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白血病突变FLT3-ITD保留在树突状细胞中,破坏其稳态,导致Th17频率增加。

Leukemic mutation FLT3-ITD is retained in dendritic cells and disrupts their homeostasis leading to expanded Th17 frequency.

作者信息

Flynn Patrick A, Long Mark D, Kosaka Yoko, Mulkey Jessica S, Coy Jesse L, Agarwal Anupriya, Lind Evan F

出版信息

bioRxiv. 2023 Sep 22:2023.09.19.558512. doi: 10.1101/2023.09.19.558512.

Abstract

Dendritic cells (DC) are mediators of adaptive immune responses to pathogens and tumors. DC development is determined by signaling through the receptor tyrosine kinase Fms-like tyrosine kinase 3 (FLT3) in bone marrow myeloid progenitors. Recently the naming conventions for DC phenotypes have been updated to distinguish between "Conventional" DCs (cDCs) and plasmacytoid DCs (pDCs). Activating mutations of FLT3, including Internal Tandem Duplication (FLT3-ITD), are associated with poor prognosis for leukemia patients. To date, there is little information on the effects of FLT3-ITD in DC biology. We examined the cDC phenotype and frequency in bone marrow aspirates from patients with acute myeloid leukemia (AML) to understand the changes to cDCs associated with FLT3-ITD. When compared to healthy donor (HD) we found that a subset of FLT3-ITD+ AML patient samples have overrepresented populations of cDCs and disrupted phenotypes. Using a mouse model of FLT3-ITD+ AML, we found that cDCs were increased in percentage and number compared to control wild-type (WT) mice. Single cell RNA-seq identified FLT3-ITD+ cDCs as skewed towards a cDC2 T-bet phenotype, previously shown to promote Th17 T cells. We assessed the phenotypes of CD4+ T cells in the AML mice and found significant enrichment of both Treg and Th17 CD4+ T cells. Furthermore, co-culture of AML mouse- derived DCs and naïve OT-II cells preferentially skewed T cells into a Th17 phenotype. Together, our data suggests that FLT3-ITD+ leukemia-associated cDCs polarize CD4+ T cells into Th17 subsets, a population that has been shown to be negatively associated with survival in solid tumor contexts. This illustrates the complex tumor microenvironment of AML and highlights the need for further investigation into the effects of FLT3-ITD mutations on DC phenotypes.

摘要

树突状细胞(DC)是对病原体和肿瘤产生适应性免疫反应的介质。DC的发育由骨髓髓系祖细胞中通过受体酪氨酸激酶Fms样酪氨酸激酶3(FLT3)的信号传导决定。最近,DC表型的命名惯例已更新,以区分“传统”DC(cDC)和浆细胞样DC(pDC)。FLT3的激活突变,包括内部串联重复(FLT3-ITD),与白血病患者的不良预后相关。迄今为止,关于FLT3-ITD对DC生物学影响的信息很少。我们检查了急性髓系白血病(AML)患者骨髓穿刺物中的cDC表型和频率,以了解与FLT3-ITD相关的cDC变化。与健康供体(HD)相比,我们发现一部分FLT3-ITD+ AML患者样本中cDC群体数量过多且表型紊乱。使用FLT3-ITD+ AML小鼠模型,我们发现与对照野生型(WT)小鼠相比,cDC的百分比和数量增加。单细胞RNA测序将FLT3-ITD+ cDC鉴定为偏向cDC2 T-bet表型,先前已证明该表型可促进Th17 T细胞。我们评估了AML小鼠中CD4+ T细胞的表型,发现Treg和Th17 CD4+ T细胞均显著富集。此外,AML小鼠来源的DC与幼稚OT-II细胞的共培养优先使T细胞偏向Th17表型。总之,我们的数据表明,FLT3-ITD+白血病相关的cDC将CD4+ T细胞极化为Th17亚群,在实体瘤环境中,该群体已被证明与生存率呈负相关。这说明了AML复杂的肿瘤微环境,并强调需要进一步研究FLT3-ITD突变对DC表型的影响。

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