PMID- 22591661 OWN - NLM STAT- MEDLINE DCOM- 20121018 LR - 20211021 IS - 1523-5866 (Electronic) IS - 1522-8517 (Print) IS - 1522-8517 (Linking) VI - 14 IP - 7 DP - 2012 Jul TI - Three sensitive assays do not provide evidence for circulating HuD-specific T cells in the blood of patients with paraneoplastic neurological syndromes with anti-Hu antibodies. PG - 841-8 LID - 10.1093/neuonc/nos118 [doi] AB - Anti-Hu antibody-associated paraneoplastic neurological syndromes (Hu-PNSs) are severe and often precede the detection of a malignancy, usually small-cell lung cancer. In Hu-PNS, it is hypothesized that neuronal cells are destroyed by T cells targeted against HuD, a protein expressed by small-cell lung cancer cells and neurons. There is only limited evidence for the existence of HuD-specific T cells. To detect these T cells in the blood of Hu-PNS patients, we employed 3 highly sensitive assays that included T cell stimulation with dendritic cells (DCs) to specifically expand the number of any HuD-specific T cells. A total of 17 Hu-PNS patients were tested with 1 or more of the following 3 assays: (1) tetramer staining after stimulation of T cells with conventionally generated DCs (n = 9), (2) interleukin (IL)-13 enzyme-linked immunosorbent spot (ELISpot; n = 3), IL-4 and IL-5 and interferon (IFN)-gamma multiplex cytokine bead array (n = 2) to assay cytokine production by T cells after stimulation with conventionally generated DCs, and (iii) IFN-gamma ELISpot and tetramer staining after T cell stimulation with accelerated co-cultured DCs (n = 11). No circulating HuD-specific T cells were found. We suggest that either autoaggressive T cells in Hu-PNS are not targeted against HuD or that their numbers in the blood are too low for detection by highly sensitive techniques. FAU - de Jongste, Adriaan H C AU - de Jongste AH AD - Department of Neurology, Erasmus University Medical Center, 's-Gravendijkwal 230, 3015 CE Rotterdam, the Netherlands. FAU - de Graaf, Marieke T AU - de Graaf MT FAU - Martinuzzi, Emanuela AU - Martinuzzi E FAU - van den Broek, Patricia D M AU - van den Broek PD FAU - Kraan, Jaco AU - Kraan J FAU - Lamers, Cor H J AU - Lamers CH FAU - Mallone, Roberto AU - Mallone R FAU - Gratama, Jan W AU - Gratama JW FAU - Sillevis Smitt, Peter A E AU - Sillevis Smitt PA LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120515 PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (ELAV Proteins) RN - 0 (Peptide Fragments) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Aged MH - Antibodies, Anti-Idiotypic/*blood MH - *Biological Assay MH - CD8-Positive T-Lymphocytes/*immunology MH - Case-Control Studies MH - ELAV Proteins/blood/*immunology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Interferon-gamma/metabolism MH - Leukocytes, Mononuclear/immunology MH - Male MH - Middle Aged MH - Paraneoplastic Syndromes, Nervous System/*blood/*immunology MH - Peptide Fragments/immunology MH - T-Lymphocyte Subsets/immunology PMC - PMC3379804 EDAT- 2012/05/18 06:00 MHDA- 2012/10/19 06:00 PMCR- 2013/07/01 CRDT- 2012/05/18 06:00 PHST- 2012/05/18 06:00 [entrez] PHST- 2012/05/18 06:00 [pubmed] PHST- 2012/10/19 06:00 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - nos118 [pii] AID - 10.1093/neuonc/nos118 [doi] PST - ppublish SO - Neuro Oncol. 2012 Jul;14(7):841-8. doi: 10.1093/neuonc/nos118. Epub 2012 May 15.