Page 16 - 2020_01-Haematologica-web
P. 16

Editorials
6
Tobío et al. suggest that signaling through these target molecules leads to IL-6 production in neoplastic mast cells (Figure 1).15 Finally, IL-6 effects can directly be blocked by applying antibodies against IL-6 or the IL-6 receptor.24 However, it remains unclear whether these drugs can block the symptoms and pathologies in patients with SM.
Acknowledgments and Funding
Research by PV and his team is supported by the Austrian Science Fund, grants F4701-B20 and F4704-B20.
References
1. Metcalfe DD. Mast cells and mastocytosis. Blood. 2008;112(4):946- 956.
2. Valent P, Horny HP, Escribano L, et al. Diagnostic criteria and classifi- cation of mastocytosis: a consensus proposal. Leuk Res. 2001;25(7):603-625.
3. Akin C, Valent P. Diagnostic criteria and classification of mastocytosis in 2014. Immunol Allergy Clin North Am. 2014;34(2):207-218.
4. Valent P, Akin C, Metcalfe DD. Mastocytosis: 2016 updated WHO classification and novel emerging treatment concepts. Blood. 2017;129(11):1420-1427.
5. Valent P, Akin C, Gleixner KV, et al. Multidisciplinary Challenges in Mastocytosis and How to Address with Personalized Medicine Approaches. Int J Mol Sci. 2019;20(12).
6. Arock M, Sotlar K, Akin C, et al. KIT mutation analysis in mast cell neoplasms: recommendations of the European Competence Network on Mastocytosis. Leukemia. 2015;29(6):1223-1232.
7. Hoermann G, Cerny-Reiterer S, Perné A, et al. Identification of onco- statin M as a STAT5-dependent mediator of bone marrow remodel- ing in KIT D816V-positive systemic mastocytosis. Am J Pathol. 2011;178(5):2344-2356.
8. Rabenhorst A, Christopeit B, Leja S, et al. Serum levels of bone cytokines are increased in indolent systemic mastocytosis associated with osteopenia or osteoporosis. J Allergy Clin Immunol. 2013;132(5):1234-1237.e7.
9. Theoharides TC, Valent P, Akin C. Mast Cells, Mastocytosis, and
Figure 1. An overview of the con- cept proposed by Tobío et al.15 of the KIT D816V-dependent signal- ing machinery that involves PI3K, AKT, TOR, and JAK2-STAT5 and triggers IL-6 production in neo- plastic mast cells. In most patients with systemic mastocyto- sis, the transforming KIT mutation D816V is expressed in neoplastic mast cells. The KIT mutant form induces oncogenic signaling path- ways which in turn leads to an abnormal production of various effector molecules, including cytokines. One such cytokine is interleukin-6 (IL-6). In contrast to normal mast cells, KIT D816V- transformed mast cells express and release substantial amounts of this cytokine (red arrows). Once released, IL-6 acts as an autocrine growth stimulator as well as a trig- ger of cell activation and inflam- mation. The effects of IL-6 on vari- ous target cells are exerted via specific IL-6 receptors (IL-6R).
Related Disorders. N Engl J Med. 2015;373(2):163-172.
10. Hoermann G, Greiner G, Valent P. Cytokine Regulation of Microenvironmental Cells in Myeloproliferative Neoplasms.
Mediators Inflamm. 2015;2015:869242.
11. Brockow K, Akin C, Huber M, Metcalfe DD. IL-6 levels predict dis-
ease variant and extent of organ involvement in patients with masto-
cytosis. Clin Immunol. 2005;115(2):216-223.
12. Mayado A, Teodosio C, Garcia-Montero AC, et al. Increased IL6 plas-
ma levels in indolent systemic mastocytosis patients are associated
with high risk of disease progression. Leukemia. 2016;30(1):124-130. 13. Galli SJ, Tsai M. Mast cells: versatile regulators of inflammation, tis- sue remodeling, host defense and homeostasis. J Dermatol Sci.
2008;49(1):7-19.
14. MukaiK,TsaiM,SaitoH,GalliSJ.Mastcellsassourcesofcytokines,
chemokines, and growth factors. Immunol Rev. 2018;282(1):121-150. 15. TobíoA,BandaraG,MorrisDA,etal.OncogenicD816V-KITsignal- ing in mast cells causes persistent IL-6 production. Haematologica.
2019;105(1):124-135.
16. Burger R. Impact of Interleukin-6 in Hematological Malignancies.
Transfus Med Hemoth. 2013;40(5):336-343.
17. Taniguchi K, Karin M. IL-6 and related cytokines as the critical lynch-
pins between inflammation and cancer. Semin Immunol.
2014;26(1):54-74.
18. Hong DS, Angelo LS, Kurzrock R. Interleukin-6 and its receptor in
cancer: implications for translational therapeutics. Cancer.
2007;110(9):1911-1928.
19. Rossi JF, Lu ZY, Jourdan M, Klein B. Interleukin-6 as a therapeutic tar-
get. Clin Cancer Res. 2015;21(6):1248-1257.
20. Gotlib J, Kluin-Nelemans HC, George TI, et al. Efficacy and Safety of
Midostaurin in Advanced Systemic Mastocytosis. N Engl J Med.
2016;374(26):2530-2541.
21. Valent P, Akin C, Hartmann K, et al. Midostaurin: a magic bullet that
blocks mast cell expansion and activation. Ann Oncol.
2017;28(10):2367-2376.
22. Arock M, Wedeh G, Hoermann G, et al. Preclinical human models
and emerging therapeutics for advanced systemic mastocytosis.
Haematologica. 2018;103(11):1760-1771.
23. Lübke J, Naumann N, Kluger S, et al. Inhibitory effects of midostaurin
and avapritinib on myeloid progenitors derived from patients with KIT D816V positive advanced systemic mastocytosis. Leukemia. 2019;33(5):1195-1205.
24. Kang S, Tanaka T, Kishimoto T. Therapeutic uses of anti-interleukin- 6 receptor antibody. Int Immunol. 2015;27(1):21-29.
haematologica | 2020; 105(1)


































































































   14   15   16   17   18