Immunologic effects of F16-IL2 therapy.

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Immunologic effects of F16-IL2 therapy. Immunologic effects of F16-IL2 therapy. A, changes in peripheral blood lymphocyte subpopulations during therapy with F16-IL2 and LDAC as revealed by flow-cytometric analysis. The most prominent increase was observed in CD16+/CD56+ NK cells and CD8+ lymphocytes. Triangle arrows indicate infusions of F16-IL2. B, photographs of May-Grünwald–Giemsa–stained peripheral blood smears show activated lymphocytes and large granular lymphocytes (obtained from patient 2 after two infusions of F16-IL2). C, immunohistochemical staining of pre- and posttherapeutic bone marrow biopsies showed a massive influx of CD3+ and CD8+ lymphocytes as exemplified in patient 2 (CD3 staining) and patient 4 (CD8 staining). D, flow-cytometric analyses of bone marrow aspirates showed a 10-fold increase of CD8+ lymphocytes and a 38-fold increase of NK cells at the end of the first cycle (patient 4). E, cell clusters reminiscent of immunological synapse formation between activated lymphocytes and leukemic cells could be observed frequently in the bone marrow. ALC, absolute lymphocyte count. Christoph Schliemann et al. Cancer Immunol Res 2015;3:547-556 ©2015 by American Association for Cancer Research