HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions

Pleural effusions, when benign, are attributed to cardiac events and suffusion of fluid within the pleural space. When malignant, lymphatic obstruction by tumor and failure to absorb constitutively produced fluid is the predominant formulation. The prevailing view has been challenged recently, namel...

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Main Authors: Adam C. Soloff, Katherine E. Jones, Amy A. Powers, Pranav Murthy, Yue Wang, Kira L. Russell, Miranda Byrne-Steele, Amanda W. Lund, Jian-Min Yuan, Sara E. Monaco, Jian Han, Rajeev Dhupar, Michael T. Lotze
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-09-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2020.02027/full
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author Adam C. Soloff
Adam C. Soloff
Katherine E. Jones
Amy A. Powers
Pranav Murthy
Yue Wang
Yue Wang
Kira L. Russell
Miranda Byrne-Steele
Amanda W. Lund
Jian-Min Yuan
Jian-Min Yuan
Sara E. Monaco
Jian Han
Rajeev Dhupar
Rajeev Dhupar
Michael T. Lotze
Michael T. Lotze
Michael T. Lotze
author_facet Adam C. Soloff
Adam C. Soloff
Katherine E. Jones
Amy A. Powers
Pranav Murthy
Yue Wang
Yue Wang
Kira L. Russell
Miranda Byrne-Steele
Amanda W. Lund
Jian-Min Yuan
Jian-Min Yuan
Sara E. Monaco
Jian Han
Rajeev Dhupar
Rajeev Dhupar
Michael T. Lotze
Michael T. Lotze
Michael T. Lotze
author_sort Adam C. Soloff
collection DOAJ
description Pleural effusions, when benign, are attributed to cardiac events and suffusion of fluid within the pleural space. When malignant, lymphatic obstruction by tumor and failure to absorb constitutively produced fluid is the predominant formulation. The prevailing view has been challenged recently, namely that the lymphatics are only passive vessels, carrying antigenic fluid to secondary lymphoid sites. Rather, lymphatic vessels can be a selective barrier, efficiently coordinating egress of immune cells and factors within tissues, limiting tumor spread and immune pathology. An alternative explanation, offered here, is that damage associated molecular pattern molecules, released in excess, maintain a local milieu associated with recruitment and retention of immune cells associated with failed lymphatic clearance and functional lymphatic obstruction. We found that levels of high mobility group box 1 (HMGB1) were equally elevated in both benign and malignant pleural effusions (MPEs) and that limited diversity of T cell receptor expressing gamma and delta chain were inversely associated with these levels in MPEs. Acellular fluid from MPEs enhanced γδ T cell proliferation in vitro, while inhibiting cytokine production from γδ T cells and monocytes as well as restricting monocyte chemotaxis. Novel therapeutic strategies, targeting HMGB1 and its neutralization in such effusions as well as direct delivery of immune cells into the pleural space to reconstitute normal physiology should be considered.
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spelling doaj.art-5a91f8982a8f4d58a0286b73dfb641392022-12-22T00:58:49ZengFrontiers Media S.A.Frontiers in Immunology1664-32242020-09-011110.3389/fimmu.2020.02027532090HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural EffusionsAdam C. Soloff0Adam C. Soloff1Katherine E. Jones2Amy A. Powers3Pranav Murthy4Yue Wang5Yue Wang6Kira L. Russell7Miranda Byrne-Steele8Amanda W. Lund9Jian-Min Yuan10Jian-Min Yuan11Sara E. Monaco12Jian Han13Rajeev Dhupar14Rajeev Dhupar15Michael T. Lotze16Michael T. Lotze17Michael T. Lotze18Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesCancer Immunology and Immunotherapy Program, UPMC Hillman Cancer Center, Pittsburgh, PA, United StatesDepartment of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartment of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartment of Surgery, Division of Surgical Oncology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartment of Surgery, Division of Surgical Oncology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartments of Immunology and Bioengineering, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartment of Surgery, Division of Surgical Oncology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesiRepertoire, Inc., Huntsville, AL, United StatesDepartment of Cell, Developmental and Cancer Biology, Oregon Health and Science University, Portland, OR, United StatesDivision of Cancer Control and Population Sciences, UPMC Hillman Cancer Center, Pittsburgh, PA, United StatesDepartment of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesiRepertoire, Inc., Huntsville, AL, United StatesDepartment of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States0Surgical Services Division, VA Pittsburgh Healthcare System, Pittsburgh, PA, United StatesCancer Immunology and Immunotherapy Program, UPMC Hillman Cancer Center, Pittsburgh, PA, United StatesDepartment of Surgery, Division of Surgical Oncology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesDepartments of Immunology and Bioengineering, University of Pittsburgh School of Medicine, Pittsburgh, PA, United StatesPleural effusions, when benign, are attributed to cardiac events and suffusion of fluid within the pleural space. When malignant, lymphatic obstruction by tumor and failure to absorb constitutively produced fluid is the predominant formulation. The prevailing view has been challenged recently, namely that the lymphatics are only passive vessels, carrying antigenic fluid to secondary lymphoid sites. Rather, lymphatic vessels can be a selective barrier, efficiently coordinating egress of immune cells and factors within tissues, limiting tumor spread and immune pathology. An alternative explanation, offered here, is that damage associated molecular pattern molecules, released in excess, maintain a local milieu associated with recruitment and retention of immune cells associated with failed lymphatic clearance and functional lymphatic obstruction. We found that levels of high mobility group box 1 (HMGB1) were equally elevated in both benign and malignant pleural effusions (MPEs) and that limited diversity of T cell receptor expressing gamma and delta chain were inversely associated with these levels in MPEs. Acellular fluid from MPEs enhanced γδ T cell proliferation in vitro, while inhibiting cytokine production from γδ T cells and monocytes as well as restricting monocyte chemotaxis. Novel therapeutic strategies, targeting HMGB1 and its neutralization in such effusions as well as direct delivery of immune cells into the pleural space to reconstitute normal physiology should be considered.https://www.frontiersin.org/article/10.3389/fimmu.2020.02027/fullHMGB1malignant pleural effusionsbenign pleural effusionsimmune repertoiretumor immunologyγδ T cells
spellingShingle Adam C. Soloff
Adam C. Soloff
Katherine E. Jones
Amy A. Powers
Pranav Murthy
Yue Wang
Yue Wang
Kira L. Russell
Miranda Byrne-Steele
Amanda W. Lund
Jian-Min Yuan
Jian-Min Yuan
Sara E. Monaco
Jian Han
Rajeev Dhupar
Rajeev Dhupar
Michael T. Lotze
Michael T. Lotze
Michael T. Lotze
HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions
Frontiers in Immunology
HMGB1
malignant pleural effusions
benign pleural effusions
immune repertoire
tumor immunology
γδ T cells
title HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions
title_full HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions
title_fullStr HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions
title_full_unstemmed HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions
title_short HMGB1 Promotes Myeloid Egress and Limits Lymphatic Clearance of Malignant Pleural Effusions
title_sort hmgb1 promotes myeloid egress and limits lymphatic clearance of malignant pleural effusions
topic HMGB1
malignant pleural effusions
benign pleural effusions
immune repertoire
tumor immunology
γδ T cells
url https://www.frontiersin.org/article/10.3389/fimmu.2020.02027/full
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