PMID- 25346147 OWN - NLM STAT- MEDLINE DCOM- 20150123 LR - 20141127 IS - 1365-3083 (Electronic) IS - 0300-9475 (Linking) VI - 80 IP - 6 DP - 2014 Dec TI - Dendritic cells in bone marrow at diagnosis and after chemotherapy in adult patients with acute myeloid leukaemia. PG - 424-31 LID - 10.1111/sji.12223 [doi] AB - Dendritic cells (DCs) develop in the bone marrow from haematopoietic progenitor cells. Two subsets, plasmacytoid DCs (pDCs) and myeloid DCs (mDCs), have been identified. Little is known regarding DC levels in bone marrow of patients with acute myeloid leukaemia (AML) before and after chemotherapy. We investigated relative pDC and mDC levels in bone marrow from 37 hospital controls and 60 patients with AML [at diagnosis, complete remission (CR) and follow-up] using four-colour flow cytometry. The pDC immunophenotype was characterized as lin-/HLA-DR+/CD123 + and mDC as lin-/HLA-DR+/CD11c+. In 69% of patients with AML, no DCs were detected at diagnosis. At CR, mDC levels were the same in patients with AML and hospital controls while pDC levels were slightly lower. There was no association between minimal residual disease or survival rates and DC levels. Patients with low mDC levels at CR were more likely to suffer from complicated infections, although the difference was not statistically significant. Altogether, there was a profound decrease in DC levels in patients with AML at diagnosis. DC levels increased at CR and were higher than in hospital controls after post-remission therapy, suggesting that DCs recover after repeated chemotherapy. There may be an association between mDC levels and infectious complications. CI - (c) 2014 John Wiley & Sons Ltd. FAU - Derolf, A R AU - Derolf AR AD - Division of Hematology, Department of Medicine, Karolinska University Hospital Solna and Karolinska Institutet, Stockholm, Sweden. FAU - Laane, E AU - Laane E FAU - Bjorklund, E AU - Bjorklund E FAU - Saft, L AU - Saft L FAU - Bjorkholm, M AU - Bjorkholm M FAU - Porwit, Anna AU - Porwit A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand J Immunol JT - Scandinavian journal of immunology JID - 0323767 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Bone Marrow/*pathology MH - Case-Control Studies MH - Cell Count MH - Dendritic Cells/immunology/*metabolism MH - Female MH - Follow-Up Studies MH - Humans MH - Immunophenotyping MH - Leukemia, Myeloid, Acute/drug therapy/*metabolism/mortality/*pathology MH - Leukocyte Count MH - Male MH - Middle Aged MH - Monocytes/metabolism MH - Neoplasm, Residual MH - Recurrence MH - Remission Induction MH - Young Adult EDAT- 2014/10/28 06:00 MHDA- 2015/01/24 06:00 CRDT- 2014/10/28 06:00 PHST- 2014/02/13 00:00 [received] PHST- 2014/08/12 00:00 [accepted] PHST- 2014/10/28 06:00 [entrez] PHST- 2014/10/28 06:00 [pubmed] PHST- 2015/01/24 06:00 [medline] AID - 10.1111/sji.12223 [doi] PST - ppublish SO - Scand J Immunol. 2014 Dec;80(6):424-31. doi: 10.1111/sji.12223.