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10.1158/2326-6066.CIR-13-0158

http://scihub22266oqcxt.onion/10.1158/2326-6066.CIR-13-0158
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suck abstract from ncbi


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pmid24958280
      Cancer+Immunol+Res 2014 ; 2 (9 ): 878-89
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  • CALGB 150905 (Alliance): rituximab broadens the antilymphoma response by activating unlicensed NK cells #MMPMID24958280
  • Du J ; Lopez-Verges S ; Pitcher BN ; Johnson J ; Jung SH ; Zhou L ; Hsu K ; Czuczman MS ; Cheson B ; Kaplan L ; Lanier LL ; Venstrom JM
  • Cancer Immunol Res 2014[Sep]; 2 (9 ): 878-89 PMID24958280 show ga
  • Natural killer (NK) cells contribute to clinical responses in patients treated with rituximab, but the rules determining NK-cell responsiveness to mAb therapies are poorly defined. A deeper understanding of the mechanisms responsible for antibody-dependent cellular cytotoxicity (ADCC) could yield useful biomarkers for predicting clinical responses in patients. Unlicensed NK cells, defined as NK cells lacking expression of an inhibitory KIR for self-HLA class I ligands, are hyporesponsive in steady state, but are potent effectors in inflammatory conditions. We hypothesized that antitumor antibodies such as rituximab can overcome NK-cell dependence on licensing, making unlicensed NK cells important for clinical responses. Here, we examined the influences of variations in KIR and HLA class I alleles on in vitro responses to rituximab. We tested the clinical significance in a cohort of patients with follicular lymphoma treated with rituximab-containing mAb combinations, and show that rituximab triggers responses from all NK-cell populations regardless of licensing. Neither IL2 nor accessory cells are required for activating unlicensed NK cells, but both can augment rituximab-mediated ADCC. Moreover, in 101 patients with follicular lymphoma treated with rituximab-containing mAb combinations, a "missing ligand" genotype (predictive of unlicensed NK cells) is associated with a higher rate of progression-free survival. Our data suggest that the clinical efficacy of rituximab may be driven, in part, by its ability to broaden the NK-cell repertoire to include previously hyporesponsive, unlicensed NK cells. A "missing ligand" KIR and HLA class I genotype may be predictive of this benefit and useful for personalizing treatment decisions in lymphomas and other tumors.
  • |Adult [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Antibodies, Monoclonal, Murine-Derived/*therapeutic use [MESH]
  • |Antibodies, Neoplasm/*therapeutic use [MESH]
  • |Antibody-Dependent Cell Cytotoxicity [MESH]
  • |Antigens, CD20/metabolism [MESH]
  • |Antineoplastic Agents/*therapeutic use [MESH]
  • |Cell Line, Tumor [MESH]
  • |Disease-Free Survival [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Killer Cells, Natural/*immunology [MESH]
  • |Lymphocyte Activation [MESH]
  • |Lymphoma/*drug therapy [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Receptors, KIR/immunology [MESH]
  • |Rituximab [MESH]


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