Soluble IL-2Rα facilitates IL-2–mediated immune responses and predicts reduced survival in follicular B-cell non-Hodgkin lymphoma

ZZ Yang, DM Grote, SC Ziesmer… - Blood, The Journal …, 2011 - ashpublications.org
ZZ Yang, DM Grote, SC Ziesmer, MK Manske, TE Witzig, AJ Novak, SM Ansell
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
Elevated serum levels of the soluble form of IL-2 receptor α (sIL-2Rα) have been correlated
with a poor prognosis in a variety of different types of cancers. However, its biologic
relevance remains unclear and controversial. In patients with follicular B-cell non-Hodgkin
lymphoma (FL), we observed that serum sIL-2Rα levels were elevated compared with
controls and that elevated sIL-2Rα levels before treatment were associated with a poor
outcome. To explore the mechanism by which sIL-2Rα may contribute to a poor prognosis in …
Abstract
Elevated serum levels of the soluble form of IL-2 receptor α (sIL-2Rα) have been correlated with a poor prognosis in a variety of different types of cancers. However, its biologic relevance remains unclear and controversial. In patients with follicular B-cell non-Hodgkin lymphoma (FL), we observed that serum sIL-2Rα levels were elevated compared with controls and that elevated sIL-2Rα levels before treatment were associated with a poor outcome. To explore the mechanism by which sIL-2Rα may contribute to a poor prognosis in FL, we determined the effects of sIL-2Rα on IL-2 signaling and found that the sIL-2Rα–IL-2 complex promoted T-cell differentiation toward to inhibitory Treg cells rather than TH1 or TH17 cells. Shed by activated T cells that express membrane-bound IL-2Rα, sIL-2Rα further enhanced IL-2–mediated phosphorylation of Stat5 thereby significantly up-regulating Foxp3 expression in CD4+ T cells. We found that CD4+ T cells treated with either IL-2 or sIL-2Rα–IL-2 complex, but not with sIL-2Rα alone, inhibited the function of CD8+ T cells. Taken together, these results indicate that sIL-2Rα actually plays an active biologic role in FL by binding IL-2 and promoting IL-2 signaling rather than depleting IL-2 and blocking its function.
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