AI Article Synopsis

  • Leukemia, a common and serious childhood cancer, has a poor prognosis, and targeting immune checkpoints might offer new treatment options.
  • A study assessed T cells in pediatric leukemia patients, finding higher levels of a specific type of immune cell (CD103CD8 T cells) in those who achieved complete remission compared to those who relapsed, with lower levels of exhaustion markers like PD-1.
  • The results suggest that monitoring these T cell characteristics could help predict treatment outcomes in leukemia patients and guide future therapies.

Article Abstract

Background: Leukemia is a prevalent pediatric life-threatening hematologic malignancy with a poor prognosis. Targeting immune checkpoints (ICs) to reverse T cell exhaustion is a potentially effective treatment for leukemia. Tissue resident memory T (T) cells have been found to predict the efficacy of programmed death receptor-1 inhibitor (anti-PD-1) therapy in solid tumors. However, the IC characteristics of T cells in leukemia and their relationship with prognosis remain unclear.

Methods: We employed multi-color flow cytometry to evaluate the frequencies of CD103CD4 and CD103CD8 T cells in the peripheral blood (PB) of patients with acute myeloid leukemia and B-cell acute lymphoblastic leukemia compared to healthy individuals. We examined the expression patterns of PD-1 and T cell immunoreceptor with immunoglobulin and ITIM domain (TIGIT) within the circulating CD103 T cell subsets affected by leukemia. To further elucidate the immunological landscape, we assessed the differentiation status of CD103 T cells across various disease states in patients with leukemia.

Results: Our findings showed a significant increase in the frequency of CD103CD8 T cells in the PB of patients with leukemia who had achieved complete remission (CR) compared to those in the and relapsed/refractory (RR) stages. This increase was accompanied by a notable decrease in the expression levels of PD-1 and TIGIT in CD103CD8 T cells in the CR stage. Additionally, our analysis revealed a higher proportion of CD103CD8 T cells in the central memory (TCM) and effector memory (TEM) subsets of the immune profile. Notably, the proportions of CD103 naïve T cells, CD103 TEM, and CD103 terminally differentiated T cells within the CD8 T cell population were significantly elevated in patients with CR compared to those in the /RR stages.

Conclusion: The data indicate that circulating higher frequency of CD103CD8 T cells with lower expression of PD-1 and TIGIT are associated with favorable outcomes in patients with leukemia. This suggests a potential role of T cells in leukemia prognosis and provides a foundation for developing targeted immunotherapies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465237PMC
http://dx.doi.org/10.3389/fimmu.2024.1437726DOI Listing

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