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首页> 外文期刊>Arthritis & Rheumatism >The Fms-like tyrosine kinase 3 ligand, a mediator of B cell survival, is also a marker of lymphoma in primary Sjögren's syndrome
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The Fms-like tyrosine kinase 3 ligand, a mediator of B cell survival, is also a marker of lymphoma in primary Sjögren's syndrome

机译:Fms样酪氨酸激酶3配体是B细胞存活的媒介,也是原发性干燥综合征中淋巴瘤的标志物

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摘要

ObjectiveTo determine if the Fms-like tyrosine kinase 3 ligand (Flt-3L), a cytokine implicated in B cell ontogenesis and proliferation in hematologic malignancies, might be responsible for the increased numbers of circulating Bm2 and Bm2′ B cell subsets in patients with primary Sjögren's syndrome (SS).MethodsSerum levels of Flt-3L were measured in 64 patients with primary SS and in 20 healthy controls matched for age and sex. Flt-3L and its receptor Flt-3 were quantified in circulating B cells and in salivary gland (SG) biopsy tissues by immunofluorescence analysis. The effect of Flt-3L on circulating B lymphocytes was then determined by coculture with cells of a human SG (HSG) epithelial cell line.ResultsSerum levels of Flt-3L were increased in patients with primary SS as compared with controls (mean ± SD 135.8 ± 5.5 versus 64.4 ± 4.5 pg/ml; P 0.001). Serum levels of Flt-3L in primary SS patients correlated with the numbers of Bm2 and Bm2′ cells (r = 0.46, P 0.0006), and Flt-3 was selectively expressed in Bm2 and Bm2′ cells. B cell culture experiments showed that Flt-3L potentiated the proliferative effect of anti-IgM stimulation. In SGs, we found that infiltrating B cells expressed Flt-3 and epithelial cells produced Flt-3L. Finally, Flt-3L levels were associated with high disease activity scores and increased risk of developing lymphoma.ConclusionSerum levels of Flt-3L are elevated in patients with primary SS and correlate with abnormal B cell distribution. Flt-3 is mainly expressed by Bm2 and Bm2′ cells. Serum levels of Flt-3L might explain the clinical evolution of primary SS to B cell lymphoma that is observed in some patients, thus opening the possibility of new avenues for therapy.
机译:目的确定Fms样酪氨酸激酶3配体(Flt-3L)是否与血液恶性肿瘤中B细胞的发生和增殖有关,可能是导致原发性患者Bm2和Bm2'B细胞亚群数量增加的原因方法对64名原发性SS患者和20名年龄和性别相匹配的健康对照者进行血清Flt-3L的测定。通过免疫荧光分析定量循环B细胞和唾液腺(SG)活检组织中的Flt-3L及其受体Flt-3。然后通过与人SG(HSG)上皮细胞系细胞共培养来确定Flt-3L对循环B淋巴细胞的影响。结果与对照组相比,原发性SS患者血清Flt-3L的水平升高了(平均值±SD 135.8) ±5.5对64.4±4.5 pg / ml; P <0.001)。原发性SS患者的血清Flt-3L水平与Bm2和Bm2'细胞的数量相关(r = 0.46,P <0.0006),并且Flt-3在Bm2和Bm2'细胞中选择性表达。 B细胞培养实验表明Flt-3L增强了抗IgM刺激的增殖作用。在SGs中,我们发现浸润的B细胞表达Flt-3,而上皮细胞产生Flt-3L。最后,Flt-3L水平与疾病活动评分高和患淋巴瘤的风险增加有关。结论原发性SS患者血清Flt-3L水平升高,且与B细胞分布异常有关。 Flt-3主要由Bm2和Bm2'细胞表达。血清Flt-3L的水平可能解释了在某些患者中观察到的原发性SS到B细胞淋巴瘤的临床演变,从而开辟了新的治疗途径的可能性。

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  • 来源
    《Arthritis & Rheumatism》 |2010年第11期|p.3447-3456|共10页
  • 作者单位

    EA 2216 Immunology and Pathology and IFR 148 ScInBioS, Université de Brest, and Université Européenne de Bretagne, Brest, France;

    EA 2216 Immunology and Pathology and IFR 148 ScInBioS, Université de Brest, Université Européenne de Bretagne, and Brest University Medical School Hospital, Brest, France;

    EA 2216 Immunology and Pathology and IFR 148 ScInBioS, Université de Brest, and Université Européenne de Bretagne, Brest, France;

    Brest University Medical School Hospital, Brest, France;

    Brest University Medical School Hospital, Brest, France;

    EA 2216 Immunology and Pathology and IFR 148 ScInBioS, Université de Brest, Université Européenne de Bretagne, and Brest University Medical School Hospital, Brest, France;

    EA 2216 Immunology and Pathology and IFR 148 ScInBioS, Université de Brest, Université Européenne de Bretagne, and Brest University Medical School Hospital, Brest, France;

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