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Effects of Combinatory In Vitro Treatment with Immune Checkpoint Inhibitors and Cytarabine on the Anti-Cancer Immune Microenvironment in De Novo AML Patients.

作者信息

Bołkun Łukasz, Starosz Aleksandra, Krętowska-Grunwald Anna, Wasiluk Tomasz, Walewska Alicja, Wierzbowska Agnieszka, Moniuszko Marcin, Grubczak Kamil

机构信息

Department of Haematology, Medical University of Bialystok, M. Sklodowskiej-Curie 24A, 15-276 Bialystok, Poland.

Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, J. Waszyngtona 13, 15-269 Bialystok, Poland.

出版信息

Cancers (Basel). 2024 Jan 22;16(2):462. doi: 10.3390/cancers16020462.


DOI:10.3390/cancers16020462
PMID:38275902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10814928/
Abstract

Despite substantial progress in the diagnostic and therapeutic procedures, acute myeloid leukaemia (AML) still constitutes a significant problem for patients suffering from its relapses. A comprehensive knowledge of the disease's molecular background has led to the development of targeted therapies, including immune checkpoint inhibitors, and demonstrated beneficial effects on several types of cancer. Here, we aimed to assess in vitro the potential of the immune checkpoint blockage for supporting anti-cancer responses to the AML backbone therapy with cytarabine. PBMCs of AML patients were collected at admission and, following the therapy, eight complete remission (CR) and eight non-responders (NR) subjects were selected. We assessed the effects of the in vitro treatment of the cells with cytarabine and the immune checkpoint inhibitors: anti-CTLA-4, anti-PD-1, anti-PD-L1. The study protocol allowed us to evaluate the viability of the cancer and the immune cells, proliferation status, phenotype, and cytokine release. Anti-PD-L1 antibodies were found to exert the most beneficial effect on the activation of T cells, with a concomitant regulation of the immune balance through Treg induction. There was no direct influence on the blast cells; however, the modulation of the PD-1/PD-L1 axis supported the expansion of lymphocytes. Changes in the response between CR and NR patients might result from the differential expression of PD-1 and PD-L1, with lower levels in the latter group. The tested blockers appear to support the anti-cancer immune responses rather than directly improve the effects of cytarabine. In conclusion, checkpoint proteins' modulators might improve the anti-cancer responses in the tumour environment.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/f230b51e6166/cancers-16-00462-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/f275024ea6fb/cancers-16-00462-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/38abdada5469/cancers-16-00462-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/391e2d25e786/cancers-16-00462-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/4b1ddb261784/cancers-16-00462-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/971565afe11c/cancers-16-00462-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/f230b51e6166/cancers-16-00462-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/f275024ea6fb/cancers-16-00462-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/38abdada5469/cancers-16-00462-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/391e2d25e786/cancers-16-00462-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/4b1ddb261784/cancers-16-00462-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/971565afe11c/cancers-16-00462-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d88f/10814928/f230b51e6166/cancers-16-00462-g006.jpg

相似文献

[1]
Effects of Combinatory In Vitro Treatment with Immune Checkpoint Inhibitors and Cytarabine on the Anti-Cancer Immune Microenvironment in De Novo AML Patients.

Cancers (Basel). 2024-1-22

[2]
The Association between Immune Checkpoint Proteins and Therapy Outcomes in Acute Myeloid Leukaemia Patients.

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[3]
PD-L1 Is Expressed and Promotes the Expansion of Regulatory T Cells in Acute Myeloid Leukemia.

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[4]
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[5]
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J Hematol Oncol. 2020-4-3

[6]
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[7]
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Cytometry B Clin Cytom. 2022-3

[8]
Antimetabolite pemetrexed primes a favorable tumor microenvironment for immune checkpoint blockade therapy.

J Immunother Cancer. 2020-11

[9]
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Leuk Lymphoma. 2018-4

[10]
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J Transl Med. 2022-11-22

引用本文的文献

[1]
Application of omics in the diagnosis, prognosis, and treatment of acute myeloid leukemia.

Biomark Res. 2024-6-10

本文引用的文献

[1]
A potential area of use for immune checkpoint inhibitors: Targeting bone marrow microenvironment in acute myeloid leukemia.

Front Immunol. 2023

[2]
The cytokine network in acute myeloid leukemia.

Front Immunol. 2022

[3]
Tumor immune checkpoints and their associated inhibitors.

J Zhejiang Univ Sci B. 2022-10-15

[4]
Immune Checkpoint Inhibition in Acute Myeloid Leukemia and Myelodysplastic Syndromes.

Cells. 2022-7-20

[5]
Immune-Based Therapeutic Interventions for Acute Myeloid Leukemia.

Cancer Treat Res. 2022

[6]
Immune Checkpoint Inhibitors in Acute Myeloid Leukemia: A Meta-Analysis.

Front Oncol. 2022-4-21

[7]
Inflammatory response mediates cross-talk with immune function and reveals clinical features in acute myeloid leukemia.

Biosci Rep. 2022-5-27

[8]
Immune-related gene signature predicts clinical outcomes and immunotherapy response in acute myeloid leukemia.

Cancer Med. 2022-9

[9]
Targeting PD-1/PD-L1 pathway in myelodysplastic syndromes and acute myeloid leukemia.

Exp Hematol Oncol. 2022-3-2

[10]
Phase II Trial of Pembrolizumab after High-Dose Cytarabine in Relapsed/Refractory Acute Myeloid Leukemia.

Blood Cancer Discov. 2021-11

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