Cancer Research Center of Lyon, UMR INSERM 1052, CNRS 5286, Université Claude Bernard Lyon 1, Labex DEV2CAN, Centre Léon Bérard, 69008 Lyon, France.
Hematology Department-Centre Léon Bérard, 69008 Lyon, France.
Cells. 2024 Aug 30;13(17):1458. doi: 10.3390/cells13171458.
Chronic lymphocytic leukemia (CLL) is a B-cell-derived hematologic malignancy whose progression depends on active B-cell receptor (BCR) signaling. Despite the spectacular efficacy of Ibrutinib, an irreversible inhibitor of Bruton tyrosine kinase (BTK), resistance can develop in CLL patients, and alternative therapeutic strategies are therefore required. Cancer immunotherapy has revolutionized cancer care and may be an attractive approach in this context. We speculated that characterizing the immune responses of CLL patients may highlight putative immunotherapeutic targets. Here, we used high-dimensional spectral flow cytometry to compare the distribution and phenotype of non-B-cell immune populations in the circulating blood of CLL patients treated with Ibrutinib displaying a complete response or secondary progression. Although no drastic changes were observed in the composition of their immune subsets, the Ibrutinib-resistant group showed increased cycling of CD8+ T cells, leading to their overabundance at the expense of dendritic cells. In addition, the expression of 11 different surface checkpoints was similar regardless of response status. Together, this suggests that CLL relapse upon Ibrutinib treatment may not lead to major alterations in the peripheral immune response.
慢性淋巴细胞白血病(CLL)是一种 B 细胞来源的血液恶性肿瘤,其进展依赖于活跃的 B 细胞受体(BCR)信号。尽管伊布替尼(一种不可逆的布鲁顿酪氨酸激酶(BTK)抑制剂)疗效显著,但 CLL 患者仍可能产生耐药性,因此需要替代的治疗策略。癌症免疫疗法彻底改变了癌症治疗方法,在这种情况下可能是一种有吸引力的方法。我们推测,对 CLL 患者免疫反应的特征分析可能突出潜在的免疫治疗靶点。在这里,我们使用高维光谱流式细胞术比较了接受伊布替尼治疗的完全缓解或继发进展的 CLL 患者循环血液中非 B 细胞免疫群体的分布和表型。尽管免疫亚群的组成没有明显变化,但伊布替尼耐药组显示 CD8+T 细胞的循环增加,导致其过度增殖,而树突状细胞减少。此外,无论反应状态如何,11 种不同表面检查点的表达相似。综上所述,这表明伊布替尼治疗后 CLL 的复发可能不会导致外周免疫反应的重大改变。