Defective mononuclear phagocyte function in patients with myelomonocytic leukemia and in some patients with lymphoma

Insights

Mononuclear phagocytes in myelomonocytic leukemia and lymphoma patients show impaired bacterial killing. This defect may contribute to frequent and antibiotic-resistant infections in these patients.

Area of Science:

  • Immunology
  • Hematology
  • Infectious Diseases

Background:

  • Mononuclear phagocytes are crucial for host defense against bacterial infections.
  • Patients with myeloproliferative and lymphoproliferative diseases often experience recurrent infections.

Purpose of the Study:

  • To investigate the microbicidal function of mononuclear phagocytes in patients with myelomonocytic leukemia and lymphoma.
  • To determine if impaired phagocyte function contributes to infection susceptibility in these patient groups.

Main Methods:

  • Mononuclear phagocytes were isolated from patients with myelomonocytic leukemia and lymphoma.
  • Phagocytosis and intracellular bacterial replication were assessed for several bacterial species.
  • The effect of antibiotics on intracellular bacteria was evaluated.

Main Results:

  • Mononuclear phagocytes from 8/10 myelomonocytic leukemia patients and 2/9 lymphoma patients phagocytized bacteria.
  • These phagocytes failed to inhibit intracellular bacterial replication normally.
  • Intracellular bacteria were protected from antibiotics present in the medium.

Conclusions:

  • A defect in the microbicidal function of malignant monocytes is present in some patients with myelomonocytic leukemia and lymphoma.
  • This impaired function may partially explain the high incidence of infections and antibiotic-resistant infections in these patients.

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