T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy

Abstract Amyloid light‐chain (AL) is characterized by the presence of small, poorly proliferating plasma cell clones with the production and deposition of light chains into tissues. T cell changes within the tumour microenvironment in AL are poorly understood. By sequencing at a single‐cell level of...

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Autores principales: Yujia Wang, Lushuang Xu, Weijia Zhao, Xiaojie Chen, Lei Wen, Wenbing Duan, Xiao‐Juan Yu, Fu‐ De Zhou, Yang Liu, Jie Hao, Xiaojun Huang, Jin Lu, Qing Ge
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Publicado: Wiley 2021
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spelling oai:doaj.org-article:b2b678204e184ca281d2bd9be93f879a2021-11-30T07:25:38ZT cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy2001-132610.1002/ctm2.582https://doaj.org/article/b2b678204e184ca281d2bd9be93f879a2021-11-01T00:00:00Zhttps://doi.org/10.1002/ctm2.582https://doaj.org/toc/2001-1326Abstract Amyloid light‐chain (AL) is characterized by the presence of small, poorly proliferating plasma cell clones with the production and deposition of light chains into tissues. T cell changes within the tumour microenvironment in AL are poorly understood. By sequencing at a single‐cell level of CD3+ T cells purified from bone marrow (BM) and blood of newly diagnosed AL patients before and after a combination of daratumumab with cyclophosphamide, bortezomib, and dexamethasone (Dara‐BCD), we analysed the transcriptomic features of T cells and found an expansion, activation and type I cytokine upregulation in BM and circulating T cells after the treatment. More prominent changes were shown in CD8+ T cells. In particular, we found the presence of CD8+ BM resident memory T cells (TRM) with high expression of inhibitory molecules in AL patients at diagnosis. After Dara‐BCD, these TRM cells were quickly activated with downregulation of suppressive molecules and upregulation of IFNG expression. These data collectively demonstrate that Dara‐based therapy in patients with AL amyloidosis promotes anti‐tumour T cell responses. The similar transcriptomic features of BM and circulating T cells before and after therapy further provide a less invasive approach for molecular monitoring of T cell response in AL amyloidosis.Yujia WangLushuang XuWeijia ZhaoXiaojie ChenLei WenWenbing DuanXiao‐Juan YuFu‐ De ZhouYang LiuJie HaoXiaojun HuangJin LuQing GeWileyarticlebone marrow resident memory T cellsdaratumumabimmunoglobulin light chain amyloidosissingle‐cell RNA sequencingT cellsMedicine (General)R5-920ENClinical and Translational Medicine, Vol 11, Iss 11, Pp n/a-n/a (2021)
institution DOAJ
collection DOAJ
language EN
topic bone marrow resident memory T cells
daratumumab
immunoglobulin light chain amyloidosis
single‐cell RNA sequencing
T cells
Medicine (General)
R5-920
spellingShingle bone marrow resident memory T cells
daratumumab
immunoglobulin light chain amyloidosis
single‐cell RNA sequencing
T cells
Medicine (General)
R5-920
Yujia Wang
Lushuang Xu
Weijia Zhao
Xiaojie Chen
Lei Wen
Wenbing Duan
Xiao‐Juan Yu
Fu‐ De Zhou
Yang Liu
Jie Hao
Xiaojun Huang
Jin Lu
Qing Ge
T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
description Abstract Amyloid light‐chain (AL) is characterized by the presence of small, poorly proliferating plasma cell clones with the production and deposition of light chains into tissues. T cell changes within the tumour microenvironment in AL are poorly understood. By sequencing at a single‐cell level of CD3+ T cells purified from bone marrow (BM) and blood of newly diagnosed AL patients before and after a combination of daratumumab with cyclophosphamide, bortezomib, and dexamethasone (Dara‐BCD), we analysed the transcriptomic features of T cells and found an expansion, activation and type I cytokine upregulation in BM and circulating T cells after the treatment. More prominent changes were shown in CD8+ T cells. In particular, we found the presence of CD8+ BM resident memory T cells (TRM) with high expression of inhibitory molecules in AL patients at diagnosis. After Dara‐BCD, these TRM cells were quickly activated with downregulation of suppressive molecules and upregulation of IFNG expression. These data collectively demonstrate that Dara‐based therapy in patients with AL amyloidosis promotes anti‐tumour T cell responses. The similar transcriptomic features of BM and circulating T cells before and after therapy further provide a less invasive approach for molecular monitoring of T cell response in AL amyloidosis.
format article
author Yujia Wang
Lushuang Xu
Weijia Zhao
Xiaojie Chen
Lei Wen
Wenbing Duan
Xiao‐Juan Yu
Fu‐ De Zhou
Yang Liu
Jie Hao
Xiaojun Huang
Jin Lu
Qing Ge
author_facet Yujia Wang
Lushuang Xu
Weijia Zhao
Xiaojie Chen
Lei Wen
Wenbing Duan
Xiao‐Juan Yu
Fu‐ De Zhou
Yang Liu
Jie Hao
Xiaojun Huang
Jin Lu
Qing Ge
author_sort Yujia Wang
title T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
title_short T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
title_full T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
title_fullStr T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
title_full_unstemmed T cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
title_sort t cell landscape and dynamics in immunoglobulin light chain amyloidosis before and after daratumumab‐based therapy
publisher Wiley
publishDate 2021
url https://doaj.org/article/b2b678204e184ca281d2bd9be93f879a
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