与从几例患者中纯化的IgG骨髓瘤蛋白孵育可诱导基本自然杀伤活性下调。单克隆IgG的抑制作用是剂量依赖性的,在活动性(诊断和复发时)多发性骨髓瘤患者中明显强于稳定型或正常对照。外源性重组白细胞介素-2的加入恢复了自然杀伤细胞对K562靶细胞的活性,表明自然杀伤细胞能够恢复其功能。然而,重组白细胞介素-2刺激的自然杀伤细胞对单克隆IgG下调有反应。这些数据提示活动性多发性骨髓瘤自然杀伤细胞功能受损是由m组分的抑制作用引起的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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