Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia

Chronic lymphocytic leukemia (CLL), a highly heterogeneous B-cell malignancy, is characterized by tumor microenvironment disorder and T-cell immune dysfunction, which play a major role in the proliferation and survival of CLL cells. Ibrutinib is the first irreversible inhibitor of Bruton’s tyrosine...

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Main Authors: Yanyan Liu, Yongping Song, Qingsong Yin
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.962552/full
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author Yanyan Liu
Yongping Song
Qingsong Yin
author_facet Yanyan Liu
Yongping Song
Qingsong Yin
author_sort Yanyan Liu
collection DOAJ
description Chronic lymphocytic leukemia (CLL), a highly heterogeneous B-cell malignancy, is characterized by tumor microenvironment disorder and T-cell immune dysfunction, which play a major role in the proliferation and survival of CLL cells. Ibrutinib is the first irreversible inhibitor of Bruton’s tyrosine kinase (BTK). In addition to targeting B-cell receptor (BCR) signaling to kill tumor cells, increasing evidence has suggested that ibrutinib regulates the tumor microenvironment and T-cell immunity in a direct and indirect manner. For example, ibrutinib not only reverses the tumor microenvironment by blocking cytokine networks and toll-like receptor signaling but also regulates T cells in number, subset distribution, T-cell receptor (TCR) repertoire and immune function by inhibiting interleukin-2 inducible T-cell kinase (ITK) and reducing the expression of inhibitory receptors, and so on. In this review, we summarize the current evidence for the effects of ibrutinib on the tumor microenvironment and cellular immunity of patients with CLL, particularly for the behavior and function of T cells, explore its potential mechanisms, and provide a basis for the clinical benefits of long-term ibrutinib treatment and combined therapy based on T-cell-based immunotherapies.
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spelling doaj.art-2cbe4f59033c4453985e19d610dabbd02022-12-22T01:42:57ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-08-011310.3389/fimmu.2022.962552962552Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemiaYanyan LiuYongping SongQingsong YinChronic lymphocytic leukemia (CLL), a highly heterogeneous B-cell malignancy, is characterized by tumor microenvironment disorder and T-cell immune dysfunction, which play a major role in the proliferation and survival of CLL cells. Ibrutinib is the first irreversible inhibitor of Bruton’s tyrosine kinase (BTK). In addition to targeting B-cell receptor (BCR) signaling to kill tumor cells, increasing evidence has suggested that ibrutinib regulates the tumor microenvironment and T-cell immunity in a direct and indirect manner. For example, ibrutinib not only reverses the tumor microenvironment by blocking cytokine networks and toll-like receptor signaling but also regulates T cells in number, subset distribution, T-cell receptor (TCR) repertoire and immune function by inhibiting interleukin-2 inducible T-cell kinase (ITK) and reducing the expression of inhibitory receptors, and so on. In this review, we summarize the current evidence for the effects of ibrutinib on the tumor microenvironment and cellular immunity of patients with CLL, particularly for the behavior and function of T cells, explore its potential mechanisms, and provide a basis for the clinical benefits of long-term ibrutinib treatment and combined therapy based on T-cell-based immunotherapies.https://www.frontiersin.org/articles/10.3389/fimmu.2022.962552/fullchronic lymphocytic leukemiaibrutinibT-cell immunitytumor microenvironmentimmune regulation
spellingShingle Yanyan Liu
Yongping Song
Qingsong Yin
Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia
Frontiers in Immunology
chronic lymphocytic leukemia
ibrutinib
T-cell immunity
tumor microenvironment
immune regulation
title Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia
title_full Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia
title_fullStr Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia
title_full_unstemmed Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia
title_short Effects of ibrutinib on T-cell immunity in patients with chronic lymphocytic leukemia
title_sort effects of ibrutinib on t cell immunity in patients with chronic lymphocytic leukemia
topic chronic lymphocytic leukemia
ibrutinib
T-cell immunity
tumor microenvironment
immune regulation
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.962552/full
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AT yongpingsong effectsofibrutinibontcellimmunityinpatientswithchroniclymphocyticleukemia
AT qingsongyin effectsofibrutinibontcellimmunityinpatientswithchroniclymphocyticleukemia