Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia
Abstract Tyrosine kinase inhibitors (TKIs) that target BCR-ABL are the frontline treatments in chronic myeloid leukemia (CML). Growing evidence has shown that TKIs also enhance immunity. Since gamma-delta T (γδT) cells possess the potent anticancer capability, here we investigated the potential invo...
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2021
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oai:doaj.org-article:9de7eaa081b649b584d078d1f35041b72021-11-21T12:42:14ZActivated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia10.1038/s41408-021-00572-72044-5385https://doaj.org/article/9de7eaa081b649b584d078d1f35041b72021-11-01T00:00:00Zhttps://doi.org/10.1038/s41408-021-00572-7https://doaj.org/toc/2044-5385Abstract Tyrosine kinase inhibitors (TKIs) that target BCR-ABL are the frontline treatments in chronic myeloid leukemia (CML). Growing evidence has shown that TKIs also enhance immunity. Since gamma-delta T (γδT) cells possess the potent anticancer capability, here we investigated the potential involvement of γδT cells in TKI treatments for CML. We characterized γδT cells isolated from chronic-phase CML patients before and during TKI treatments. γδT expression increased significantly in CML patients who achieved major molecular response (MMR) and deep molecular response (DMR). Their Vδ2 subset of γδT also expanded, and increased expression of activating molecules, namely IFN-γ, perforin, and CD107a, as well as γδT cytotoxicity. Mechanistically, TKIs augmented the efflux of isopentenyl pyrophosphate (IPP) from CML cells, which stimulated IFN-γ production and γδT expansion. Notably, the size of the IFN-γ+ naïve γδT population in TKI-treated CML patients was strongly correlated with their rates to reach DMR and with the duration on DMR. Statistical analysis suggests that a cutoff of 7.5% IFN-γ+ naïve subpopulation of γδT in CML patients could serve as a determinant for MR4.0 sustainability. Our results highlight γδT cells as a positive regulator for TKI responses in CML patients.Yu-Cheng ChangYi-Hao ChiangKate HsuChih-Kuang ChuangChen-Wei KaoYi-Fang ChangMing-Chih ChangKen-Hong LimHung-I ChengYen-Ning HsuCaleb G. ChenNature Publishing GrouparticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBlood Cancer Journal, Vol 11, Iss 11, Pp 1-10 (2021) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Yu-Cheng Chang Yi-Hao Chiang Kate Hsu Chih-Kuang Chuang Chen-Wei Kao Yi-Fang Chang Ming-Chih Chang Ken-Hong Lim Hung-I Cheng Yen-Ning Hsu Caleb G. Chen Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia |
description |
Abstract Tyrosine kinase inhibitors (TKIs) that target BCR-ABL are the frontline treatments in chronic myeloid leukemia (CML). Growing evidence has shown that TKIs also enhance immunity. Since gamma-delta T (γδT) cells possess the potent anticancer capability, here we investigated the potential involvement of γδT cells in TKI treatments for CML. We characterized γδT cells isolated from chronic-phase CML patients before and during TKI treatments. γδT expression increased significantly in CML patients who achieved major molecular response (MMR) and deep molecular response (DMR). Their Vδ2 subset of γδT also expanded, and increased expression of activating molecules, namely IFN-γ, perforin, and CD107a, as well as γδT cytotoxicity. Mechanistically, TKIs augmented the efflux of isopentenyl pyrophosphate (IPP) from CML cells, which stimulated IFN-γ production and γδT expansion. Notably, the size of the IFN-γ+ naïve γδT population in TKI-treated CML patients was strongly correlated with their rates to reach DMR and with the duration on DMR. Statistical analysis suggests that a cutoff of 7.5% IFN-γ+ naïve subpopulation of γδT in CML patients could serve as a determinant for MR4.0 sustainability. Our results highlight γδT cells as a positive regulator for TKI responses in CML patients. |
format |
article |
author |
Yu-Cheng Chang Yi-Hao Chiang Kate Hsu Chih-Kuang Chuang Chen-Wei Kao Yi-Fang Chang Ming-Chih Chang Ken-Hong Lim Hung-I Cheng Yen-Ning Hsu Caleb G. Chen |
author_facet |
Yu-Cheng Chang Yi-Hao Chiang Kate Hsu Chih-Kuang Chuang Chen-Wei Kao Yi-Fang Chang Ming-Chih Chang Ken-Hong Lim Hung-I Cheng Yen-Ning Hsu Caleb G. Chen |
author_sort |
Yu-Cheng Chang |
title |
Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia |
title_short |
Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia |
title_full |
Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia |
title_fullStr |
Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia |
title_full_unstemmed |
Activated naïve γδ T cells accelerate deep molecular response to BCR-ABL inhibitors in patients with chronic myeloid leukemia |
title_sort |
activated naïve γδ t cells accelerate deep molecular response to bcr-abl inhibitors in patients with chronic myeloid leukemia |
publisher |
Nature Publishing Group |
publishDate |
2021 |
url |
https://doaj.org/article/9de7eaa081b649b584d078d1f35041b7 |
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