Summary
Absolute circulating number and functions of blood monocytes (i.e., pinocytosis, phagocytosis, and chemotaxis) were studied in 25 patients with untreated bronchogenic carcinoma and in 28 control subjects. The absolute circulating monocyte count was increased in 20 (80%) of the patients. There was no difference in the pinocytic and phagocytic activity of patient and control monocytes. In contrast, patient monocytes showed depressed chemotactic responsiveness. This defect was more severe in small cell anaplastic carcinoma than in the other histologic types of bronchogenic carcinoma (P=0.001), and may explain the difference in macrophage infiltration seen in solid tumours of the lung. There was no correlation between chemotaxis and clinical stage. Depressed chemotaxis may be related to a plasma factor, since patient plasma inhibited the chemotaxis of control monocytes as well as the activity of chemotactic agents. The defective chemotaxis and the presence of plasma inhibitory activity may interfere with the ability of blood monocytes to accumulate as macrophages in tumour sites.
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References
American Joint Committee for Cancer Staging and End-Results Reporting (1978) Manual for staging of cancer.
Barrett O (1970) Monocytosis in malignant diseases. Ann Intern Med 73:991
Berg JW (1959) Inflammation and prognosis in breast cancer: A search for host resistance. Cancer 12:714
Boetcher DA, Leonard ES (1974) Abnormal monocyte chemotactic response in cancer patients. J Natl Cancer Inst 52:1091
Böyum AJ (1969) Isolation of mononuclear cells and granulocytes from human blood. Scand J Clin Lab Invest 21:Suppl 97
Campbell PB (1979) Defective leukotaxis in monocytes from patients with pulmonary tuberculosis. J Infect Dis 139:409
Celada A, Agnado T, Lambert PH, Cruchaud A (1980) Effect of autologous and homologous serum and circulating immune complexes on monocyte functions of patients with solid tumors. Clin Exp Immunol 41:326
Dizon QS, Southam CM (1963) Abnormal cellular response to skin abrasion in cancer patients. Cancer 16:1288
Evans R (1972) Macrophages in syngeneic animal tumours. Transplantation 14:468
Hansen HH, Dombernowsky P, Hansen M, Hirsch F (1978) Chemotherapy of advanced small-cell anaplastic carcinoma. Superiority of a four-drug combination to a three-drug combination. Ann Intern Med 89:177
Hausman MS, Brosman SA (1976) Abnormal monocyte function in bladder cancer patients. J Urol 115:537
Hausman MS, Brosman S, Snyderman R, Mickey MR, Fahey J (1975) Defective monocyte function in patients with genitourinary carcinoma. J Natl Cancer Inst 55:1047
Hedley DW, Currie GA (1978) Monocytes and macrophages in malignant melanoma. III. Reduction of nitroblue tetrazolium by peripheral blood monocytes. Br J Cancer 37:747
Hibbs JB (1974) Discrimination between neoplastic and non-neoplastic cells in vitro by activated macrophages. J Natl Cancer Inst 53:1487
Horwitz DA, Allison AC, Ward P, Kight N (1977) Identification of human mononuclear leucocyte populations by esterase staining. Clin Exp Immunol 30:289
Hudson L, Hay FC (1976) Practical immunology. Blackwell Scientific Publications, Oxford
Hughes LE, Mackay WD (1965) Suppression of the tuberculin response in malignant disease. Br Med J II:1346
Ioachim HL, Dorsett BH, Paluch E (1976) The immune response at the tumor site in lung carcinoma. Cancer 38:2296
Journey LJ, Amos DB (1962) An electron microscope study of histiocyte response to ascites tumor homografts. Cancer Res 22:998
Jungi TW (1975) Assay of chemotaxis by a reversible Boyden chamber eliminating cell detachment. Int Arch Allergy Appl Immunol 48:341
Kay AB, McVie JG (1977) Monocyte chemotaxis in bronchial carcinoma and cigarette smokers. Br J Cancer 36:461
King GW, Bain G, LeBuglio AF (1975) The effect of tuberculosis and neoplasia on human monocyte staphylocidal activity. Cell Immunol 16:389
Kitahara M, Eyre HJ, Hill HR (1979) Monocyte functional and metabolic activity in malignant and inflammatory diseases. J Lab Clin Med 93:472
Kjeldsberg CR, Pay GD (1978) A qualitative and quantitative study of monocytes in patients with malignant solid tumors. Cancer 41:2236
Kreyberg L (1967) Histological typing of lung tumours. World Health Organization, Geneva
Kuntz BME, Kuntz RM, Albert ED (1978) Phagocytosis of monocytes in cancer patients. Z Krebsforsch 91:11
Lauder I, Ahorne W, Stewart J, Salisbury R (1977) Macrophage infiltration of breast tumours: a prospective study. J Clin Pathol 30:563
Munan L, Kelly A (1979) Age-dependent changes in blood monocyte populations in men. Clin Exp Immunol 35:161
Rhodes J (1977) Altered expression of human monocyte Fc receptors in malignant disease. Nature 265:253
Rhodes JM, Nielsen G, Olesen Larsen S, Bennedsen J, Riisgaard S (1977) In vitro studies on normal stimulated and immunologically activated mouse macrophages. II. Degradation of radioactive antigen/antibody complexes. Acta Pathol Microbiol Scand [C] 85:239
Rinehart JJ, Lange P, Gormus BJ, Kaplan ME (1978) Human monocyte-induced tumor cell cytotoxicity. Blood 52:211
Rubin RH, Cosimi AB, Goetzl EJ (19876) Defective human mononuclear leucocyte chemotaxis as an index of host resistance to malignant melanoma. Clin Immunol Immunopathol 6:376
Snyderman R, Altman LC, Hausman MS, Mergenhagen SE (1972) Human mononuclear leucocyte chemotaxis: A quantitative assay for humoral and cellular chemotactic factors. J Immunol 108:857
Snyderman R, Seigler HF, Meadows L (1977) Abnormalities of monocyte chemotaxis in patients with melanoma: Effect of immunotherapy and tumor removal. J Natl Cancer Inst 58:37
Snyderman R, Meadows L, Holder W, Wells S (1978) Abnormal monocyte chemotaxis in patients with breast cancer: Evidence for a tumor-mediated effect. J Natl Cancer Inst 60:737
Underwood JCE (1974) Lymphoreticular infiltration in human tumours: Prognostic and biological implications: A review. Br J Cancer 30:538
Van Furth R, Raeburn JA, van Zweet TC (1979) Characteristics of human mononuclear phagocytes. Blood 54:485
Ward PA, Berenberg SL (1974) Defective regulation of inflammatory mediators in Hodgkin's disease: supernormal levels of chemotactic-factor inactivator. N Engl J Med 290:76
Wintrobe MM (1974) Clinical hematology, 7th edn. Lea & Febiger, p 1288
Yam LT, Li CY, Crosby WH (1971) Cytochemical identification of monocytes and granulocytes. Am J Clin Pathol 55:283
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Abbreviations used in this paper are: MCR, monocyte chemotactic response; SAC, small cell anaplastic bronchogenic carcinoma; OBC, non-small cell bronchogenic carcinoma MEM, Eagle's minimal essential medium; CFI, chemotactic factor inhibitor(s); HSA, human serum albumin
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Nielsen, H., Bennedsen, J., Larsen, S.O. et al. A quantitative and qualitative study of blood monocytes in patients with bronchogenic carcinoma. Cancer Immunol Immunother 13, 93–97 (1982). https://doi.org/10.1007/BF00205307
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DOI: https://doi.org/10.1007/BF00205307