TY - JOUR
T1 - Indoleamine 2,3-Dioxygenase Activity Is Increased in Myelodysplastic Syndrome Patients
AU - Yamaguchi, Kimihiro
AU - Ninomiya, Soranobu
AU - Matsumoto, Takuro
AU - Nakamura, Nobuhiko
AU - Nakamura, Hiroshi
AU - Kitagawa, Junichi
AU - Kanemura, Nobuhiro
AU - Hara, Takeshi
AU - Fujigaki, Suwako
AU - Yamamoto, Yasuko
AU - Saito, Kuniaki
AU - Tsurumi, Hisashi
AU - Shimizu, Masahito
N1 - Publisher Copyright:
© 2020 by the authors.
PY - 2020/12
Y1 - 2020/12
N2 - Tryptophan (TRP) metabolism via the indoleamine 2,3-dioxygenase (IDO) subset of the kynurenine (KYN) pathway is one of the most important mechanisms of immune escape in cancer. TRP is converted into several biologically active KYN metabolites. However, the role of KYN metabolic products and related enzymes has not been clarified in patients with hematological malignant tumors. Here, we examined the serum concentrations of TRP, KYN, and the KYN metabolites kynurenic acid, anthranilic acid, and 3-hydroxyanthranilic acid in 157 patients stratified into five different hematological malignant tumors. KYN was the most abundant product of the TRP metabolic pathway among all five diagnostic categories. Serum KYN was increased in myelodysplastic syndrome (MDS) patients. The KYN/TRP ratio was significantly higher in MDS patients than in acute myeloid leukemia patients. In conclusion, IDO activity is increased in MDS patients, and IDO inhibitors might represent a new therapeutic approach for MDS treatment.
AB - Tryptophan (TRP) metabolism via the indoleamine 2,3-dioxygenase (IDO) subset of the kynurenine (KYN) pathway is one of the most important mechanisms of immune escape in cancer. TRP is converted into several biologically active KYN metabolites. However, the role of KYN metabolic products and related enzymes has not been clarified in patients with hematological malignant tumors. Here, we examined the serum concentrations of TRP, KYN, and the KYN metabolites kynurenic acid, anthranilic acid, and 3-hydroxyanthranilic acid in 157 patients stratified into five different hematological malignant tumors. KYN was the most abundant product of the TRP metabolic pathway among all five diagnostic categories. Serum KYN was increased in myelodysplastic syndrome (MDS) patients. The KYN/TRP ratio was significantly higher in MDS patients than in acute myeloid leukemia patients. In conclusion, IDO activity is increased in MDS patients, and IDO inhibitors might represent a new therapeutic approach for MDS treatment.
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U2 - 10.3390/hemato1020011
DO - 10.3390/hemato1020011
M3 - Article
AN - SCOPUS:85178020418
SN - 2673-6357
VL - 1
SP - 77
EP - 85
JO - Hemato
JF - Hemato
IS - 2
ER -