Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas

Natural killer cells at day 15 (NK-15), after autologous peripheral blood hematopoietic stem cell transplantation (APHSCT), is a prognostic factor for overall survival (OS) and progression-free survival (PFS) in non-Hodgkin lymphoma (NHL). The potential role of the immunologic (homeostatic) environm...

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Main Authors: Luis F. Porrata, David J. Inwards, Ivana N. Micallef, Patrick B. Johnston, Stephen M. Ansell, William J. Hogan, Svetomir N. Markovic
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2010/914945
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author Luis F. Porrata
David J. Inwards
Ivana N. Micallef
Patrick B. Johnston
Stephen M. Ansell
William J. Hogan
Svetomir N. Markovic
author_facet Luis F. Porrata
David J. Inwards
Ivana N. Micallef
Patrick B. Johnston
Stephen M. Ansell
William J. Hogan
Svetomir N. Markovic
author_sort Luis F. Porrata
collection DOAJ
description Natural killer cells at day 15 (NK-15), after autologous peripheral blood hematopoietic stem cell transplantation (APHSCT), is a prognostic factor for overall survival (OS) and progression-free survival (PFS) in non-Hodgkin lymphoma (NHL). The potential role of the immunologic (homeostatic) environment affecting NK-15 recovery and survival post-APHSCT has not been fully studied. Therefore, we evaluate prospectively the cytokine profile in 50 NHL patients treated with APHSCT. Patients with an interleukin-15 (IL-15)≥76.5 pg/mL at day 15 post-APHSCT experienced superior OS and PFS compared with those who did not; median OS; not reached versus 19.2 months, P<.002; and median PFS; not reached versus 6.8 months, P<.002, respectively. IL-15 was found to correlate with (rs=0.7, P<.0001) NK-15. Multivariate analysis showed only NK-15 as a prognostic factor for survival, suggesting that the survival benefit observed by IL-15 is most likely mediated by enhanced NK cell recovery post-APHSCT.
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institution Kabale University
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spelling doaj-art-ecdfedebd0814c48a11ce1c9e90cdc8c2025-02-03T01:23:52ZengWileyClinical and Developmental Immunology1740-25221740-25302010-01-01201010.1155/2010/914945914945Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin LymphomasLuis F. Porrata0David J. Inwards1Ivana N. Micallef2Patrick B. Johnston3Stephen M. Ansell4William J. Hogan5Svetomir N. Markovic6Division of Hematology, Department of Medicine and Blood and Marrow Program, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADivision of Hematology, Department of Medicine and Blood and Marrow Program, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADivision of Hematology, Department of Medicine and Blood and Marrow Program, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADivision of Hematology, Department of Medicine and Blood and Marrow Program, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADivision of Hematology, Department of Medicine and Blood and Marrow Program, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADivision of Hematology, Department of Medicine and Blood and Marrow Program, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADivision of Hematology, Oncology Department, Mayo Clinic, 200 First Street SW, Rochester MN 55905, USANatural killer cells at day 15 (NK-15), after autologous peripheral blood hematopoietic stem cell transplantation (APHSCT), is a prognostic factor for overall survival (OS) and progression-free survival (PFS) in non-Hodgkin lymphoma (NHL). The potential role of the immunologic (homeostatic) environment affecting NK-15 recovery and survival post-APHSCT has not been fully studied. Therefore, we evaluate prospectively the cytokine profile in 50 NHL patients treated with APHSCT. Patients with an interleukin-15 (IL-15)≥76.5 pg/mL at day 15 post-APHSCT experienced superior OS and PFS compared with those who did not; median OS; not reached versus 19.2 months, P<.002; and median PFS; not reached versus 6.8 months, P<.002, respectively. IL-15 was found to correlate with (rs=0.7, P<.0001) NK-15. Multivariate analysis showed only NK-15 as a prognostic factor for survival, suggesting that the survival benefit observed by IL-15 is most likely mediated by enhanced NK cell recovery post-APHSCT.http://dx.doi.org/10.1155/2010/914945
spellingShingle Luis F. Porrata
David J. Inwards
Ivana N. Micallef
Patrick B. Johnston
Stephen M. Ansell
William J. Hogan
Svetomir N. Markovic
Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
Clinical and Developmental Immunology
title Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
title_full Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
title_fullStr Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
title_full_unstemmed Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
title_short Interleukin-15 Affects Patient Survival through Natural Killer Cell Recovery after Autologous Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
title_sort interleukin 15 affects patient survival through natural killer cell recovery after autologous hematopoietic stem cell transplantation for non hodgkin lymphomas
url http://dx.doi.org/10.1155/2010/914945
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