title: Does IL-2 receptor expression and secretion in chronic B-cell leukemia have a role in down-regulation of the immune system?
abstract: Recent evidence of cell membrane expression of interleukin-2 receptors (IL-2R) by malignant B cells in hairy cell leukemia (HCL) and B-chronic lymphocytic leukemia (B-CLL) has lead to speculation that growth factors, such as IL-2, may play a role in the pathophysiology of these diseases. However, to date, it is not clear that IL-2 is a consistent growth factor in vitro or in vivo for malignant B cells. What then is the potential significance of membrane IL-2R on the malignant B-cell membrane? Laboratory analysis indicates that the malignant cells are the source of elevated serum levels of soluble Tac protein (sIL-2r alpha) in both diseases. Indeed, these cells spontaneously secrete sIL-2R alpha into culture medium. We speculate that the presence of an expanding mass of malignant B cells possessing high and low affinity membrane IL-2R may contribute significantly to the associated immunodeficiency seen in B-CLL. In particular, it is the cell associated high affinity IL-2R that have the greatest potential for reducing the levels of free IL-2 available to normal immune cells.
authors.affiliation: Metabolism Branch, National Institute of Health, Bethesda, MD.
authors.forename: J
authors.initials: J
authors.lastname: Burton
authors.forename: N E
authors.initials: NE
authors.lastname: Kay
mesh_terms: D001402:B-Lymphocytes / Q000276:immunology / Q000473:pathology / Q000648:ultrastructure; D015536:Down-Regulation / Q000276:immunology / Q000502:physiology*; D006801:Humans; D007107:Immune System / Q000502:physiology; D007700:Kinetics; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000276:immunology* / Q000503:physiopathology*; D008213:Lymphocyte Activation / Q000276:immunology; D015375:Receptors, Interleukin-2 / Q000276:immunology / Q000502:physiology*; D013601:T-Lymphocytes / Q000276:immunology / Q000648:ultrastructure
chemical_list: D015375:Receptors, Interleukin-2