Luo Yixin, Vermeer Maarten H, de Gruijl Frank R, Zoutman Willem H, Sluijter Marjolein, van Hall Thorbald, Tensen Cornelis P
Department of Dermatology, Leiden University Medical Center, Leiden, Netherlands.
Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, Netherlands.
Front Oncol. 2022 Nov 24;12:1031052. doi: 10.3389/fonc.2022.1031052. eCollection 2022.
Mycosis fungoides (MF), the most common type of Cutaneous T cell Lymphoma (CTCL), is characterized by an inflamed skin intermixed with proliferating malignant mature skin-homing CD4+ T cells. Detailed genomic analyses of MF skin biopsies revealed several candidate genes possibly involved in genesis of these tumors and/or potential targets for therapy. These studies showed, in addition to common loss of cell cycle regulator CDKN2A, activation of several oncogenic pathways, most prominently and consistently involving JAK/STAT signaling. SOCS1, an endogenous inhibitor of the JAK/STAT signaling pathway, was identified as a recurrently deleted gene in MF, already occurring in the earliest stages of the disease.
To explore the mechanisms of MF, we create mouse models of autochthonous CTCLs and these genetically engineered mouse models (GEMMS) can also serve as valid experimental models for targeted therapy. We describe the impact of allelic deletion of in CD4 T cells of the skin. To achieve this, we crossed inducible Cre-transgenic mice in the CD4 lineage with transgenic mice carrying floxed genes of . We first determined optimal conditions for ablation with limited effects on circulating CD4 T-cells in blood. Next, we started time-course experiments mimicking sustained inflammation, typical in CTCL. FACS analysis of the blood was done every week. Skin biopsies were analyzed by immunocytochemical staining at the end of the experiment.
We found that the knockout transgenic group had thicker epidermis of treated skin compared with the control group and had more CD3 and CD4 in the skin of the transgenic group compared to the control group. We also noted more activation of by staining for P-Stat3 in knockout compared to wt CD4+T cells in the skin. The results also indicated that single copy loss of in combination with sustained inflammation is insufficient to start a phenotype resembling early stage mycosis fungoides within eight weeks in these mice.
In sum, we developed and optimized an autochthonous murine model permitting selective knockout of in skin infiltrating CD4 T-cells. This paves the way for more elaborate experiments to gain insight in the oncogenesis of CTCL.
蕈样肉芽肿(MF)是皮肤T细胞淋巴瘤(CTCL)最常见的类型,其特征是炎症性皮肤中混有增殖的恶性成熟皮肤归巢CD4⁺T细胞。对MF皮肤活检的详细基因组分析揭示了几个可能参与这些肿瘤发生和/或潜在治疗靶点的候选基因。这些研究表明,除了细胞周期调节因子CDKN2A的常见缺失外,还激活了几条致癌途径,最显著且一致涉及JAK/STAT信号通路。SOCS1是JAK/STAT信号通路的内源性抑制剂,被鉴定为MF中反复缺失的基因,在疾病的最早阶段就已出现。
为了探究MF的发病机制,我们创建了自发性CTCL的小鼠模型,这些基因工程小鼠模型(GEMMs)也可作为靶向治疗的有效实验模型。我们描述了皮肤CD4 T细胞中等位基因缺失的影响。为实现这一点,我们将CD4谱系中的诱导型Cre转基因小鼠与携带基因的floxed基因的转基因小鼠进行杂交。我们首先确定了对循环血液中CD4 T细胞影响有限的基因敲除最佳条件。接下来,我们开始了模拟CTCL中典型持续炎症的时间进程实验。每周对血液进行流式细胞术分析。实验结束时通过免疫细胞化学染色分析皮肤活检样本。
我们发现,与对照组相比,基因敲除转基因组处理皮肤的表皮更厚,且转基因组皮肤中的CD3和CD4比对照组更多。我们还注意到,与皮肤中的野生型CD4⁺T细胞相比,基因敲除组中P-Stat3染色显示的基因激活更多。结果还表明,在这些小鼠中,基因单拷贝缺失与持续炎症相结合不足以在八周内引发类似早期蕈样肉芽肿的表型。
总之,我们开发并优化了一种自发性小鼠模型,可在皮肤浸润性CD4 T细胞中选择性敲除基因。这为更深入的实验铺平了道路,以深入了解CTCL的肿瘤发生机制。