PMID- 20024547 OWN - NLM STAT- MEDLINE DCOM- 20100607 LR - 20240426 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 59 IP - 6 DP - 2010 Jun TI - Reduced immune effector cell NKG2D expression and increased levels of soluble NKG2D ligands in multiple myeloma may not be causally linked. PG - 829-39 LID - 10.1007/s00262-009-0807-3 [doi] AB - BACKGROUND: There is limited understanding of the dysregulation of the innate immune system in multiple myeloma (MM). We analysed the expression of the activating receptor NKG2D on NK cells and T cells of MM patients and investigated the impact of soluble versus membrane-bound NKG2D ligands on the expression of NKG2D. DESIGN: NKG2D expression on NK cells and CD8+ alphabeta T cells from patients with MM or monoclonal gammopathy of uncertain significance and healthy controls was examined flow-cytometrically. Sera from patients and controls were analysed for soluble NKG2D ligands (sNKG2D ligands). RESULTS: Significantly fewer NK cells and CD8+ alphabeta T cells from patients expressed NKG2D compared to healthy controls (NK cells: median 54% interquartile range (IQR) 32-68 versus 71% IQR 44-82%, P = 0.017, CD8+ alphabeta T cells: median 63% IQR 52-81 versus 77% IQR 71-90%, P = 0.018). The sNKG2D ligand sMICA was increased in patients [median 175 (IQR 87-295) pg/ml] versus controls [median 80 (IQR 32-129) pg/ml, P < 0.001], but levels of sMICA did not correlate with NKG2D expression on effector cells. To elucidate the mechanism of NKG2D down-regulation, we incubated lymphocytes from healthy donors in the presence of sNKG2D ligands or in co-culture with MM cell lines. sNKG2D ligands in clinically relevant concentrations did not down-regulate NKG2D expression, but co-culture of effector cells with myeloma cells with high surface expression of NKG2D ligands reduced NKG2D expression significantly. CONCLUSIONS: These results indicate that MM is associated with a significant reduction in NKG2D expression which may be contact-mediated rather than caused by soluble NKG2D ligands. FAU - von Lilienfeld-Toal, Marie AU - von Lilienfeld-Toal M AD - Transplant Immunology Group, Level 3, St. James's Institute of Oncology, Bexley Wing, St James's University Hospital, Leeds, LS9 7TF, UK. m.lilienfeld.toal@uni-bonn.de FAU - Frank, Susanne AU - Frank S FAU - Leyendecker, Christiane AU - Leyendecker C FAU - Feyler, Sylvia AU - Feyler S FAU - Jarmin, Sarah AU - Jarmin S FAU - Morgan, Ruth AU - Morgan R FAU - Glasmacher, Axel AU - Glasmacher A FAU - Marten, Angela AU - Marten A FAU - Schmidt-Wolf, Ingo G H AU - Schmidt-Wolf IG FAU - Brossart, Peter AU - Brossart P FAU - Cook, Gordon AU - Cook G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20091219 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (GPI-Linked Proteins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (NK Cell Lectin-Like Receptor Subfamily K) RN - 0 (Receptors, Antigen, T-Cell, alpha-beta) RN - 0 (ULBP2 protein, human) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - CD8-Positive T-Lymphocytes/immunology/*metabolism/pathology MH - Coculture Techniques MH - Cytotoxicity, Immunologic MH - GPI-Linked Proteins MH - Humans MH - Intercellular Signaling Peptides and Proteins/blood MH - K562 Cells MH - Killer Cells, Natural/immunology/*metabolism/pathology MH - Middle Aged MH - Monoclonal Gammopathy of Undetermined Significance/blood/*immunology/pathology/physiopathology MH - Multiple Myeloma/blood/*immunology/pathology/physiopathology MH - NK Cell Lectin-Like Receptor Subfamily K/*biosynthesis/genetics/immunology MH - Receptors, Antigen, T-Cell, alpha-beta/biosynthesis MH - Tumor Escape PMC - PMC11030819 EDAT- 2009/12/22 06:00 MHDA- 2010/06/09 06:00 PMCR- 2009/12/19 CRDT- 2009/12/22 06:00 PHST- 2009/10/01 00:00 [received] PHST- 2009/12/04 00:00 [accepted] PHST- 2009/12/22 06:00 [entrez] PHST- 2009/12/22 06:00 [pubmed] PHST- 2010/06/09 06:00 [medline] PHST- 2009/12/19 00:00 [pmc-release] AID - 807 [pii] AID - 10.1007/s00262-009-0807-3 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2010 Jun;59(6):829-39. doi: 10.1007/s00262-009-0807-3. Epub 2009 Dec 19.