The Value of IgM Memory B-Cells in the Assessment of Splenic Function in Childhood Cancer Survivors at Risk for Splenic Dysfunction: A DCCSS-LATER Study

• Published in: Journal of Immunology Research Vol. 2023; pp. 1 - 8
• Main Authors: Houtman, Bente M., Walraven, Iris, de Grouw, Elke, van der Maazen, Richard W. M., Kremer, Leontien C. M., van Dulmen-den Broeder, Eline, van den Heuvel-Eibrink, Marry M., Tissing, Wim J. E., Bresters, Dorine, van der Pal, Helena J. H., de Vries, Andrica C. H., Louwerens, Marloes, van der Heiden-van der Loo, Margriet, Neggers, Sebastian J. C., Janssens, Geert O., Blijlevens, Nicole M. A., Lambeck, Annechien J. A., Preijers, Frank, Loonen, Jacqueline J.
• Format: Journal Article
• Language: English
• Published: New York Hindawi 20.10.2023; Hindawi Limited; Wiley
• Subjects: Age; Cancer; Cancer in children; Cancer survivors; Cancer therapies; Children; Ethylenediaminetetraacetic acid; Immunoglobulin M; Immunoglobulins; Immunological memory; Immunology; Infections; Leukemia; Lymphocytes B; Lymphoma; Memory cells; Oncology, Experimental; Patients; Radiation therapy; Radiotherapy; Risk factors; Software; Spleen; Splenectomy; Tumors; Netherlands; Germany
• ISSN: 2314-8861; 2314-7156
• DOI: 10.1155/2023/5863995

Background. Childhood cancer survivors (CCS) who received radiotherapy involving the spleen or total body irradiation (TBI) might be at risk for splenic dysfunction. A comprehensive screening test for examining splenic dysfunction is lacking. Objective. We investigated whether IgM memory B-cells could be used to assess splenic dysfunction in CCS who received a splenectomy, radiotherapy involving the spleen, or TBI. Methods. All CCS were enrolled from the DCCSS-LATER cohort. We analyzed differences in IgM memory B-cells and Howell–Jolly bodies (HJB) in CCS who had a splenectomy (n = 9), received radiotherapy involving the spleen (n = 36), or TBI (n = 15). IgM memory B-cells < 9 cells/µL was defined as abnormal. Results. We observed a higher median number of IgM memory B-cells in CCS who received radiotherapy involving the spleen (31 cells/µL, p=0.06) or TBI (55 cells/µL, p = 0.03) compared to CCS who received splenectomy (20 cells/µL). However, only two CCS had IgM memory B-cells below the lower limit of normal. No difference in IgM memory B-cells was observed between CCS with HJB present and absent (35 cells/µL vs. 44 cells/µL). Conclusion. Although the number of IgM memory B-cells differed between splenectomized CCS and CCS who received radiotherapy involving the spleen or TBI, only two CCS showed abnormal values. Therefore, this assessment cannot be used to screen for splenic dysfunction.