Abstract

Aim:To analyze the effects of subcutaneous or intravenous rituximab + lymphokine-activated killer cells, obinutuzumab or ibrutinib on natural killer (NK) cell levels in chronic lymphocytic leukemia and follicular lymphoma patients.Patients & methods:The distribution of peripheral blood NK cells of 31 patients was analyzed by flow cytometry.Results:We detected a decrease of NK cells in peripheral blood below normal range after obinutuzumab treatment. During maintenance treatment with subcutaneous rituximab, an NK cell reduction was less pronounced than after intravenous rituximab treatment, despite lymphokine-activated killer cell infusions.Conclusion:After one dose of obinutuzumab, each NK cell in peripheral blood destroys 25 leukemic cells.

Highlights

  • Author contributions R Garcıa-Munoz, J Feliu, J Anton-Remırez, L Aguinaga, C Panizo and E Domınguez-Garrido contributed to the study design, data analysis, interpretation, and wrote the paper

  • The monoclonal antibodies or TriKE assumes the function of a general who guides his brave warriors (expansions of LAKs, natural killer (NK) cells or γδ T cells) into battle

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Summary

Objectives

To analyze the effects of subcutaneous or intravenous rituximab + lymphokine-activated killer cells, obinutuzumab or ibrutinib on natural killer (NK) cell levels in chronic lymphocytic leukemia and follicular lymphoma patients

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