Llaó-Cid L, Wong Jkl, Fernandez Botana I, Paul Y, Wierz M, Pilger L-M, Floerchinger A, Tan C L, Gonder S, Pagano G, Chazotte M, Bestak K, Schifflers C, Iskar M, Roider T, Czernilofsky F, Bruch P-M, Mallm J P, Cosma A, Campton D E, Gerhard-Hartmann E, Rosenwald A, Colomer D, Campo E, Schapiro D, Green E W, Dietrich S, Lichter P, Moussay E, Paggetti J, Zapatka M, Seiffert M
Division of Molecular Genetics, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Tumor Stroma Interactions, Department of Cancer Research, Luxembourg Institute of Health, Luxembourg, Luxembourg.
Nat Commun. 2025 Aug 7;16(1):7271. doi: 10.1038/s41467-025-61822-x.
T-cell exhaustion contributes to immunotherapy failure in chronic lymphocytic leukemia (CLL). Here, we analyze T cells from CLL patients' blood, bone marrow, and lymph nodes, as well as from a CLL mouse model, using single-cell RNA sequencing, mass cytometry, and tissue imaging. T cells in CLL lymph nodes show the most distinct profiles, with accumulation of regulatory T cells and CD8 T cells in various exhaustion states, including precursor (T) and terminally exhausted (T) cells. Integration of T-cell receptor sequencing data and use of the predicTCR classifier suggest an enrichment of CLL-reactive T cells in lymph nodes. Interactome studies reveal potential immunotherapy targets, notably galectin-9, a TIM3 ligand. Inhibiting galectin-9 in mice reduces disease progression and TIM3 T cells. Galectin-9 expression also correlates with worse survival in CLL and other cancers, suggesting its role in immune evasion and potential as a therapeutic target.
T细胞耗竭导致慢性淋巴细胞白血病(CLL)免疫治疗失败。在此,我们使用单细胞RNA测序、质谱流式细胞术和组织成像技术,分析了CLL患者血液、骨髓和淋巴结以及CLL小鼠模型中的T细胞。CLL淋巴结中的T细胞表现出最明显的特征,包括调节性T细胞和处于各种耗竭状态的CD8 T细胞(包括前体耗竭T细胞和终末耗竭T细胞)的积累。T细胞受体测序数据的整合以及predicTCR分类器的使用表明,淋巴结中富含CLL反应性T细胞。相互作用组研究揭示了潜在的免疫治疗靶点,尤其是半乳凝素-9,一种TIM3配体。在小鼠中抑制半乳凝素-9可降低疾病进展并减少TIM3+ T细胞。半乳凝素-9的表达还与CLL和其他癌症患者较差的生存率相关,表明其在免疫逃逸中的作用以及作为治疗靶点的潜力。
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