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Increased Monocytic Myeloid-Derived Suppressor Cells in Whole Blood Predict Poor Prognosis in Patients with Plasma Cell Myeloma

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Abstract
Myeloid-derived suppressor cells (MDSCs) are heterogeneous populations of immature myeloid cells with immunosuppressive effects that have prognostic potential in patients with malignancies; however, survival analysis studies are sparse. In this study, the prognostic implication of MDSCs was investigated in peripheral blood (PB) and bone marrow (BM) samples from 81 patients with plasma cell myeloma at diagnosis. MDSCs were quantified as monocytic MDSCs (mMDSCs) (CD11b(+)HLA-DR(-/low)CD14(+)) and granulocytic MDSCs with neutrophils (gMDSCs-N) (CD11b(+)HLA-DR(-/low)CD14(-)CD33(+)CD15(+)). Serum creatinine and lactate dehydrogenase levels showed a moderate correlation with all MDSC types, except BM-gMDSCs-N; mMDSCs correlated with serum beta 2-microglobulin level, and PB-mMDSCs showed an inverse correlation with hemoglobin. PB-mMDSC levels were significantly higher in patients with progressive disease than those in patients at diagnosis and complete response. BM-mMDSC levels in patients with progressive disease were also higher than those in patients at diagnosis. Patients with high mMDSCs showed significantly poorer prognosis than patients with low mMDSCs. Multivariate analysis showed high PB-mMDSCs ( GE;0.3%) as a significant adverse prognostic marker for overall survival. This study demonstrated the independent adverse prognostic impact of PB-mMDSCs in patients with myeloma. PB-mMDSC measurement using whole blood is readily accessible in clinical laboratories, and may be used as a prognostic marker in clinical practice.
Author(s)
박찬정배미현서철원
Issued Date
2021
Type
Article
Keyword
monocytic myeloid-derived suppressor cellsplasma cell myelomawhole bloodprognosissurvival
DOI
10.3390/jcm10204717
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8267
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_a3e466deaa694e9fb1fdf411a68a644a&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Increased%20Monocytic%20Myeloid-Derived%20Suppressor%20Cells%20in%20Whole%20Blood%20Predict%20Poor%20Prognosis%20in%20Patients%20with%20Plasma%20Cell%20Myeloma&offset=0&pcAvailability=true
Publisher
JOURNAL OF CLINICAL MEDICINE
Location
스위스
Language
영어
ISSN
2077-0383
Citation Volume
10
Citation Number
20
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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