Prevalence and clinical significance of resistance to perforin- and FAS-mediated cell death in leukemia

H.G. Otten, W.G.J. van Ginkel, A. Hagenbeek, E.J. Petersen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Killer lymphocytes play a central therapeutic role in graft-versus-leukemia following allogeneic hematopoietic stem cell transplantation (HSCT). The Perforin/Granzyme and FAS/CD95 pathways are of crucial importance in tumor cell elimination by killer cells. In this study, we have examined whether hematological malignancies are resistant to perforin and anti-FAS antibodies. Leukemic cells were studied from 29 patients suffering either from acute or chronic myeloid leukemia (AML or CML), acute or chronic lymphoid leukemia, or non-Hodgkin's lymphoma. An average of 49 vs 5% of specific cell killing was found when using perforin vs anti-FAS antibodies, respectively. Interestingly, resistance towards both perforin and anti-FAS antibodies was found exclusively in leukemic cells from patients with myeloid leukemia. Analysis of leukemic cells from patients with CML, suffering from leukemia relapse after HSCT and given donor lymphocyte infusion (DLI) to induce remission, indicated that the effectiveness of treatment with DLI was not associated with sensitivity of leukemic cells to perforin. In conclusion, resistance towards anti-FAS antibodies is a common phenomenon in leukemia/lymphoma, whereas perforin resistance occurs only in myeloid leukemia. However, as a single parameter, perforin resistance does not appear to be suitable to predict the outcome of DLI.

Original languageEnglish
Pages (from-to)1401-1405
Number of pages5
JournalLeukemia
Volume18
Issue number8
DOIs
Publication statusPublished - Aug 2004

Keywords

  • Adult
  • Antibodies
  • Biomarkers
  • Cell Death
  • Cytotoxicity, Immunologic
  • Female
  • Hematologic Neoplasms
  • Humans
  • Jurkat Cells
  • K562 Cells
  • Killer Cells, Natural
  • Leukemia
  • Lymphocyte Transfusion
  • Male
  • Membrane Glycoproteins
  • Middle Aged
  • Perforin
  • Pore Forming Cytotoxic Proteins
  • Predictive Value of Tests
  • Prevalence
  • Recurrence
  • Tumor Cells, Cultured
  • fas Receptor
  • Journal Article
  • Research Support, Non-U.S. Gov't

Fingerprint

Dive into the research topics of 'Prevalence and clinical significance of resistance to perforin- and FAS-mediated cell death in leukemia'. Together they form a unique fingerprint.

Cite this