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Clinical Investigations |
by Recombinant Interferon in Hairy Cell Leukemia1
University of Vienna, Clinic of Internal Medicine I, Department of Hematology, [M. S., J. D. S., M. H.], and L. Boltzmann Institute for Cytokine Research [M. S., J. D. S., S. T. N., R. B., R. H., S. K.], University of Vienna, A-1090 Vienna, Austria, and Institute for Microbiology and Genetics, A-1030 Vienna, Austria [T. D.]
Recombinant human IFN
(rhIFN-
) plays an important role in the
treatment of hairy cell leukemia (HCL). However, the mechanisms leading
to its beneficial effect are not completely clarified, and there is no
information on IFN-
gene expression in this
disease. Therefore, we investigated the pattern of
IFN-
gene expression and protein production in HCL
and their potential regulation by rhIFN-
. Blood samples from 10
patients with HCL and 8 healthy donors (HD) were investigated.
Expression of IFN-
mRNA was assessed by reverse
transcription-PCR analysis in peripheral blood mononuclear cells
(PBMCs) under basal conditions and on induction with rhIFN-
and
polyionosinic-polycytidylic acid [poly(I·C)]. IFN-
concentrations in plasma and culture supernatants were measured by
immunoassays, and intracellular IFN-
was evaluated by
fluorescence-activated cell sorting analysis. Results showed
that, in contrast to blood samples from HDs, freshly isolated
PBMCs from untreated HCL patients did not express IFN-
mRNA, whereas
IFN-
transcripts were found in patients who were under rhIFN-
therapy. Plasma of untreated patients contained no, or extremely low
levels of, IFN-
as compared with plasma of treated patients and HDs.
Ex vivo treatment of PBMCs with rhIFN-
or poly(I·C)
resulted in a remarkable up-regulation of IFN-
at the mRNA and
protein level. In HCL, however, the amounts of IFN-
protein remained
less than in HD. Inhibition of IFN-
transcription was found after
exposure of PBMCs to serum from untreated patients. Finally, a reduced
capacity to produce IFN-
was found within B- cell, T-cell, and
monocyte compartments in HCL patients, which could be enhanced by
rhIFN-
. The results demonstrate the ability of rhIFN-
to
up-regulate the expression of IFN-
gene and protein production and
suggest that priming the production of endogenous IFN-
is a critical
step in the mechanism of action of rhIFN-
in HCL.
This article has been cited by other articles:
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V. Vanhentenrijk, C. De Wolf-Peeters, and I. Wlodarska Comparative expressed sequence hybridization studies of hairy cell leukemia show uniform expression profile and imprint of spleen signature Blood, July 1, 2004; 104(1): 250 - 255. [Abstract] [Full Text] [PDF] |
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