The Composition of Circulating Leukocytes Varies With Age and Melanoma Onset in the MeLiM Pig Biomedical Model
FRONTIERS IN IMMUNOLOGY
Authors: Blanc, Fany; Prevost-Blondel, Armelle; Piton, Guillaume; Bouguyon, Edwige; Leplat, Jean-Jacques; Andreoletti, Fabrice; Egidy, Giorgia; Bourneuf, Emmanuelle; Bertho, Nicolas; Vincent-Naulleau, Silvia
Abstract
Immunological research in pigs benefits from many improvements with a direct impact on the veterinary control of pig husbandry and on biomedical models. We compiled the available knowledge to develop gating strategies to monitor simultaneously all blood immune cell types by multicolor flow cytometry in Melanoblastoma-bearing Libechov Minipigs (MeLiM). The MeLiM pig spontaneously develops cutaneous melanomas that regress few months later. We monitored lymphoid and myeloid cell subsets in 3 to 21 weeks old pigs. Interestingly, neutrophils, type III monocytes (CD163(+) CD14(+) MHC II-) and CD4(-) CD8 alpha(-) T cells are less abundant in oldest animals in contrast to eosinophils, type II monocytes (CD163(-) CD14(low) MHC II+), B cells, gamma delta T cells, CD4(+) CD8 alpha(+) and CD4(-) CD8 alpha(+) T cells. Melanoma occurrence led to changes in the blood cell composition. Higher proportions of NK cells, CD4(+) and CD4(+) CD8 alpha(+) T cells, and CD21(-) B cells among B cells are found in young melanoma-bearing piglets, consistent with the immune-mediated spontaneous regression in the MeLiM model.
Blood Myeloid-Derived Suppressor Cells Correlate with Neutrophil-to-Lymphocyte Ratio and Overall Survival in Metastatic Urothelial Carcinoma
TARGETED ONCOLOGY
Authors: Sheng, Iris Y.; Diaz-Montero, Claudia Marcela; Rayman, Patricia; Wei, Wei; Finke, James H.; Kim, Jin S.; Pavicic, Paul G., Jr.; Lamenza, Marcelo; Company, Donna; Stephenson, Andrew; Campbell, Steven; Haber, George; Lee, Byron; Mian, Omar; Gilligan, Timothy D.; Rini, Brian I.; Garcia, Jorge A.; Grivas, Petros; Ornstein, Moshe C.
Abstract
Background Myeloid-derived suppressor cells (MDSCs) were linked to pathologic stage in bladder urothelial carcinoma (UC). Neutrophil lymphocyte ratio (NLR) is an inflammatory biomarker with a prognostic role in metastatic (m)UC. Objective We hypothesized that MDSC levels correlate with NLR and overall survival (OS) in mUC. Patients and methods MDSCs were measured in blood samples from patients with mUC in fresh unfractionated whole blood (WB) and peripheral blood mononuclear cells (PBMC) by flow cytometry and defined as LinloCD33+/HLADR- (Total MDSC). MDSC subsets were defined as polymorphonuclear (PMN-MDSC: CD15+/CD14-), monocytic (M-MDSC: CD15-/CD14+), and uncommitted (UNC-MDSC: CD15-/CD14-). MDSC populations were presented as a percentage of live nucleated blood cells. Spearman's rank correlation assessed correlations between MDSC and NLR. Kaplan-Meier curves and log-rank test estimated OS from the time of MDSC collection to last follow-up or date of death. Results Of the 76 patients, 78% were men and 43% were never smokers with a median age of 69 years (range 31-83); 72% had pure UC and 76% had lower tract UC. Prior therapies included intravesical therapy (22%), neoadjuvant chemotherapy (30%), cystectomy or nephroureterectomy (55%). Median follow-up for all patients was 12 months (0.6-36.5). PMN-MDSC was the predominant subset in WB and PBMC. There was significant correlation between individual MDSC subsets in WB and PBMC (p <= 0.001). Both WB UNC-MDSC/PMN-MDSC ratios (rho = - 0.27, p = 0.03) and PBMC UNC-MDSC/PMN-MDSC (rho = - 0.28, p = 0.02) were negatively correlated with NLR. Median OS was 17.7 months (95% CI: 11.0-NE). Overall 1-year and 3-year survival rates were 0.60 (95% CI 0.49-0.73) and 0.15 (95% CI 0.03-0.67), respectively. Higher WB UNC-MDSC levels (HR 3.78, p = 0.0022) and higher NLR (HR 2.6, p = 0.0179) were associated with shorter OS. Conclusions Specific MDSC subsets correlate with NLR. Higher WB UNC-MDSC levels and higher NLR were negative prognostic factors. Given the feasibility of serial blood draws, dynamic assessment of MDSC over time and further validation with longer follow-up are warranted.