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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2008-4-21
pubmed:abstractText
Chronic lymphocytic leukemia (CLL) is characterized by a highly variable clinical course. The role of an autologous tumor-specific immune control contributing to the variable length of survival in CLL is poorly understood. We investigated whether humoral immunity specific for the CLL-associated Ag oncofetal Ag/immature laminin receptor (OFA/iLR) has a prognostic value in CLL. Among sera of 67 untreated patients with CLL, 23 (34.3%) had detectable OFA/iLR Abs that were reactive for at least one specific OFA/iLR epitope. Patients with humoral responses compared with patients with nonreactive sera had a longer progression-free survival (p = 0.029). IgG subclass analyses showed a predominant IgG1 and IgG3 response. OFA/iLR Abs were capable of recognizing and selectively killing OFA/iLR-expressing CLL cells in complement-mediated and Ab-dependent cellular cytotoxicity assays. In the analysis of 11 CLL patients after allogeneic hematopoietic stem cell transplantation, 8 showed high values for OFA/iLR Abs that specifically recognized the extracellular domain of the protein, suggesting a potential role of anti-OFA/iLR-directed immune responses to the graft-vs-leukemia effect in CLL. Our data suggest that spontaneous tumor-specific humoral immune responses against OFA/iLR exist in a significant proportion of CLL patients and that superior progression-free survival in those patients could reflect autologous immune control.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0022-1767
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
180
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
6374-84
pubmed:meshHeading
pubmed-meshheading:18424761-Adult, pubmed-meshheading:18424761-Aged, pubmed-meshheading:18424761-Aged, 80 and over, pubmed-meshheading:18424761-Antibodies, Neoplasm, pubmed-meshheading:18424761-Antibody Formation, pubmed-meshheading:18424761-Antibody Specificity, pubmed-meshheading:18424761-Antigens, Neoplasm, pubmed-meshheading:18424761-Disease-Free Survival, pubmed-meshheading:18424761-Female, pubmed-meshheading:18424761-Graft vs Leukemia Effect, pubmed-meshheading:18424761-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:18424761-Humans, pubmed-meshheading:18424761-Immunoglobulin G, pubmed-meshheading:18424761-Leukemia, Lymphocytic, Chronic, B-Cell, pubmed-meshheading:18424761-Male, pubmed-meshheading:18424761-Middle Aged, pubmed-meshheading:18424761-Receptors, Laminin, pubmed-meshheading:18424761-Ribosomal Proteins, pubmed-meshheading:18424761-Survival Rate, pubmed-meshheading:18424761-Transplantation, Homologous
pubmed:year
2008
pubmed:articleTitle
Humoral immune responses against the immature laminin receptor protein show prognostic significance in patients with chronic lymphocytic leukemia.
pubmed:affiliation
Department of Hematology and Stem Cell Transplantation, Asklepios Hospital St. Georg, Lohmühlenstrasse 5, Hamburg, Germany.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't