Clinical significance of sIL-2R levels in B-cell lymphomas

PLoS One. 2013 Nov 13;8(11):e78730. doi: 10.1371/journal.pone.0078730. eCollection 2013.

Abstract

Elevated soluble interleukin-2 receptor (sIL-2R) in sera is observed in patients with malignant lymphoma (ML). Therefore, sIL-2R is commonly used as a diagnostic and prognostic marker for ML, but the mechanisms responsible for the increase in sIL-2R levels in patients with B-cell lymphomas have not yet been elucidated. We first hypothesized that lymphoma cells expressing IL-2R and some proteinases such as matrix metalloproteinases (MMPs) in the tumor microenvironment can give rise to increased sIL-2R in sera. However, flow cytometric studies revealed that few lymphoma cells expressed IL-2R α chain (CD25) in diffuse large B-cell lymphoma (DLBCL) and follicular lymphoma (FL), and most CD25-expressing cells in the tumor were T-cells. Distinct correlations between CD25 expression on B-lymphoma cells and sIL-2R levels were not observed. We then confirmed that MMP-9 plays an important role in producing sIL-2R in functional studies. Immunohistochemical (IHC) analysis also revealed that MMP-9 is mainly derived from tumor-associated macrophages (TAMs). We therefore evaluated the number of CD68 and CD163 positive macrophages in the tumor microenvironment using IHC analysis. A positive correlation between the levels of sIL-2R in sera and the numbers of CD68 positive macrophages in the tumor microenvironment was confirmed in FL and extranodal DLBCL. These results may be useful in understanding the pathophysiology of B-cell lymphomas.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antigens, CD / metabolism
  • Antigens, Differentiation, Myelomonocytic / metabolism
  • Biomarkers, Tumor / blood*
  • Cell Line, Tumor
  • Humans
  • Interleukin-2 Receptor alpha Subunit / metabolism
  • Lymphoma, B-Cell / blood*
  • Lymphoma, B-Cell / mortality
  • Lymphoma, B-Cell / pathology
  • Macrophages / enzymology
  • Matrix Metalloproteinase 9 / metabolism
  • Middle Aged
  • Prognosis
  • Receptors, Cell Surface / metabolism
  • Receptors, Interleukin-2 / blood*
  • Statistics, Nonparametric
  • Survival Analysis
  • Tumor Microenvironment

Substances

  • Antigens, CD
  • Antigens, Differentiation, Myelomonocytic
  • Biomarkers, Tumor
  • CD163 antigen
  • CD68 antigen, human
  • IL2RA protein, human
  • Interleukin-2 Receptor alpha Subunit
  • Receptors, Cell Surface
  • Receptors, Interleukin-2
  • MMP9 protein, human
  • Matrix Metalloproteinase 9

Grants and funding

Funding was provided by Hiroshima Lymphoma Study Group. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.