Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2004-9-28
pubmed:abstractText
Human blood dendritic cells (DC) comprise plasmacytoid DC (PDC) and myeloid DC (MDC), which both prime antitumor T-cell responses. We prospectively monitored blood DC in 30 chronic myeloid leukemia (CML) patients before and after imatinib mesylate therapy. We found a dramatic reduction in PDC and MDC prior treatment. This reduction was associated with high plasmatic vascular endothelial growth factor (VEGF), a central regulator of angiogenesis which also participates to tumor-associated immune deficiencies. Phenotypic analysis of DC revealed in some patients a deficient expression of BDCA-4/neuropilin-1 on PDC, a molecule involved in angiogenesis and DC-T-cell interactions. High VEGF correlated to an altered Th1/Th2 balance in vivo and shifted PDC-induced T-cell polarization towards Th2 in vitro. Upon imatinib treatment, plasmatic VEGF rapidly decreased and a normal BDCA-4 expression was restored. PDC and MDC increased but did not reach the levels observed in healthy individuals. We conclude that VEGF may be a key player in blood DC deficiency in CML and we show that imatinib inhibits VEGF overproduction. Incomplete recovery of blood DC under imatinib despite VEGF normalization suggests a negative impact of this drug on dendritopoiesis in vivo and may result in a sustained defect in DC-mediated anti-CML responses.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1656-61
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15343347-Adult, pubmed-meshheading:15343347-Aged, pubmed-meshheading:15343347-Antigens, Surface, pubmed-meshheading:15343347-Antineoplastic Agents, pubmed-meshheading:15343347-Blood Cells, pubmed-meshheading:15343347-Dendritic Cells, pubmed-meshheading:15343347-Female, pubmed-meshheading:15343347-Humans, pubmed-meshheading:15343347-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:15343347-Male, pubmed-meshheading:15343347-Middle Aged, pubmed-meshheading:15343347-Myeloid Cells, pubmed-meshheading:15343347-Neuropilin-1, pubmed-meshheading:15343347-Piperazines, pubmed-meshheading:15343347-Prospective Studies, pubmed-meshheading:15343347-Pyrimidines, pubmed-meshheading:15343347-Th1 Cells, pubmed-meshheading:15343347-Th2 Cells, pubmed-meshheading:15343347-Vascular Endothelial Growth Factor A
pubmed:year
2004
pubmed:articleTitle
Defective blood dendritic cells in chronic myeloid leukemia correlate with high plasmatic VEGF and are not normalized by imatinib mesylate.
pubmed:affiliation
Unité INSERM U396 d'Immunogénétique Humaine, Institut Universitaire d'Hématologie, Paris, France.
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't