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Resistance of infant leukemia with MLL rearrangement to tumor necrosis factor-related apoptosis-inducing ligand: a possible mechanism for poor sensitivity to antitumor immunity.
- Source :
-
Leukemia [Leukemia] 2006 Dec; Vol. 20 (12), pp. 2119-29. Date of Electronic Publication: 2006 Oct 26. - Publication Year :
- 2006
-
Abstract
- Malignant cells generally acquire some immune escape mechanisms for clonal expansion. Immune escape mechanisms also contribute to the failure of graft-versus-leukemia (GVL) effect after allogeneic hematopoietic stem cell transplantation (allo-SCT). Infant leukemias with mixed-lineage leukemia (MLL) rearrangement have a remarkably short latency, and GVL effect after allo-SCT has not been clearly evidenced in these leukemias. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)- and FasL-mediated cytotoxic pathways play important roles in cytotoxic T-lymphocyte- and natural killer cell-mediated antitumor immunity and optimal GVL activity. We investigated the in vitro sensitivity of MLL-rearranged acute lymphoblastic leukemia (ALL) and acute myeloblastic leukemia (AML) cells to TRAIL- and FasL-mediated cytotoxicity. Most of cell lines and primary leukemia cells were highly resistant to TRAIL primarily owing to low cell-surface expression of death receptors in ALL and simultaneous expression of decoy receptors in AML. Nearly half of cell lines and majority of primary leukemia cells showed low sensitivity to FasL. These results suggest that resistance to death-inducing ligands, particularly to TRAIL, could be one of the mechanisms for a rapid clonal expansion and a poor sensitivity to the GVL effect in infant leukemias with MLL rearrangement.
- Subjects :
- Drug Resistance, Neoplasm
Graft vs Leukemia Effect
Histone-Lysine N-Methyltransferase
Humans
Infant
Infant, Newborn
Leukemia drug therapy
Leukemia genetics
NF-kappa B antagonists & inhibitors
NF-kappa B metabolism
Receptors, TNF-Related Apoptosis-Inducing Ligand analysis
Gene Rearrangement
Leukemia immunology
Myeloid-Lymphoid Leukemia Protein genetics
TNF-Related Apoptosis-Inducing Ligand pharmacology
Tumor Escape
Subjects
Details
- Language :
- English
- ISSN :
- 0887-6924
- Volume :
- 20
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Leukemia
- Publication Type :
- Academic Journal
- Accession number :
- 17066095
- Full Text :
- https://doi.org/10.1038/sj.leu.2404429