PMID- 29156727 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 49 DP - 2017 Oct 17 TI - Bone marrow IRF4 level in multiple myeloma: an indicator of peripheral blood Th17 and disease. PG - 85392-85400 LID - 10.18632/oncotarget.19907 [doi] AB - Interferon regulator factor 4 (IRF4) is characterized to be a member of interferon regulatory family, which is predominantly expressed in bone marrow plasma cells of patients with multiple myeloma (MM). Recent studies indicated IRF4 is critical for T-help cells (Th17) differentiation and interleukin-17 (IL-17) secretion. Here, a total of 58 MM patients were enrolled in this study, the proportions of Th17 cells and T regulatory (Treg) cells in peripheral blood mononuclear cells (PBMCs) were determined by flow cytometric analysis. Immunohistochemistry was employed to detect the IRF4 expression in bone marrow. Herein, we observed a significant increase of IRF4 in bone marrow accompanied with a notable up-regulation of Th17 cells in PBMC within MM patients compared with healthy donors. Furthermore, the proportions of Th17 cells and serum IL-17 levels were higher in patients with stage III than stage I & II MM patients, and those parameters were positively correlated with the expression of IRF4 in these cases. These results for the first time indicate that a crosstalk between IRF4 and Th17 cells is associated with MM prognosis, and IRF4 may be served an important target for MM immunotherapy. FAU - Bai, Hua AU - Bai H AD - Department of Hematology, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China. FAU - Wu, Shuang AU - Wu S AD - Department of Hematology, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China. FAU - Wang, Rong AU - Wang R AD - Department of Hematology, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China. FAU - Xu, Ji AU - Xu J AD - Department of Hematology, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China. FAU - Chen, Lijuan AU - Chen L AD - Department of Hematology, First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, China. LA - eng PT - Journal Article DEP - 20170803 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5689617 OTO - NOTNLM OT - T-help cells OT - interferon regulator factor 4 OT - interleukin-17 OT - multiple myeloma COIS- CONFLICTS OF INTEREST The authors have declared no conflicts of interest. EDAT- 2017/11/22 06:00 MHDA- 2017/11/22 06:01 PMCR- 2017/10/17 CRDT- 2017/11/22 06:00 PHST- 2017/03/29 00:00 [received] PHST- 2017/07/12 00:00 [accepted] PHST- 2017/11/22 06:00 [entrez] PHST- 2017/11/22 06:00 [pubmed] PHST- 2017/11/22 06:01 [medline] PHST- 2017/10/17 00:00 [pmc-release] AID - 19907 [pii] AID - 10.18632/oncotarget.19907 [doi] PST - epublish SO - Oncotarget. 2017 Aug 3;8(49):85392-85400. doi: 10.18632/oncotarget.19907. eCollection 2017 Oct 17.