Article

In vivo peripheral expansion of naive CD4+CD25high FoxP3+ regulatory T cells in patients with multiple myeloma.

Molecular Tumor Biology and Tumor Immunology, Clinic I for Internal Medicine, University of Cologne, Joseph-Stelzmann Strasse 9/Haus 16, 50931 Cologne, Germany.
Blood (impact factor: 9.9). 06/2006; 107(10):3940-9. DOI:10.1182/blood-2005-09-3671 pp.3940-9
Source: PubMed

ABSTRACT In solid tumors, leukemias, and lymphomas, increased frequencies of functional CD4+CD25(high) regulatory T cells (T(reg) cells) have been previously demonstrated. In healthy individuals, T(reg) cells consist not only of memory but also of naive T cells, which can undergo peripheral expansion and are characterized by a relative enrichment for autoreactive T-cell receptors. Here, we demonstrate in patients with premalignant monoclonal gammopathy of undetermined significance and patients with multiple myeloma that functional FoxP3(+) T(reg) cells of naive, central, and effector memory phenotype as determined by CCR7 and CD45RA expression are significantly expanded. Low frequencies of T-cell receptor excision circles in naive T(reg) cells in both healthy controls and multiple myeloma patients point to peripheral expansion as the prominent mechanism of increased frequencies of naive T(reg) cells in these cancer patients. These findings strongly suggest that the increase of functional T(reg) cells in cancer patients is a response to the process of malignant transformation.

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Keywords

autoreactive T-cell receptors
 
cancer patients
 
effector memory phenotype
 
functional CD4+CD25(high)
 
functional FoxP3(+)
 
healthy controls
 
healthy individuals
 
Low frequencies
 
malignant transformation
 
multiple myeloma
 
multiple myeloma patients point
 
naive T cells
 
naive T(reg)
 
patients
 
premalignant monoclonal gammopathy
 
prominent mechanism
 
relative enrichment
 
solid tumors
 
T-cell receptor excision circles
 
undetermined significance