By Paul Kleutghen | Posted - Oct 27th, 2018





A New Target in the Fight Against Multiple Myeloma - IFNAR1

Quite a bit has already been posted on the Myeloma Crowd site about the CAR-T Cells. Up until now, T-cells have been discussed without mentioning that there are actually three different kinds of T-cells:

  • Regulatory T-cells (Treg)
  • Helper T-cells (Th - also sometimes called effector T-cells)
  • Cytotoxic T-cells

In general, T-cells are a type of immune system cell. T-cells are made in the bone marrow but their final function (regulatory, helper or cytotoxic) is developed in the thymus gland. Of interest to us in this post are the Tregs, cells that suppress the potentially harmful actions of helper T-cells. Some of the functions of Tregs are: preventing autoimmune disease, suppressing allergies and asthma, mediating maternal-fetal immune tolerance, regulating oral tolerance.

A recent article in the Journal of Clinical Investigation reports on research conducted at Dana Farber Cancer Institute that built on the premise that ‘One of the major immunosuppressive mechanisms that are believed to play a role in myeloma progression is the expansion of regulatory T-cells’. The research resulted in several findings:

  • ‘Myeloma cells drive Treg expansion and activation by secreting type 1 interferon.
  • Blocking IFN α and β receptor 1 (IFNAR1) on Tregs significantly decreases both myeloma-associated Treg immunosuppressive function and myeloma progression. [emphasis added]
  • By using IFNAR1-blocking antibody treatment and IFNAR1-knockout Tregs, we demonstrated a significant decrease in myeloma-associated Treg proliferation, which was associated with longer survival of myeloma-injected mice. [emphasis added]
  • Our results thus suggest that blocking type 1 IFN signaling represents a potential strategy to target immunosuppressive Treg function in multiple myeloma.’

So, these are very early results in specially bred mice that have been injected with human multiple myeloma bone marrow aspirate. Things are not nearly ready to go to the clinic, but the research does progress the understanding of how multiple myeloma progresses and identified a potential novel path to treat multiple myeloma in the future.

Paul Kleutghen
About the Author

Paul Kleutghen - I am a patient diagnosed in 2014 with primary plasma cell leukemia (pPCL), a rare and aggressive variant of multiple myeloma and have been very fortunate to find treatment at the division of Cellular Therapy at the Duke University Cancer Institute. My wife, Vicki, and I have two adult children and a grandson who is the ‘light of my life’. Successful treatment has allowed Vicki and I to do what we love best : traveling the world, albeit it with some extra precautions to keep infections away. My career in the pharmaceutical industry has given me insights that I am currently putting to use as an advocate to lower drug pricing, especially prices for anti-cancer drugs and, very specifically, CAR-T therapies, with recent contributions posted by Health affairs, the Institute for Clinical and Economic Review and the Centers for Medicare and Medicaid Services.


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