PMID- 11739182 OWN - NLM STAT- MEDLINE DCOM- 20020111 LR - 20210216 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 98 IP - 13 DP - 2001 Dec 15 TI - Circulating blood dendritic cells from myeloid leukemia patients display quantitative and cytogenetic abnormalities as well as functional impairment. PG - 3750-6 AB - Dendritic cells (DCs) are responsible for the initiation of immune responses. Two distinct subsets of blood DCs have been characterized thus far. Myeloid DCs (MDCs) and plasmacytoid monocytes (PDCs) were shown to be able to promote polarization of naive T cells. This study shows a dramatic quantitative imbalance in both circulating blood DC subsets in 37 patients with acute myeloid leukemias. Eleven patients (30%) displayed a normal quantitative profile (MDC mean, 0.37% +/- 0.21%; range, 0.01% to 0.78%; PDC mean, 0.21% +/- 0.24%; range, 0.04% to 0.62%), whereas 22 (59%) showed a tremendous expansion of MDCs (9 patients: mean, 16.76% +/- 14.03%; range, 1.36% to 41%), PDCs (4 patients: mean, 7.28% +/- 6.84%; range, 1% to 14%), or both subsets (9 patients: MDC mean, 10.86% +/- 12.36%; range, 1.02% to 37.1%; PDC mean, 4.25% +/- 3.78%; range, 1.14% to 13.04%). Finally, in 4 patients (11%), no DC subsets were detectable. Both MDC and PDC subsets exhibited the original leukemic chromosomal abnormality. Ex vivo, leukemic PDCs, but not leukemic MDCs, had impaired capacity for maturation and decreased allostimulatory activity. Also, leukemic PDCs were altered in their ability to secrete interferon-alpha. These data provide evidence that DC subsets in vivo may be affected by leukemogenesis and may contribute to leukemia escape from immune control. FAU - Mohty, M AU - Mohty M AD - Laboratoire d'Immunologie des Tumeurs, Universite de la Mediterranee, Marseille, France. FAU - Jarrossay, D AU - Jarrossay D FAU - Lafage-Pochitaloff, M AU - Lafage-Pochitaloff M FAU - Zandotti, C AU - Zandotti C FAU - Briere, F AU - Briere F FAU - de Lamballeri, X N AU - de Lamballeri XN FAU - Isnardon, D AU - Isnardon D FAU - Sainty, D AU - Sainty D FAU - Olive, D AU - Olive D FAU - Gaugler, B AU - Gaugler B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (HLA-DR Antigens) RN - 0 (Interferon-alpha) RN - 0 (Interleukin-3) RN - 0 (Tumor Necrosis Factor-alpha) RN - 147205-72-9 (CD40 Ligand) RN - 207137-56-2 (Interleukin-4) RN - 83869-56-1 (Granulocyte-Macrophage Colony-Stimulating Factor) SB - IM MH - Animals MH - CD40 Ligand/pharmacology MH - Cells, Cultured MH - *Chromosome Aberrations MH - Dendritic Cells/*immunology/ultrastructure MH - Flow Cytometry MH - Granulocyte-Macrophage Colony-Stimulating Factor/pharmacology MH - HLA-DR Antigens/analysis MH - Humans MH - Immunophenotyping MH - Interferon-alpha/biosynthesis/metabolism MH - Interleukin-3/pharmacology MH - Interleukin-4/pharmacology MH - Leukemia, Myeloid, Acute/*blood/*genetics/immunology MH - Mice MH - Microscopy, Confocal MH - T-Lymphocytes/immunology MH - Tumor Necrosis Factor-alpha/pharmacology EDAT- 2001/12/12 10:00 MHDA- 2002/01/12 10:01 CRDT- 2001/12/12 10:00 PHST- 2001/12/12 10:00 [pubmed] PHST- 2002/01/12 10:01 [medline] PHST- 2001/12/12 10:00 [entrez] AID - S0006-4971(20)38470-6 [pii] AID - 10.1182/blood.v98.13.3750 [doi] PST - ppublish SO - Blood. 2001 Dec 15;98(13):3750-6. doi: 10.1182/blood.v98.13.3750.