Abstract
The suppression of B lymphopoiesis is a major feature of multiple myeloma (MM). In this disease, there is a striking defect in the response of peripheral blood B cells to pokeweed mitogen (PWM). Normally, B-cell activation depends on B-cell growth factors (BCGFs) and B-cell differentiation factors (BCDFs), produced by peripheral blood mononuclear cells. We therefore evaluated whether the production of these cytokines was defective in patients with MM. We have studied the production of BCGFs (using the anti-μ assay) and, particularly, interleukin-2 and interferon-γ, two well-documented BCGFs. No defect in the production of BCGFs, interleukin-2, and interferon-γ was found in patients with active (N=14) or stable (N=10) MM, compared with healthy donors (N=13). The production of BCDFs (i.e., overall activity) was also evaluated and, more particularly, that of interleukin-6 (IL-6). This cytokine is a potent BCDF which is essential in the PWM-induced activation of B cells, acting at the terminal stages of B-cell differentiation. Again, no defect in the production of BCDFs and IL-6 was found in patients with MM. Therefore, the ability to secrete cytokines controlling the process of B-cell activation is not affected in such patients. This indicates that the profound failure of humoral immune response is not due to deficiency of peripheral blood mononuclear cells producing these factors.
Similar content being viewed by others
References
Broder S, Humphrey R, Durm M, Blackman M, Meade B, Goldman C, Strober W, Waldmann T: Impaired synthesis of polyclonal (non-paraprotein) immunoglobulins by circulating lymphocytes from patients with multiple myeloma. Role of suppressor cells. N Engl J Med 293:887–892, 1975
Knapp W, Baumgartner G: Monocyte mediated suppression of human B lymphocyte differentiation in vitro. J Immunol 121:1177–1182, 1978
Twomey JJ, Laughter AH, Rice L, Ford RJ: Suppression of lymphocyte responses by monocytes with untreated and treated Multiple myeloma. Blood 60:316–322, 1982
Takeshita A: Regulation of immunoglobulin synthesis by monocytes in multiple myeloma and benign monoclonal gammapathy Clin Exp Immunol 67:625–632, 1986
Kishimoto T: B-cell stimulatory factors (BSFs): Molecular structure, biological function, and regulation of expression. J Clin Immunol 7:343–355, 1987
Kishimoto T, Yoshizaki K, Okada M, Kuritani T, Kikutani H, Sakaguchi N, Miki Y, Nakagawa T, Shimizu K, Fukanaga K, Taga T: Growth and differentiation factors and activation of human B-cells. Lymphokines 10:15–24, 1985
Gordon J, Guy GR: The molecules controlling B lymphocytes. Immunol Today 8:339–344, 1987
Romagnani S, Giudizi GM, Maggi E, Almerigogna F, Biagotti R, Del Prete G, Mazetti M, Alessi A, Vercelli D, Ricci M: Synergy of B cell growth and interleukin 2 in the proliferation of activated human B cells. Eur J Immunol 15:1158–1164, 1985
Romagnani S, Grazia Guidizi M, Almerigogna F, Biagotti R, Alessi A, Mingari C, Liang C, Moretta L, Ricci M: Analysis of the role of interferon-gamma, interleukin 2 and a third factor distinct from interferon-gamma and interleukin 2 on human B cell proliferation. Evidence that they act at different times after B cell activation. Eur J Immunol 16:623–629, 1986
Romagnani S, Del Prete G, Giudizi MG, Biagotti R, Almerigogna F, Tiri A, Mazetti M, Ricci M: Direct induction of human B-cell differentiation by recombinant interleukin-2. Immunology 58:31–35, 1986
Lê Thi Bich Thuy Queen C, Fauci AS: Interferon-γ induces light chain synthesis in interleukin 2 stimulated human B cells. Eur J Immunol 16:547–550, 1986
Aarden LA, De Groot ER, Schaap OL, Lansdorp PM: Production of hybridoma growth factor by human monocytes. Eur J Immunol 17:1411–1416, 1987
Content J, Dewit L, Pierard D, Derynck R, Declerq E, Fiers W: Secretory proteins induced in human fibroblasts under conditions used for the production of interferon-β. Proc Natl Acad Sci 79:2768–2772, 1982
Billiau A: BSF-2 is not just a differentiation factor. Nature 324:415–415, 1986
Gauldie J, Richards C, Harnish D, Landsdorp P, Baumann H: Interferon-β2/B-cell stimulatory factor type 2 shares identity with monocyte-derived hepatocyte-stimulating factor and regulates the major acute phase protein response in liver cells. Proc Natl Acad Sci 84:7251–7255, 1987
Garman RD, Jacobs KA, Clark SC, Raulet DH: B-cell-stimulating factor 2 (β2 interferon) functions as a second signal for interleukin 2 production by mature murine T cells. Proc Natl Acad Sci 84:7629–7633, 1987
Hirano T, Kuritani T, Kishimoto T, Yamamura Y: In vitro immune response of human peripheral lymphocytes. I. The mechanism(s) involved in T cell helper functions in the pokeweed mitogen-induced differentiation and proliferation of B cells. J Immunol 119:1235–1241, 1977
Hirano T, Teranishi T, Toba H, Sakagushi N, Fukukawa T, Tsuyuguchi I: Human helper T cell factor(s) (THF). I. Partial purification and characterisation. J Immunol 126:517–522, 1981
Durie BGM, Salmon SE: Multiple myeloma, macroglobulinemia and monoclonal gammapathies.In Recent Advances in Haematology, AV Hoffbrand, MC Brain, J Hirsh (eds). New York, Churchill Livingstone, 1977, pp 243–261
Bataille R, Dessauw P, Sany J: Polyclonal immunoglobulins in malignant plasma cell dyscrasias. Oncology 41:314–317, 1984
Bataille R, Souteyrand P, Sany J: Clinical evaluation of response or escape to chemotherapy and survival of patients with multiple myeloma. A prospective study of 202 patients. Anticancer Res 4:339–346, 1984
Böyum A: Separation of lymphocytes from blood and bone marrow. Scand J Clin Lab Invest 21:77–80, 1968
Preud'homme JL, Flandrin G: Identification by peroxydase staining of monocytes in surface immunofluorescence tests. J Immunol 113:1650–1655, 1971
Caraux J, Thierry C, Serrou B: Quantitative comparison of K cell potential in human T and null cells. Eur J Immunol 8:806–812, 1978
Klein B, Rey A, Jourdan M: The role of interleukin 1 and interleukin 2 in T-human colony formation. Cell Immunol 77:348–356, 1983
Vandamme JV, Cayphas S, Opdenakker G, Billiau A, Van snick J: Interleukin 1 and poly(rI)·poly(rC) induce production of a hybridoma growth factor by human fibroblasts. Eur J Immunol 17:1–7, 1987
Bonnard GD, Yasaka K, Maca RD: Continued growth of functional T lymphocytes: Production of human T-cell growth factor. Cell Immunol 51:390–401, 1980
Rossi JF, Klein B, Commes T, Jourdan M: Interleukin 2 production in B cell chronic lymphocytic leukemia. Blood 66:840–846, 1985
Insel RA, Merler E: The necessity for T cell help for human tonsil B cell responses to pokeweed mitogen: Induction of DNA synthesis, immunoglobulin, and specific antibody production with a T cell helper factor produced with pokeweed mitogen. J Immunol 118:2009–2014, 1977
Chouaib S, Fradelizi D: The mechanism of inhibition of IL2 production. J Immunol 129:2463–2468, 1982
Kehrl JH, Wakefield LM, Roberts AB, Jakowlew S, Alvarez-mon M, Derynck R, Sporn MB, Fauci AS: Production of transforming growth factor β by human T lymphocytes and its potential role in the regulation of T cell growth. J Exp Med 163:1037–1050, 1986
Kerhl HJ, Roberts AB, Wakefields LM, Jakowlew S, Sporn MB, Fauci AS: Transforming growth factor β is an important immunomodulatory protein for human B lymphocytes. J Immunol 137:3855–3860, 1986
Blomhoff HK, Smeland E, Mustafa AS, Godal T, Ohlsson R: Epstein-Barr virus mediates a switch in responsiveness to transforming growth factor, type beta, in cells of the B cell lineage. Eur J Immunol 17:299–301, 1987
Seligmann M, Preud'homme JL, Brouet JC: B and T cell markers in human proliferative blood diseases and primary immunodeficiencies with special reference to membrane bound immunoglobulins. Transplant Rev 16:85–113, 1973
MacKenzie MR, Paglieroni T: Multiple myeloma: An immunologic profile I. Peripheral blood studies. J Immunol 118:1864–1871, 1977
Pilarsky LM, Mant MJ, Ruether BA, Belch A: Severe deficiency of B lymphocytes in peripheral blood for multiple myeloma patients. J Clin Invest 74:1301–1306, 1984
Zhang XG, Klein B, Brochier J, Duperray C, Bataille R: Delay and not deficiency in cap formation of peripheral blood B-cells in patients with multiple myeloma. J Clin Immunol 8:244–249, 1988
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Commes, T., Klein, B., Jourdan, M. et al. The defect in peripheral blood B-cell activation in patients with multiple myeloma is not due to a deficiency in the production of B-cell growth and differentiation factors. J Clin Immunol 9, 65–73 (1989). https://doi.org/10.1007/BF00917129
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00917129