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JNCI Journal of the National Cancer Institute 2004 96(17):1331-1342; doi:10.1093/jnci/djh252
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© 2004 Oxford University Press

ARTICLE

Multiparametric Flow Cytometric Analysis of Inter-Patient Variation in STAT1 Phosphorylation Following Interferon Alfa Immunotherapy

Gregory B. Lesinski, Sri Vidya Kondadasula, Tim Crespin, Lei Shen, Kari Kendra, Michael Walker, William E. Carson, III

Affiliations of authors: Departments of Human Cancer Genetics (GBL, SVK, WEC), Epidemiology and Biometrics (LS), Medical Oncology (KK), and Surgery (MW, WEC), Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH; Primetrics, Hilliard, OH (TC)

Correspondence to: William E. Carson III, MD, Division of Surgical Oncology, The Ohio State University, N924 Doan Hall, 410 W. 10th Ave., Columbus, OH 43210 (e-mail: carson-1{at}medctr.osu.edu)

Background: Regulation of gene expression by signal transducer and activator of transcription 1 (STAT1) within host tissues mediates the antitumor effects of interferon alfa (IFN {alpha}). We used a novel flow cytometric assay to examine phosphorylation-mediated activation of STAT1 within immune effector cell subsets following in vitro or in vivo IFN {alpha} treatments. Methods: Peripheral blood mononuclear cells (PBMCs) isolated from healthy donors (n = 17) or melanoma patients (n = 19) were treated in vitro with interferon alfa-2b (IFN {alpha}-2b) or phosphate-buffered saline (PBS) and subjected to multiparametric flow cytometry to measure the levels of phosphorylated STAT1 (P-STAT1) within immune cell subsets. We similarly analyzed PBMCs isolated from melanoma patients before and 1 hour after immunotherapy with IFN {alpha}-2b. All statistical tests were two-sided. Results: P-STAT1 levels in all major immune cell subsets increased within 15 minutes of in vitro IFN {alpha}-2b treatment of PBMCs; the increase was most pronounced in T lymphocytes and monocytes. Relatively low doses of IFN {alpha}-2b (i.e., 102–103 IU/mL) induced maximal STAT1 activation in vitro. Compared with melanoma patients, healthy donors had higher basal levels of P-STAT1 (specific fluorescence [Fsp]; i.e., FspPBS, the level of P-STAT1 in PBS-treated cells) in total PBMCs, natural killer (NK) cells, and T cells (mean FspPBS in total PBMCs: 5.5 in healthy donors versus 1.6 in patients, difference = 3.9, 95% confidence interval [CI] = 1.4 to 6.5, P = .004; mean FspPBS in NK cells: 4.6 in healthy donors versus 0.9 in patients, difference = 3.7, 95% CI = 1.7 to 5.7, P = .001; mean FspPBS in T cells: 6.8 in healthy donors versus 0.9 in patients, difference = 5.9, 95% CI = 2.5 to 9.3, P = .002). P-STAT1 was detected in the NK and T cells of two patients who received IFN {alpha}-2b immunotherapy (20 MU/m2 [MU = million units], administered by intravenous injection). P-STAT1 levels in the PBMCs of a patient treated sequentially with 5 MU/m2 and 10 MU/m2 IFN {alpha}-2b (administered by subcutaneous injection) also increased in response to treatments with IFN {alpha}-2b but did not increase further with the increased dosage of IFN {alpha}-2b. Conclusion: This flow cytometry method can be used to monitor STAT1 activation within subsets of immune cells from patients undergoing IFN {alpha} immunotherapy.



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