慢性淋巴细胞白血病(CLL)患者的 T 细胞表现出 T 细胞耗竭的特征,但保留细胞因子产生的能力。
T cells from CLL patients exhibit features of T-cell exhaustion but retain capacity for cytokine production.
机构信息
Department of Haemato-Oncology, Barts Cancer Institute, a CR-UK Centre of Excellence, Queen Mary University of London, London, United Kingdom.
出版信息
Blood. 2013 Feb 28;121(9):1612-21. doi: 10.1182/blood-2012-09-457531. Epub 2012 Dec 17.
T-cell exhaustion, originally described in chronic viral infections, was recently reported in solid and hematologic cancers. It is not defined whether exhaustion contributes to T-cell dysfunction observed in chronic lymphocytic leukemia (CLL). We investigated the phenotype and function of T cells from CLL patients and age-matched controls. CD8+ and CD4+ T cells from CLL patients had increased expression of exhaustion markers CD244, CD160, and PD1, with expansion of a PD1+BLIMP1HI subset. These molecules were most highly expressed in the expanded population of effector T cells in CLL. CLL CD8+ T cells showed functional defects in proliferation and cytotoxicity, with the cytolytic defect caused by impaired granzyme packaging into vesicles and nonpolarized degranulation. In contrast to virally induced exhaustion, CLL T cells showed increased production of interferon-γ and TNFα and increased expression of TBET, and normal IL2 production. These defects were not restricted to expanded populations of cytomegalovirus (CMV)–specific cells, although CMV seropositivity modulated the distribution of lymphocyte subsets, the functional defects were present irrespective of CMV serostatus. Therefore, although CLL CD8+ T cells exhibit features of T-cell exhaustion, they retain the ability to produce cytokines. These findings also exclude CMV as the sole cause of T-cell defects in CLL.
T 细胞耗竭最初在慢性病毒感染中被描述,最近在实体瘤和血液系统恶性肿瘤中也有报道。目前尚不清楚耗竭是否导致慢性淋巴细胞白血病(CLL)中观察到的 T 细胞功能障碍。我们研究了 CLL 患者和年龄匹配的对照者的 T 细胞表型和功能。CLL 患者的 CD8+和 CD4+T 细胞表达了更高水平的耗竭标志物 CD244、CD160 和 PD1,同时 PD1+BLIMP1HI 亚群也有所扩增。这些分子在 CLL 中效应 T 细胞扩增群体中表达水平最高。CLL CD8+T 细胞表现出增殖和细胞毒性功能缺陷,其细胞毒性缺陷是由于颗粒酶包被到囊泡和非极化脱颗粒受损引起的。与病毒诱导的耗竭不同,CLL T 细胞表现出干扰素-γ和 TNFα产生增加以及 TBET 表达增加,同时 IL2 产生正常。这些缺陷不仅限于巨细胞病毒(CMV)特异性细胞的扩增群体,尽管 CMV 血清阳性会调节淋巴细胞亚群的分布,但无论 CMV 血清状态如何,这些功能缺陷都存在。因此,尽管 CLL CD8+T 细胞表现出 T 细胞耗竭的特征,但它们仍保留产生细胞因子的能力。这些发现也排除了 CMV 是 CLL 中 T 细胞缺陷的唯一原因。