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September 13, 2013Blood Cancer JournalOpen Access

Long-term survival in multiple myeloma is associated with a distinct immunological profile, which includes proliferative cytotoxic T-cell clones and a favourable Treg/Th17 balance

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Authors

CBChristian BryantRoyal Prince Alfred HospitalHSHayley SuenRoyal Prince Alfred HospitalRBRoss BrownEnvironment and Climate Change Canada

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Overview

Observational study reveals distinct cytotoxic T-cell and Treg/Th17 profiles in ten-year multiple myeloma survivors, suggesting reduced immunosuppression supports exceptional longevity.

Key Points

  • To assess whether distinct immunological profiles, including cytotoxic T-cell clones and Treg/Th17 ratios, correlate with long-term survival exceeding ten years in multiple myeloma.
  • Analyzed peripheral blood samples to quantify cytotoxic T-cell clones, regulatory T cells (Tregs), and T helper 17 (Th17) cells.
  • Compared long-term survivors surviving >10 years (n=20) against multiple myeloma patients with <10 years follow-up (n=144) and age-matched healthy controls.
  • Measured the in vitro proliferative capacity of isolated cytotoxic T-cell clones across patient groups.
  • Cytotoxic T-cell clonal expansions were detected in 100% (n=19/19) of long-term survivors compared to 54% (n=144) of patients with shorter follow-up.
  • T-cell clones from long-term survivors demonstrated significantly higher in vitro proliferation than those from patients with shorter survival (median proliferation 61.5% vs. 6.1%, P < 0.0001).
  • Long-term survivors displayed significantly higher proportions of Th17 cells and lower frequencies of Tregs compared with standard-survival multiple myeloma patients.

Cite This Study

Bryant et al. (2013) studied this question.

synapsesocial.com/papers/69f8f331f3dd63f26c157208https://doi.org/10.1038/bcj.2013.34
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