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CLL 中 T 细胞功能障碍是通过 CLL 细胞上表达的 Siglec-10 配体 CD24 和 CD52 介导的。

T-cell dysfunction in CLL is mediated through expression of Siglec-10 ligands CD24 and CD52 on CLL cells.

机构信息

Department of Hematology, Cancer Center Amsterdam, Lymphoma and Myeloma Center Amsterdam, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Department of Experimental Immunology, Amsterdam Infection & Immunity Institute, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Blood Adv. 2024 Sep 10;8(17):4633-4646. doi: 10.1182/bloodadvances.2023011934.

Abstract

Autologous T-cell-based therapies, such as chimeric antigen receptor (CAR) T-cell therapy, exhibit low success rates in chronic lymphocytic leukemia (CLL) and correlate with a dysfunctional T-cell phenotype observed in patients. Despite various proposed mechanisms of T-cell dysfunction in CLL, the specific CLL-derived factors responsible remain unidentified. This study aimed to investigate the mechanisms through which CLL cells suppress CAR T-cell activation and function. We found that CLL-derived T cells get activated, albeit in a delayed fashion, and specifically that restimulation of CAR T cells in the presence of CLL cells causes impaired cytokine production and reduced proliferation. Notably, coculture of T cells with CD40-activated CLL cells did not lead to T-cell dysfunction, and this required direct cell contact between the CD40-stimulated CLL cells and T cells. Inhibition of kinases involved in the CD40 signaling cascade revealed that the Spare Respiratory Capacity (SRC) kinase inhibitor dasatinib prevented rescue of T-cell function independent of CD40-mediated increased levels of costimulatory and adhesion ligands on CLL cells. Transcriptome profiling of CD40-stimulated CLL cells with or without dasatinib identified widespread differential gene expression. Selecting for surface receptor genes revealed CD40-mediated downregulation of the Sialic acid-binding Ig-like lectin 10 (Siglec-10) ligands CD24 and CD52, which was prevented by dasatinib, suggesting a role for these ligands in functional T-cell suppression in CLL. Indeed, blocking CD24 and/or CD52 markedly reduced CAR T-cell dysfunction upon coculture with resting CLL cells. These results demonstrated that T cells derived from CLL patients can be reinvigorated by manipulating CLL-T-cell interactions. Targeting CD24- and CD52-mediated CLL-T-cell interaction could be a promising therapeutic strategy to enhance T-cell function in CLL.

摘要

自体 T 细胞疗法,如嵌合抗原受体(CAR)T 细胞疗法,在慢性淋巴细胞白血病(CLL)中的成功率较低,这与患者中观察到的功能失调的 T 细胞表型相关。尽管已经提出了 CLL 中 T 细胞功能障碍的各种机制,但具体的 CLL 衍生因素仍未确定。本研究旨在探讨 CLL 细胞抑制 CAR T 细胞激活和功能的机制。我们发现,CLL 衍生的 T 细胞虽然激活时间较晚,但确实会被激活,特别是在存在 CLL 细胞的情况下再刺激 CAR T 细胞会导致细胞因子产生减少和增殖减少。值得注意的是,T 细胞与 CD40 激活的 CLL 细胞共培养不会导致 T 细胞功能障碍,而这需要 CD40 刺激的 CLL 细胞与 T 细胞之间的直接细胞接触。参与 CD40 信号级联的激酶抑制剂的抑制作用表明,Spare Respiratory Capacity(SRC)激酶抑制剂 dasatinib 可防止 T 细胞功能的恢复,而与 CD40 介导的 CLL 细胞上共刺激和粘附配体水平的增加无关。用或不用 dasatinib 对 CD40 刺激的 CLL 细胞进行转录组谱分析,发现广泛的差异基因表达。选择表面受体基因表明,CD40 介导的 Siglec-10(Siglec-10)配体 CD24 和 CD52 的下调,而 dasatinib 可阻止这种下调,表明这些配体在 CLL 中功能性 T 细胞抑制中起作用。事实上,在与静止的 CLL 细胞共培养时,阻断 CD24 和/或 CD52 可显著减少 CAR T 细胞的功能障碍。这些结果表明,通过操纵 CLL-T 细胞相互作用,可以使源自 CLL 患者的 T 细胞恢复活力。靶向 CD24 和 CD52 介导的 CLL-T 细胞相互作用可能是增强 CLL 中 T 细胞功能的一种很有前途的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4482/11401197/e9f512ac54d8/BLOODA_ADV-2023-011934-ga1.jpg

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