PMID- 19580833 OWN - NLM STAT- MEDLINE DCOM- 20091211 LR - 20201222 IS - 1879-1166 (Electronic) IS - 0198-8859 (Linking) VI - 70 IP - 10 DP - 2009 Oct TI - Changes in activatory and inhibitory natural killer (NK) receptors may induce progression to multiple myeloma: implications for tumor evasion of T and NK cells. PG - 854-7 LID - 10.1016/j.humimm.2009.07.004 [doi] AB - The molecular basis of monoclonal gammopathy of undetermined significance (MGUS) progression to a malignant monoclonal gammopathy remains poorly understood. It was recently suggested that this process involves the suppression of innate and adaptive immunity. In this study, we examined immunogenic differences in bone marrow plasma cells among individuals without gammopathy (controls) and patients with MGUS, multiple myeloma (MM), and plasma cell leukemia. We detected differences in major histocompatibility complex (MHC) class I expression, MHC class I chain-related molecule A, and CD95 that were more evident between MGUS and MM samples; there appeared to be a critical imbalance between natural killer (NK)-cell activating and inhibitory signals during the transition from MGUS to MM. Our results indicate that the human leukocyte antigen (HLA) class I(bright), MICA(dim/-), and CD95(dim/-) immunophenotype reported in myeloma cells may result from an extensive interaction of malignant cells with cytotoxic T and NK cells and appears to be immunoedited for the evasion of immunosurveillance. FAU - Bernal, Monica AU - Bernal M AD - Servicio de Analisis Clinicos e Inmunologia, Hospital Universitario Virgen de las Nieves, Granada, Spain. FAU - Garrido, Pilar AU - Garrido P FAU - Jimenez, Pilar AU - Jimenez P FAU - Carretero, Rafael AU - Carretero R FAU - Almagro, Manuel AU - Almagro M FAU - Lopez, Pilar AU - Lopez P FAU - Navarro, Pilar AU - Navarro P FAU - Garrido, Federico AU - Garrido F FAU - Ruiz-Cabello, Francisco AU - Ruiz-Cabello F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090704 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Receptors, KIR) RN - 0 (Receptors, Natural Cytotoxicity Triggering) RN - 0 (fas Receptor) SB - IM MH - Cytotoxicity, Immunologic MH - Histocompatibility Antigens Class I/immunology/metabolism MH - Humans MH - Immunity, Active/immunology MH - Immunity, Innate/immunology MH - Immunophenotyping MH - Killer Cells, Natural/*immunology/metabolism MH - Multiple Myeloma/*immunology/metabolism MH - Paraproteinemias/immunology/metabolism MH - Receptors, KIR/*immunology/metabolism MH - Receptors, Natural Cytotoxicity Triggering/*immunology/metabolism MH - T-Lymphocytes, Cytotoxic/*immunology/metabolism MH - *Tumor Escape MH - fas Receptor/immunology/metabolism EDAT- 2009/07/08 09:00 MHDA- 2009/12/16 06:00 CRDT- 2009/07/08 09:00 PHST- 2009/04/21 00:00 [received] PHST- 2009/06/24 00:00 [revised] PHST- 2009/07/01 00:00 [accepted] PHST- 2009/07/08 09:00 [entrez] PHST- 2009/07/08 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - S0198-8859(09)00170-0 [pii] AID - 10.1016/j.humimm.2009.07.004 [doi] PST - ppublish SO - Hum Immunol. 2009 Oct;70(10):854-7. doi: 10.1016/j.humimm.2009.07.004. Epub 2009 Jul 4.