Bone marrow central memory and memory stem T-cell exhaustion in AML patients relapsing after HSCT
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Bone marrow central memory and memory stem T-cell exhaustion in AML patients relapsing after HSCT. / Noviello, Maddalena; Manfredi, Francesco; Ruggiero, Eliana; Perini, Tommaso; Oliveira, Giacomo; Cortesi, Filippo; De Simone, Pantaleo; Toffalori, Cristina; Gambacorta, Valentina; Greco, Raffaella; Peccatori, Jacopo; Casucci, Monica; Casorati, Giulia; Dellabona, Paolo; Onozawa, Masahiro; Teshima, Takanori; Griffioen, Marieke; Halkes, Constantijn J M; Falkenburg, J H F; Stölzel, Friedrich; Altmann, Heidi; Bornhäuser, Martin; Waterhouse, Miguel; Zeiser, Robert; Finke, Jürgen; Cieri, Nicoletta; Bondanza, Attilio; Vago, Luca; Ciceri, Fabio; Bonini, Chiara.
in: NAT COMMUN, Jahrgang 10, Nr. 1, 25.03.2019, S. 1065.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Bone marrow central memory and memory stem T-cell exhaustion in AML patients relapsing after HSCT
AU - Noviello, Maddalena
AU - Manfredi, Francesco
AU - Ruggiero, Eliana
AU - Perini, Tommaso
AU - Oliveira, Giacomo
AU - Cortesi, Filippo
AU - De Simone, Pantaleo
AU - Toffalori, Cristina
AU - Gambacorta, Valentina
AU - Greco, Raffaella
AU - Peccatori, Jacopo
AU - Casucci, Monica
AU - Casorati, Giulia
AU - Dellabona, Paolo
AU - Onozawa, Masahiro
AU - Teshima, Takanori
AU - Griffioen, Marieke
AU - Halkes, Constantijn J M
AU - Falkenburg, J H F
AU - Stölzel, Friedrich
AU - Altmann, Heidi
AU - Bornhäuser, Martin
AU - Waterhouse, Miguel
AU - Zeiser, Robert
AU - Finke, Jürgen
AU - Cieri, Nicoletta
AU - Bondanza, Attilio
AU - Vago, Luca
AU - Ciceri, Fabio
AU - Bonini, Chiara
PY - 2019/3/25
Y1 - 2019/3/25
N2 - The major cause of death after allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for acute myeloid leukemia (AML) is disease relapse. We investigated the expression of Inhibitory Receptors (IR; PD-1/CTLA-4/TIM-3/LAG-3/2B4/KLRG1/GITR) on T cells infiltrating the bone marrow (BM) of 32 AML patients relapsing (median 251 days) or maintaining complete remission (CR; median 1 year) after HSCT. A higher proportion of early-differentiated Memory Stem (TSCM) and Central Memory BM-T cells express multiple IR in relapsing patients than in CR patients. Exhausted BM-T cells at relapse display a restricted TCR repertoire, impaired effector functions and leukemia-reactive specificities. In 57 patients, early detection of severely exhausted (PD-1+Eomes+T-bet-) BM-TSCM predicts relapse. Accordingly, leukemia-specific T cells in patients prone to relapse display exhaustion markers, absent in patients maintaining long-term CR. These results highlight a wide, though reversible, immunological dysfunction in the BM of AML patients relapsing after HSCT and suggest new therapeutic opportunities for the disease.
AB - The major cause of death after allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for acute myeloid leukemia (AML) is disease relapse. We investigated the expression of Inhibitory Receptors (IR; PD-1/CTLA-4/TIM-3/LAG-3/2B4/KLRG1/GITR) on T cells infiltrating the bone marrow (BM) of 32 AML patients relapsing (median 251 days) or maintaining complete remission (CR; median 1 year) after HSCT. A higher proportion of early-differentiated Memory Stem (TSCM) and Central Memory BM-T cells express multiple IR in relapsing patients than in CR patients. Exhausted BM-T cells at relapse display a restricted TCR repertoire, impaired effector functions and leukemia-reactive specificities. In 57 patients, early detection of severely exhausted (PD-1+Eomes+T-bet-) BM-TSCM predicts relapse. Accordingly, leukemia-specific T cells in patients prone to relapse display exhaustion markers, absent in patients maintaining long-term CR. These results highlight a wide, though reversible, immunological dysfunction in the BM of AML patients relapsing after HSCT and suggest new therapeutic opportunities for the disease.
KW - Adult
KW - Antigens, CD/genetics
KW - Antineoplastic Agents/therapeutic use
KW - Bone Marrow Cells/immunology
KW - CTLA-4 Antigen/genetics
KW - Clonal Anergy
KW - Female
KW - Gene Expression Regulation, Leukemic
KW - Glucocorticoid-Induced TNFR-Related Protein/genetics
KW - Hematopoietic Stem Cell Transplantation
KW - Hepatitis A Virus Cellular Receptor 2/genetics
KW - Humans
KW - Immunologic Memory/genetics
KW - Leukemia, Myeloid, Acute/genetics
KW - Male
KW - Middle Aged
KW - Programmed Cell Death 1 Receptor/genetics
KW - Receptors, KIR/genetics
KW - Recurrence
KW - Remission Induction
KW - Retrospective Studies
KW - Signal Transduction
KW - Signaling Lymphocytic Activation Molecule Family/genetics
KW - T-Lymphocytes/immunology
KW - Transplantation, Homologous
U2 - 10.1038/s41467-019-08871-1
DO - 10.1038/s41467-019-08871-1
M3 - SCORING: Journal article
C2 - 30911002
VL - 10
SP - 1065
JO - NAT COMMUN
JF - NAT COMMUN
SN - 2041-1723
IS - 1
ER -