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Breast Cancer and the Immune SystemFor a long time my laboratory has been interested in the proliferation and differentiation of lymphocytes. Various studies led us to ask how lymphoid cells might interact with other cells in the bone marrow environment, the source of hematopoietic lymphoid cells. One set of cells that acts as an interloper in this environment is metastatic cancer cells. We have focused on metastatic, osteolytic, breast cancer cells that have a predeliction to metastasize to the bone marrow. A major research question is how the cancer cells affect the osteoblasts, cells which normally replace bone. Clinical studies indicated that bone lesions are normally not repaired in this situation. We asked if the osteoblasts are dysfunctional. In vitro, co-culture experiments of osteoblasts with osteolytic, metastatic breast cancer cells revealed an increase in the prevalence of apoptosis (programmed cell death) in the osteoblasts. A second observation was that osteoblasts did not differentiate properly in the presence of breast cancer cells or their conditioned medium. The osteoblasts also underwent morphological change in the presence of the cancer cell conditioned medium. We have also been examining the effects of exercise on the immune system. We have monitored phenotypes and mitogen responsiveness of blood lymphocytes from healthy young women during exercise training. We carried out a related study to determine how exercise may affect the restoration of lymphocytes, especially the CD4 T cell levels following chemotherapy for breast cancer. In both of these studies we explored possible mechanisms for observed changes in lymphocyte subpopulations and activation status such as cytokine levels and adhesion molecules. Some of these same approaches are being used to examine blood leukocytes from elderly individuals with marginal iron/zinc status (collaboration with Naman Ahluwalia, Nutrition). Representative Publications:
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