Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma

Summary: Neuroblastoma is a lethal childhood solid tumor of developing peripheral nerves. Two percent of children with neuroblastoma develop opsoclonus myoclonus ataxia syndrome (OMAS), a paraneoplastic disease characterized by cerebellar and brainstem-directed autoimmunity but typically with outsta...

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Main Authors: Miriam I. Rosenberg, Erez Greenstein, Martin Buchkovich, Ayelet Peres, Eric Santoni-Rugiu, Lei Yang, Martin Mikl, Zalman Vaksman, David L. Gibbs, Dan Reshef, Amy Salovin, Meredith S. Irwin, Arlene Naranjo, Igor Ulitsky, Pedro A. de Alarcon, Katherine K. Matthay, Victor Weigman, Gur Yaari, Jessica A. Panzer, Nir Friedman, John M. Maris
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Cell Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211124723008902
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author Miriam I. Rosenberg
Erez Greenstein
Martin Buchkovich
Ayelet Peres
Eric Santoni-Rugiu
Lei Yang
Martin Mikl
Zalman Vaksman
David L. Gibbs
Dan Reshef
Amy Salovin
Meredith S. Irwin
Arlene Naranjo
Igor Ulitsky
Pedro A. de Alarcon
Katherine K. Matthay
Victor Weigman
Gur Yaari
Jessica A. Panzer
Nir Friedman
John M. Maris
author_facet Miriam I. Rosenberg
Erez Greenstein
Martin Buchkovich
Ayelet Peres
Eric Santoni-Rugiu
Lei Yang
Martin Mikl
Zalman Vaksman
David L. Gibbs
Dan Reshef
Amy Salovin
Meredith S. Irwin
Arlene Naranjo
Igor Ulitsky
Pedro A. de Alarcon
Katherine K. Matthay
Victor Weigman
Gur Yaari
Jessica A. Panzer
Nir Friedman
John M. Maris
author_sort Miriam I. Rosenberg
collection DOAJ
description Summary: Neuroblastoma is a lethal childhood solid tumor of developing peripheral nerves. Two percent of children with neuroblastoma develop opsoclonus myoclonus ataxia syndrome (OMAS), a paraneoplastic disease characterized by cerebellar and brainstem-directed autoimmunity but typically with outstanding cancer-related outcomes. We compared tumor transcriptomes and tumor-infiltrating T and B cell repertoires from 38 OMAS subjects with neuroblastoma to 26 non-OMAS-associated neuroblastomas. We found greater B and T cell infiltration in OMAS-associated tumors compared to controls and showed that both were polyclonal expansions. Tertiary lymphoid structures (TLSs) were enriched in OMAS-associated tumors. We identified significant enrichment of the major histocompatibility complex (MHC) class II allele HLA-DOB∗01:01 in OMAS patients. OMAS severity scores were associated with the expression of several candidate autoimmune genes. We propose a model in which polyclonal auto-reactive B lymphocytes act as antigen-presenting cells and drive TLS formation, thereby supporting both sustained polyclonal T cell-mediated anti-tumor immunity and paraneoplastic OMAS neuropathology.
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spelling doaj.art-506516905d124cd99326d2bc5f05f4f12023-08-31T05:02:01ZengElsevierCell Reports2211-12472023-08-01428112879Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastomaMiriam I. Rosenberg0Erez Greenstein1Martin Buchkovich2Ayelet Peres3Eric Santoni-Rugiu4Lei Yang5Martin Mikl6Zalman Vaksman7David L. Gibbs8Dan Reshef9Amy Salovin10Meredith S. Irwin11Arlene Naranjo12Igor Ulitsky13Pedro A. de Alarcon14Katherine K. Matthay15Victor Weigman16Gur Yaari17Jessica A. Panzer18Nir Friedman19John M. Maris20Hebrew University of Jerusalem, Edmond Safra Campus, Givat Ram, Jerusalem 91904, Israel; Corresponding authorDepartment of Immunology, Weizmann Institute of Science, Rehovot 7610001, IsraelQ2 Solutions, Durham, NC, USABio-engineering, Faculty of Engineering, Bar Ilan University, Ramat Gan, Israel; Bar Ilan Institute of Nanotechnologies and Advanced Materials, Bar Ilan University, Ramat Gan, IsraelDepartment of Pathology, Rigshospitalet, Copenhagen University Hospital and Department of Clinical Medicine, University of Copenhagen, 2100 Copenhagen, DenmarkPacific Northwest Research Institute, Seattle, WA 98122, USADepartment of Human Biology, Faculty of Natural Sciences, University of Haifa, Mount Carmel, Haifa 31905, IsraelNew York Genome Center, New York, NY 10013, USAInstitute for Systems Biology, 401 Terry Avenue N, Seattle, WA 98109, USADepartment of Immunology, Weizmann Institute of Science, Rehovot 7610001, IsraelDivision of Neurology, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USADepartment of Pediatrics and Division of Hematology-Oncology, Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, ON M5G1X8, CanadaDepartment of Biostatistics, University of Florida, Children’s Oncology Group Statistics & Data Center, Gainesville, FL, USADepartment of Immunology & Regenerative Biology, Weizmann Institute of Science, Rehovot 7610001, IsraelDepartment of Pediatrics, Hematology/Oncology, University of Illinois College of Medicine Peoria, Peoria, IL 61605, USADepartment of Pediatrics, UCSF School of Medicine, San Francisco, CA 94143, USAQ2 Solutions, Durham, NC, USABio-engineering, Faculty of Engineering, Bar Ilan University, Ramat Gan, Israel; Bar Ilan Institute of Nanotechnologies and Advanced Materials, Bar Ilan University, Ramat Gan, IsraelDivision of Neurology, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USADepartment of Immunology, Weizmann Institute of Science, Rehovot 7610001, IsraelDepartment of Pediatrics and Division of Oncology, Children’s Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA; Corresponding authorSummary: Neuroblastoma is a lethal childhood solid tumor of developing peripheral nerves. Two percent of children with neuroblastoma develop opsoclonus myoclonus ataxia syndrome (OMAS), a paraneoplastic disease characterized by cerebellar and brainstem-directed autoimmunity but typically with outstanding cancer-related outcomes. We compared tumor transcriptomes and tumor-infiltrating T and B cell repertoires from 38 OMAS subjects with neuroblastoma to 26 non-OMAS-associated neuroblastomas. We found greater B and T cell infiltration in OMAS-associated tumors compared to controls and showed that both were polyclonal expansions. Tertiary lymphoid structures (TLSs) were enriched in OMAS-associated tumors. We identified significant enrichment of the major histocompatibility complex (MHC) class II allele HLA-DOB∗01:01 in OMAS patients. OMAS severity scores were associated with the expression of several candidate autoimmune genes. We propose a model in which polyclonal auto-reactive B lymphocytes act as antigen-presenting cells and drive TLS formation, thereby supporting both sustained polyclonal T cell-mediated anti-tumor immunity and paraneoplastic OMAS neuropathology.http://www.sciencedirect.com/science/article/pii/S2211124723008902CP: CancerCP: Immunology
spellingShingle Miriam I. Rosenberg
Erez Greenstein
Martin Buchkovich
Ayelet Peres
Eric Santoni-Rugiu
Lei Yang
Martin Mikl
Zalman Vaksman
David L. Gibbs
Dan Reshef
Amy Salovin
Meredith S. Irwin
Arlene Naranjo
Igor Ulitsky
Pedro A. de Alarcon
Katherine K. Matthay
Victor Weigman
Gur Yaari
Jessica A. Panzer
Nir Friedman
John M. Maris
Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
Cell Reports
CP: Cancer
CP: Immunology
title Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
title_full Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
title_fullStr Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
title_full_unstemmed Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
title_short Polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
title_sort polyclonal lymphoid expansion drives paraneoplastic autoimmunity in neuroblastoma
topic CP: Cancer
CP: Immunology
url http://www.sciencedirect.com/science/article/pii/S2211124723008902
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