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Circulating myeloid and lymphoid precursor dendritic cells are clonally involved in myelodysplastic syndromes

Abstract

Circulating myeloid and lymphoid precursor dendritic cell (pDC) counts were determined in peripheral blood from 22 patients with myelodysplastic syndromes (MDS) by a single-platform flow cytometric protocol. The absolute count of myeloid and lymphoid pDC, as well as their relative number (as proportion of mononuclear cells or total leukocytes) was significantly lower in MDS (n=22) than in healthy controls (n=41). In 11 patients with chromosomal aberrations, purified pDC were examined by interphase fluorescence in situ hybridization. This revealed clonal involvement of myeloid as well as lymphoid pDC in all of them. These data therefore strongly suggest that myeloid and lymphoid pDC share a common precursor. Whether reduced peripheral blood counts of pDC contribute to the immunological abnormalities observed in MDS remains to be investigated.

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References

  1. Delforge M, Demuynck H, Vandenberghe P, Verhoef G, Zachee P, van Duppen V et al. Polyclonal primitive hematopoietic progenitors can be detected in mobilized peripheral blood from patients with high-risk myelodysplastic syndromes. Blood 1995; 86: 3660–3667.

    CAS  PubMed  Google Scholar 

  2. Delforge M, Demuynck H, Verhoef G, Vandenberghe P, Zachee P, Maertens J et al. Patients with high-risk myelodysplastic syndrome can have polyclonal or clonal haemopoiesis in complete haematological remission. Br J Haematol 1998; 102: 486–494.

    Article  CAS  Google Scholar 

  3. Jaju RJ, Jones M, Boultwood J, Kelly S, Mason DY, Wainscoat JS et al. Combined immunophenotyping and FISH identifies the involvement of B-cells in 5q-syndrome. Genes Chromosomes Cancer 2000; 29: 276–280.

    Article  CAS  Google Scholar 

  4. van Lom K, Hagemeijer A, Smit E, Hahlen K, Groeneveld K, Lowenberg B . Cytogenetic clonality analysis in myelodysplastic syndrome: monosomy 7 can be demonstrated in the myeloid and in the lymphoid lineage. Leukemia 1995; 9: 1818–1821.

    CAS  PubMed  Google Scholar 

  5. Nilsson L, Astrand-Grundstrom I, Anderson K, Arvidsson I, Hokland P, Bryder D et al. Involvement and functional impairment of the CD34(+)CD38(-)Thy-1(+) hematopoietic stem cell pool in myelodysplastic syndromes with trisomy 8. Blood 2002; 100: 259–267.

    CAS  PubMed  Google Scholar 

  6. Janssen JW, Buschle M, Layton M, Drexler HG, Lyons J, van den Berghe H et al. Clonal analysis of myelodysplastic syndromes: evidence of multipotent stem cell origin. Blood 1989; 73: 248–254.

    CAS  PubMed  Google Scholar 

  7. Jonasova A, Neuwirtova R, Cermak J, Vozobulova V, Mocikova K, Siskova M et al. Cyclosporin A therapy in hypoplastic MDS patients and certain refractory anaemias without hypoplastic bone marrow. Br J Haematol 1998; 100: 304–309.

    Article  CAS  Google Scholar 

  8. Molldrem JJ, Caples M, Mavroudis D, Plante M, Young NS, Barrett AJ . Antithymocyte globulin for patients with myelodysplastic syndrome. Br J Haematol 1997; 99: 699–705.

    Article  CAS  Google Scholar 

  9. Molldrem JJ, Jiang YZ, Stetler-Stevenson M, Mavroudis D, Hensel N, Barrett AJ . Haematological response of patients with myelodysplastic syndrome to antithymocyte globulin is associated with a loss of lymphocyte-mediated inhibition of CFU-GM and alterations in T-cell receptor Vbeta profiles. Br J Haematol 1998; 102: 1314–1322.

    Article  CAS  Google Scholar 

  10. Saunthararajah Y, Nakamura R, Wesley R, Wang QJ, Barrett AJ . A simple method to predict response to immunosuppressive therapy in patients with myelodysplastic syndrome. Blood 2003; 102: 3025–3027.

    Article  CAS  Google Scholar 

  11. Sloand EM, Kim S, Fuhrer M, Risitano AM, Nakamura R, Maciejewski JP et al. Fas-mediated apoptosis is important in regulating cell replication and death in trisomy 8 hematopoietic cells but not in cells with other cytogenetic abnormalities. Blood 2002; 100: 4427–4432.

    Article  CAS  Google Scholar 

  12. Rigolin GM, Howard J, Buggins A, Sneddon C, Castoldi G, Hirst WJ et al. Phenotypic and functional characteristics of monocyte-derived dendritic cells from patients with myelodysplastic syndromes. Br J Haematol 1999; 107: 844–850.

    Article  Google Scholar 

  13. Rissoan MC, Soumelis V, Kadowaki N, Grouard G, Briere F, de Waal Malefyt R et al. Reciprocal control of T helper cell and dendritic cell differentiation. Science 1999; 283: 1183–1186.

    Article  CAS  Google Scholar 

  14. Robinson SP, Patterson S, English N, Davies D, Knight SC, Reid CD . Human peripheral blood contains two distinct lineages of dendritic cells. Eur J Immunol 1999; 29: 2769–2778.

    Article  CAS  Google Scholar 

  15. Caux C, Vanbervliet B, Massacrier C, Dezutter-Dambuyant C, de Saint-Vis B, Jacquet C et al. CD34+ hematopoietic progenitors from human cord blood differentiate along two independent dendritic cell pathways in response to GM-CSF+TNF alpha. J Exp Med 1996; 184: 695–706.

    Article  CAS  Google Scholar 

  16. Chapuis F, Rosenzwajg M, Yagello M, Ekman M, Biberfeld P, Gluckman JC . Differentiation of human dendritic cells from monocytes in vitro. Eur J Immunol 1997; 27: 431–441.

    Article  CAS  Google Scholar 

  17. Grouard G, Rissoan MC, Filgueira L, Durand I, Banchereau J, Liu YJ . The enigmatic plasmacytoid T cells develop into dendritic cells with interleukin (IL)-3 and CD40-ligand. J Exp Med 1997; 185: 1101–1111.

    Article  CAS  Google Scholar 

  18. Vuckovic S, Fearnley DB, Gunningham S, Spearing RL, Patton WN, Hart DN . Dendritic cells in chronic myelomonocytic leukaemia. Br J Haematol 1999; 105: 974–985.

    Article  CAS  Google Scholar 

  19. Mohty M, Jarrossay D, Lafage-Pochitaloff M, Zandotti C, Briere F, de Lamballeri XN et al. Circulating blood dendritic cells from myeloid leukemia patients display quantitative and cytogenetic abnormalities as well as functional impairment. Blood 2001; 98: 3750–3756.

    Article  CAS  Google Scholar 

  20. Bennett JM, Catovsky D, Daniel MT, Flandrin G, Galton DA, Gralnick HR et al. Proposals for the classification of the myelodysplastic syndromes. Br J Haematol 1982; 51: 189–199.

    Article  CAS  Google Scholar 

  21. Ma L, Scheers W, Vandenberghe P . A flow cytometric method for determination of absolute counts of myeloid precursor dendritic cells in peripheral blood. J Immunol Methods 2004; 285: 215–221.

    Article  CAS  Google Scholar 

  22. Pacanowski J, Kahi S, Baillet M, Lebon P, Deveau C, Goujard C et al. Reduced blood CD123+ (lymphoid) and CD11c+ (myeloid) dendritic cell numbers in primary HIV-1 infection. Blood 2001; 98: 3016–3021.

    Article  CAS  Google Scholar 

  23. Mitelman F . ISCN: an International System for Human Cytogenetic Nomenclature. Basel: S. Karger, 1995.

  24. Fearnley DB, Whyte LF, Carnoutsos SA, Cook AH, Hart DN . Monitoring human blood dendritic cell numbers in normal individuals and in stem cell transplantation. Blood 1999; 93: 728–736.

    CAS  PubMed  Google Scholar 

  25. Miura I, Kobayashi Y, Takahashi N, Saitoh K, Miura AB . Involvement of natural killer cells in patients with myelodysplastic syndrome carrying monosomy 7 revealed by the application of fluorescence in situ hybridization to cells collected by means of fluorescence-activated cell sorting. Br J Haematol 2000; 110: 876–879.

    Article  CAS  Google Scholar 

  26. Manz MG, Traver D, Akashi K, Merad M, Miyamoto T, Engleman EG et al. Dendritic cell development from common myeloid progenitors. Ann N Y Acad Sci 2001; 938: 167–173.

    Article  CAS  Google Scholar 

  27. Traver D, Akashi K, Manz M, Merad M, Miyamoto T, Engleman EG et al. Development of CD8alpha-positive dendritic cells from a common myeloid progenitor. Science 2000; 290: 2152–2154.

    Article  CAS  Google Scholar 

  28. Manz MG, Traver D, Miyamoto T, Weissman IL, Akashi K . Dendritic cell potentials of early lymphoid and myeloid progenitors. Blood 2001; 97: 3333–3341.

    Article  CAS  Google Scholar 

  29. Knuutila S . Lineage specificity in haematological neoplasms. Br J Haematol 1997; 96: 2–11.

    Article  CAS  Google Scholar 

  30. Nilsson L, Astrand-Grundstrom I, Arvidsson I, Jacobsson B, Hellstrom-Lindberg E, Hast R et al. Isolation and characterization of hematopoietic progenitor/stem cells in 5q-deleted myelodysplastic syndromes: evidence for involvement at the hematopoietic stem cell level. Blood 2000; 96: 2012–2021.

    CAS  PubMed  Google Scholar 

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Acknowledgements

PV and MD are senior clinical investigators of Fonds voor Wetenschappelijk Onderzoek-Vlaanderen. This research was supported by grant OT/00/23 of the Research Council of the Catholic University of Leuven, grant G.0370.01 from Fonds voor Wetenschappelijk Onderzoek-Vlaanderen, by the Belgian Programme of Interuniversity Poles of Attraction, initiated by the Belgian State, Prime Minister's Office, Science Policy Programming, and by the Steverlynck Leerstoel voor Hematologie. The scientific responsibility is assumed by the authors.

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Correspondence to P Vandenberghe.

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Ma, L., Delforge, M., Van Duppen, V. et al. Circulating myeloid and lymphoid precursor dendritic cells are clonally involved in myelodysplastic syndromes. Leukemia 18, 1451–1456 (2004). https://doi.org/10.1038/sj.leu.2403430

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