Pleural mesothelioma patients and ex-exposed asbestos workers are immunologically poor responders to oncogenic Merkel

Chiara Mazziotta1,2, Carmen Lanzillotti1, Christian Felice Cervellera1

  • 1Department of Medical Sciences, Laboratories of Cell Biology and Molecular Genetics, School of Medicine, University of Ferrara, Ferrara, Italy.

PubMed
Abstract

Insights

Pleural mesothelioma (PM) patients and asbestos-exposed workers show reduced immune response to Merkel cell polyomavirus (MCPyV). Asbestos exposure appears to impair the immune system

Area of Science:

  • Immunology
  • Oncology
  • Virology

Background:

  • Pleural mesothelioma (PM) is an aggressive cancer linked to asbestos inhalation.
  • Oncogenic viruses, like Merkel cell polyomavirus (MCPyV), may contribute to PM development.
  • MCPyV activity increases in immunosuppressed individuals.

Purpose of the Study:

  • To investigate the immune response to MCPyV in PM patients.
  • To assess the immune response to MCPyV in workers exposed to asbestos (WEA).
  • To explore the correlation between asbestos exposure and MCPyV immune markers.

Main Methods:

  • MCPyV serology (IgG levels) was performed on sera from 108 PM patients, 102 WEA, and 110 healthy subjects (HS).
  • MCPyV DNA and mRNA (VP1, LT) were analyzed in 50 PM tumor specimens using ddPCR/qPCR.
  • Total serum IgG levels were quantified, and correlations with asbestos exposure were analyzed.

Main Results:

  • PM patients (26.9%) and WEA (27.5%) showed significantly reduced anti-MCPyV IgG rates and optical densities compared to HS (60.9%).
  • WEA with higher asbestos exposure exhibited lower anti-MCPyV IgG rates and optical densities, inversely correlated with cumulative and years of exposure.
  • MCPyV DNA was detected in 32% of PM specimens, with VP1 and LT mRNA found in 100% and 69% of these, respectively.

Conclusions:

  • PM patients and WEA exhibit an impaired immune response to MCPyV.
  • Asbestos's immunomodulatory and immunosuppressive properties may underlie this impaired response.
  • This study highlights a potential link between asbestos exposure, immune response to MCPyV, and PM.