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Neutrophil Isolation and Analysis to Determine their Role in Lymphoma Cell Sensitivity to Therapeutic Agents
Published on: March 25, 2016
Influence of Malignant Pleural Fluid from Lung Adenocarcinoma Patients on Neutrophil Response
Maria Mulet1, Rubén Osuna-Gómez1, Carlos Zamora1
1Inflammatory Diseases, Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau, Biomedical Research Institute Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain.
Abstract:
Malignant pleural effusion (MPE) is a common severe complication of advanced lung adenocarcinoma (LAC). Neutrophils, an essential component of tumor infiltrates, contribute to tumor progression and their counts in MPE have been associated with worse outcome in LAC. This study aimed to evaluate phenotypical and functional changes of neutrophils induced by MPE to determine the influence of MPE immunomodulatory factors in neutrophil response and to find a possible association between neutrophil functions and clinical outcomes. Pleural fluid samples were collected from 47 LAC and 25 heart failure (HF) patients. We measured neutrophil degranulation products by ELISA, oxidative burst capacity and apoptosis by flow cytometry, and NETosis by fluorescence. The concentration of degranulation products was higher in MPE-LAC than in PE-HF. Functionally, neutrophils cultured with MPE-LAC had enhanced survival and neutrophil extracellular trap (NET) formation but had reduced oxidative burst capacity. In MPE, NETosis was positively associated with MMP-9, P-selectin, and sPD-L1 and clinically related to a worse outcome. This is the first study associating NETs with a worse outcome in MPE. Neutrophils likely contribute to tumor progression through the release of NETs, suggesting that they are a potential therapeutic target in LAC.
Insights
Malignant pleural effusions in lung adenocarcinoma promote neutrophil extracellular trap (NET) formation, which is linked to worse patient outcomes. Targeting NETs may offer a new therapeutic strategy for advanced lung cancer.
Area of Science:
- Oncology
- Immunology
- Pulmonology
Background:
- Malignant pleural effusion (MPE) is a severe complication of advanced lung adenocarcinoma (LAC).
- Neutrophils in tumor infiltrates can drive tumor progression.
- Elevated neutrophil counts in MPE correlate with poor prognosis in LAC.
Purpose of the Study:
- To investigate phenotypical and functional alterations in neutrophils exposed to MPE.
- To assess the impact of MPE immunomodulatory factors on neutrophil responses.
- To explore associations between neutrophil functions and clinical outcomes in LAC patients.
Main Methods:
- Collected pleural fluid from 47 LAC patients and 25 heart failure (HF) patients.
- Quantified neutrophil degranulation products using ELISA.
- Assessed neutrophil oxidative burst, apoptosis, and NETosis via flow cytometry and fluorescence microscopy.
Main Results:
- Neutrophils in MPE-LAC showed increased survival and neutrophil extracellular trap (NET) formation compared to PE-HF.
- Oxidative burst capacity was reduced in neutrophils cultured with MPE-LAC.
- NETosis positively correlated with MMP-9, P-selectin, and sPD-L1, and was associated with worse clinical outcomes.
Conclusions:
- This study establishes a link between NETosis and poor prognosis in MPE-associated LAC.
- Neutrophils, via NET release, may actively contribute to tumor progression in MPE.
- NETs represent a potential therapeutic target for advanced lung adenocarcinoma.
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