Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.

Major histocompatibility complex class I-related chain A (MICA) molecules are frequently expressed in lymphoproliferative malignancies including multiple myeloma (MM). MICA activates NK cells and co-stimulates T cells by interaction with its immunoreceptor NKG2D. In contrast, soluble MICA (sMICA) mo...

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Main Authors: Rebmann, V, Schütt, P, Brandhorst, D, Opalka, B, Moritz, T, Nowrousian, MR, Grosse-Wilde, H
Format: Journal article
Language:English
Published: 2007
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author Rebmann, V
Schütt, P
Brandhorst, D
Opalka, B
Moritz, T
Nowrousian, MR
Grosse-Wilde, H
author_facet Rebmann, V
Schütt, P
Brandhorst, D
Opalka, B
Moritz, T
Nowrousian, MR
Grosse-Wilde, H
author_sort Rebmann, V
collection OXFORD
description Major histocompatibility complex class I-related chain A (MICA) molecules are frequently expressed in lymphoproliferative malignancies including multiple myeloma (MM). MICA activates NK cells and co-stimulates T cells by interaction with its immunoreceptor NKG2D. In contrast, soluble MICA (sMICA) molecules impair the functions of NKG2D(+) T and NK cells, which may facilitate tumor cell escape from immunosurveillance. Here, we analyzed the clinical relevance of sMICA in 97 MM patients. sMICA (mean+/-SEM pg/ml) was significantly increased (p<0.0001) in patients (429+/-20) compared to controls (230+/-20; N=43). Serial determination showed a strong correlation between increments of sMICA and paraprotein levels (r=0.543, p<0.0001, N=49). sMICA levels >305 pg/ml are associated with a poor overall (p=0.004) and progression-free survival (p=0.002). Multivariate analysis revealed sMICA as an independent predictive factor for overall (p=0.007) and progression-free survival (p=0.002). Thus, our results suggest sMICA as a potent prognostic marker in MM, which may be useful to identify risk patients.
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spelling oxford-uuid:3d9a9d10-15bd-48b1-b36a-5a5c485b7f3b2022-03-26T14:20:27ZSoluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3d9a9d10-15bd-48b1-b36a-5a5c485b7f3bEnglishSymplectic Elements at Oxford2007Rebmann, VSchütt, PBrandhorst, DOpalka, BMoritz, TNowrousian, MRGrosse-Wilde, HMajor histocompatibility complex class I-related chain A (MICA) molecules are frequently expressed in lymphoproliferative malignancies including multiple myeloma (MM). MICA activates NK cells and co-stimulates T cells by interaction with its immunoreceptor NKG2D. In contrast, soluble MICA (sMICA) molecules impair the functions of NKG2D(+) T and NK cells, which may facilitate tumor cell escape from immunosurveillance. Here, we analyzed the clinical relevance of sMICA in 97 MM patients. sMICA (mean+/-SEM pg/ml) was significantly increased (p<0.0001) in patients (429+/-20) compared to controls (230+/-20; N=43). Serial determination showed a strong correlation between increments of sMICA and paraprotein levels (r=0.543, p<0.0001, N=49). sMICA levels >305 pg/ml are associated with a poor overall (p=0.004) and progression-free survival (p=0.002). Multivariate analysis revealed sMICA as an independent predictive factor for overall (p=0.007) and progression-free survival (p=0.002). Thus, our results suggest sMICA as a potent prognostic marker in MM, which may be useful to identify risk patients.
spellingShingle Rebmann, V
Schütt, P
Brandhorst, D
Opalka, B
Moritz, T
Nowrousian, MR
Grosse-Wilde, H
Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.
title Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.
title_full Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.
title_fullStr Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.
title_full_unstemmed Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.
title_short Soluble MICA as an independent prognostic factor for the overall survival and progression-free survival of multiple myeloma patients.
title_sort soluble mica as an independent prognostic factor for the overall survival and progression free survival of multiple myeloma patients
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