PD-1/TIM-3-Expressing Myeloid Cells During the Early Immune Reconstitution in Patients with Multiple Myeloma After

Polina A Serpeninova1, Tamara V Tyrinova1, Egor V Batorov1

  • 1Laboratory of Cellular Immunotherapy, Research Institute of Fundamental and Clinical Immunology, Novosibirsk, Russia.

PubMed
Abstract

Insights

Immune checkpoint receptors programmed death-1 (PD-1) and T-cell immunoglobulin and mucin-domain containing-3 (TIM-3) on myeloid cells are crucial for immune reconstitution after multiple myeloma treatment.

Area of Science:

  • Immunology
  • Oncology
  • Hematology

Background:

  • Immune checkpoint blockade is a promising strategy for multiple myeloma (MM).
  • The role of inhibitory checkpoint receptors on myeloid cells in MM is not well understood.
  • Investigating programmed death-1 (PD-1) and T-cell immunoglobulin and mucin-domain containing-3 (TIM-3) on myeloid cells is critical for understanding immune reconstitution.

Purpose of the Study:

  • To investigate the expression of PD-1 and TIM-3 on monocytes and monocytic myeloid-derived suppressor cells (M-MDSCs).
  • To determine the contribution of these cells to early immune reconstitution in multiple myeloma patients.

Main Methods:

  • Flow cytometry was used to assess monocytic cell counts and PD-1/TIM-3 expression.
  • Analysis was performed on patients undergoing autologous hematopoietic stem cell transplantation (auto-HSCT) for multiple myeloma.

Main Results:

  • M-MDSCs increased significantly post-transplant, with elevated TIM-3 expression on monocyte subsets.
  • PD-1 and TIM-3 expression on monocytic cells inversely correlated with lymphocyte counts.
  • PD-1/TIM-3-expressing cells showed increased IL-10 and decreased TNFα production post-auto-HSCT.

Conclusions:

  • PD-1 and TIM-3 on monocytic cells play a significant role in immune reconstitution following multiple myeloma treatment.
  • Targeting these checkpoints on myeloid cells may be a therapeutic strategy to improve immune recovery.

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