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B lymphocyte pathology in human colorectal cancer. Experimental and clinical therapeutic effects of partial B cell depletion.

Abstract
Accumulating data are showing that the humoral immune response against tumors could favor tumor progression. However, no B lymphocyte pathology has been reported in cancer. Using anti-IgM Ab we nonspecifically depleted B cells in tumor-bearing mice, a treatment that resulted in significant reduction of tumor burden. We analyzed the B lymphocyte phenotype of abdominal lymph nodes and peripheral blood from advanced colon cancer patients by flow cytometry, and compared the B cell phenotype with that found in samples from normal donors. In both lymph nodes and peripheral blood of cancer patients, abnormal populations of B lymphocytes appeared that express an increased CD21 and/or sTn antigens on their cell surface. All patients showed a reduction of CD19+ cells. In a limited clinical test, we analyzed the effects of a partial B cell depletion with Rituximab. The treated patients did not develop any side-effects; the CD21-hyperpositive lymphocytes were reduced, but the proportion of sTn-positive lymphocytes remained unaffected. Apparent reduction of the tumor burden was reported in 50% of the patients when the treatment was ended.
AuthorsE Barbera-Guillem, M B Nelson, B Barr, J K Nyhus, K F May Jr, L Feng, J W Sampsel
JournalCancer immunology, immunotherapy : CII (Cancer Immunol Immunother) Vol. 48 Issue 10 Pg. 541-9 (Jan 2000) ISSN: 0340-7004 [Print] Germany
PMID10630306 (Publication Type: Journal Article)
Chemical References
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Murine-Derived
  • Antibodies, Neoplasm
  • Antigen-Antibody Complex
  • Antigens, Neoplasm
  • Rituximab
Topics
  • Animals
  • Antibodies, Monoclonal (therapeutic use)
  • Antibodies, Monoclonal, Murine-Derived
  • Antibodies, Neoplasm (blood)
  • Antigen-Antibody Complex (blood)
  • Antigens, Neoplasm (immunology)
  • B-Lymphocytes (pathology)
  • Colorectal Neoplasms (immunology, therapy)
  • Female
  • Humans
  • Lymph Nodes (pathology)
  • Lymphocyte Depletion
  • Mammary Neoplasms, Animal
  • Melanoma, Experimental
  • Mice
  • Phenotype
  • Rituximab

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