دورية أكاديمية

Prognostic impact of the bone marrow tumor microenvironment, HLA-I and HLA-Ib expression in MDS and CMML progression to sAML.

التفاصيل البيبلوغرافية
العنوان: Prognostic impact of the bone marrow tumor microenvironment, HLA-I and HLA-Ib expression in MDS and CMML progression to sAML.
المؤلفون: Bauer M; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Jäkel N; Department of Hematology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Wilfer A; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany.; Krukenberg Cancer Center Halle, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Haak A; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Eszlinger M; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Kelemen K; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Haemmerle M; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Al-Ali HK; Department of Hematology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany.; Krukenberg Cancer Center Halle, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany., Seliger B; Medical Faculty, Martin Luther University Halle-Wittenberg, Halle, Germany.; Medical Faculty, Fraunhofer Institute for Cell Therapy and Immunology, Leipzig, Germany.; Institute of Translational Immunology, Medical School 'Theodor Fontane', Brandenburg an der Havel, Germany., Wickenhauser C; Institute of Pathology, University Hospital Halle, Martin Luther University Halle-Wittenberg, Halle, Germany.
المصدر: Oncoimmunology [Oncoimmunology] 2024 Mar 06; Vol. 13 (1), pp. 2323212. Date of Electronic Publication: 2024 Mar 06 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101570526 Publication Model: eCollection Cited Medium: Internet ISSN: 2162-402X (Electronic) Linking ISSN: 21624011 NLM ISO Abbreviation: Oncoimmunology Subsets: MEDLINE
أسماء مطبوعة: Publication: 2015- : Philadelphia, PA : Taylor & Francis
Original Publication: Austin, TX : Landes Bioscience
مواضيع طبية MeSH: HLA-G Antigens*/metabolism , Bone Marrow*/metabolism, Humans ; Prognosis ; Tumor Microenvironment/genetics ; CD8-Positive T-Lymphocytes
مستخلص: Genetic aberrations and immune escape are fundamental in MDS and CMML initiation and progression to sAML. Therefore, quantitative and spatial immune cell organization, expression of immune checkpoints (ICP), classical human leukocyte antigen class I (HLA-I) and the non-classical HLA-Ib antigens were analyzed in 274 neoplastic and 50 non-neoplastic bone marrow (BM) biopsies using conventional and multiplex immunohistochemistry and correlated to publicly available dataset. Higher numbers of tissue infiltrating lymphocytes (TILs) were found in MDS/CMML (8.8%) compared to sAML (7.5%) and non-neoplastic BM (5.3%). Higher T cell abundance, including the CD8 + T cell subset, inversely correlated with the number of pathogenic mutations and was associated with blast BM counts, ICP expression, spatial T cell distribution and improved patients' survival in MDS and CMML. In MDS/CMML, higher PD-1/PD-L1/PD-L2 and HLA-I, but lower HLA-G expression correlated with a significantly better patients' outcome. Moreover, a closer spatial proximity of T cell subpopulations and their proximity to myeloid blasts showed a stronger prognostic impact when compared to TIL numbers. In sAML - the continuum of MDS and CMML - the number of TILs had no impact on prognosis, but higher CD28 and HLA-I expression correlated with a better outcome of sAML patients. This study underlines the independent prognostic value of the tumor microenvironment in MDS/CMML progression to sAML, which shows the most pronounced immune escape. Moreover, new prognostic markers, like HLA-G expression and spatial T cell distribution, were described for the first time, which might also serve as therapeutic targets.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.)
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فهرسة مساهمة: Keywords: HLA-G; HLA-I; TILs; immune escape; myeloid neoplasm; spatial immune cell organization; tumor microenvironment
المشرفين على المادة: 0 (HLA-G Antigens)
تواريخ الأحداث: Date Created: 20240314 Date Completed: 20240315 Latest Revision: 20240315
رمز التحديث: 20240315
مُعرف محوري في PubMed: PMC10936680
DOI: 10.1080/2162402X.2024.2323212
PMID: 38481730
قاعدة البيانات: MEDLINE
الوصف
تدمد:2162-402X
DOI:10.1080/2162402X.2024.2323212