Infectious Agents and Lymphoproliferative Disorders: Different Mechanisms to Drive Neoplastic Transformation

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Pathophysiology".

Deadline for manuscript submissions: closed (15 January 2023) | Viewed by 2914

Special Issue Editor


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Guest Editor
Hematology and Clinical Immunology, Padua University School of Medicine, 35129 Padua, Italy
Interests: Chronic Lymphoproliferative disorders; Multiple Myeloma; NK cells

Special Issue Information

Dear Colleagues,

Although a link between infectious agents and neoplasia has been suggested for a long time, only in recent years has clear-cut evidence of such a close correlation been provided. In view of the relevance of the immune system in controlling infections as well as the role of (chronic) inflammation in the pathogenesis of neoplasias, lymphoproliferative disorders have been claimed to represent an intriguing model to exemplify the relationship with several infectious agents. Mechanisms involved in favoring neoplastic transformation can be either indirect, for instance, the role of Helicobacter Pylori in the pathogenesis of MALT lymphoma, or rather direct, such as the role of Human T Lymphotropic Virus I in Adult T Cell Leukemia. Among these two ends of the spectrum, a plethora of lymphoproliferative disorders underlying a pathogenetic role of infectious agents is reported in the literature. Both viral (either RNA viruses including HTLV, HCV or HIV or DNA viruses, such as Epstein–Barr Virus) and bacterial agents (H. Pylori or Chlamydia species) are included in this growing list. Interestingly, even a putative role for human endogenous retroviral (HERV) sharing has been recently advocated. A common feature of all these disorders is that an initial indolent coexistence, i.e., when several mechanisms are devised by agents to keep their status, at some point strongly impacts with further autonomous proliferation of lymphoid cells, ultimately leading to neoplastic growth and cancer development.

In this Special Issue, we are focusing on the updated definition of mechanisms of different infectious agents as lymphoid cancer makers and the possibility to counteract their action before overt lymphoproliferative transformation, thus blocking their ability to lead to an autonomous cell growth.

Prof. Dr. Renato Zambello
Guest Editor

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Keywords

  • Chronic Lymphoproliferative disorders
  • Multiple Myeloma
  • NK cells

Published Papers (1 paper)

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Research

14 pages, 1719 KiB  
Article
Expression of CTLA-4 and CD86 Antigens and Epstein-Barr Virus Reactivation in Chronic Lymphocytic Leukemia—Any Link with Known Prognostic Factors?
by Ewelina Grywalska, Michał Mielnik, Martyna Podgajna, Anna Hymos, Jarosław Ludian, Agnieszka Rolińska, Krzysztof Gosik, Wojciech Kwaśniewski, Barbara Sosnowska-Pasiarska, Jolanta Smok-Kalwat, Marcin Pasiarski, Agnieszka Stelmach-Gołdyś, Stanisław Góźdź and Jacek Roliński
Cancers 2022, 14(3), 672; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers14030672 - 28 Jan 2022
Cited by 2 | Viewed by 2451
Abstract
Infection with Epstein-Barr virus (EBV) worsens the prognosis in chronic lymphocytic leukemia (CLL), but the underlying mechanisms are not yet established. We intended to assess whether EBV affects the course of CLL by the deregulation of the CTLA-4/CD86 signaling pathway. We used polymerase [...] Read more.
Infection with Epstein-Barr virus (EBV) worsens the prognosis in chronic lymphocytic leukemia (CLL), but the underlying mechanisms are not yet established. We intended to assess whether EBV affects the course of CLL by the deregulation of the CTLA-4/CD86 signaling pathway. We used polymerase chain reaction to measure the load of EBV DNA in the blood of 110 newly diagnosed patients with CLL. The expression of CTLA-4 and CD86 antigen on lymphocytes was assessed with flow cytometry. Additionally, CTLA-4 and CD86 serum concentrations were measured through enzyme-linked immunosorbent assays. Fifty-four percent of the patients had detectable EBV DNA [EBV(+)]. In EBV(+) patients the CTLA-4 and CD86 serum concentrations and their expressions on investigated cell populations were significantly higher than in EBV(−) patients. EBV load correlated positively with unfavorable prognostic markers of CLL and the expression of CTLA-4 on CD3+ lymphocytes (r = 0.5339; p = 0.027) and CD86 on CD19+ cells (r = 0.6950; p < 0.001). During a median follow-up period of 32 months EBV(+) patients were more likely to require treatment or have lymphocyte doubling (p < 0.001). Among EBV(+) but not EBV(−) patients, increased expressions of CTLA-4 lymphocytes were associated with elevated risks of progression. We propose that EBV coinfection may worsen prognosis in CLL patients, partly due to EBV-induced up-regulation of CTLA-4 expression. Full article
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