Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review

Abstract Dysregulation of the innate immune system and inflammatory-related pathways has been implicated in hematopoietic defects in the bone marrow microenvironment and associated with aging, clonal hematopoiesis, myelodysplastic syndromes (MDS), and acute myeloid leukemia (AML). As the innate immu...

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Main Authors: Charan Thej Reddy Vegivinti, Praneeth Reddy Keesari, Sindhusha Veeraballi, Catarina Maria Pina Martins Maia, Ansh Krishnachandra Mehta, Rohit Reddy Lavu, Rahul Kumar Thakur, Sri Harsha Tella, Riya Patel, Venkata Kiranmayi Kakumani, Yashwitha Sai Pulakurthi, Srinivas Aluri, Ritesh Kumar Aggarwal, Nandini Ramachandra, Rongbao Zhao, Srabani Sahu, Aditi Shastri, Amit Verma
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Experimental Hematology & Oncology
Subjects:
Online Access:https://doi.org/10.1186/s40164-023-00422-1
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author Charan Thej Reddy Vegivinti
Praneeth Reddy Keesari
Sindhusha Veeraballi
Catarina Maria Pina Martins Maia
Ansh Krishnachandra Mehta
Rohit Reddy Lavu
Rahul Kumar Thakur
Sri Harsha Tella
Riya Patel
Venkata Kiranmayi Kakumani
Yashwitha Sai Pulakurthi
Srinivas Aluri
Ritesh Kumar Aggarwal
Nandini Ramachandra
Rongbao Zhao
Srabani Sahu
Aditi Shastri
Amit Verma
author_facet Charan Thej Reddy Vegivinti
Praneeth Reddy Keesari
Sindhusha Veeraballi
Catarina Maria Pina Martins Maia
Ansh Krishnachandra Mehta
Rohit Reddy Lavu
Rahul Kumar Thakur
Sri Harsha Tella
Riya Patel
Venkata Kiranmayi Kakumani
Yashwitha Sai Pulakurthi
Srinivas Aluri
Ritesh Kumar Aggarwal
Nandini Ramachandra
Rongbao Zhao
Srabani Sahu
Aditi Shastri
Amit Verma
author_sort Charan Thej Reddy Vegivinti
collection DOAJ
description Abstract Dysregulation of the innate immune system and inflammatory-related pathways has been implicated in hematopoietic defects in the bone marrow microenvironment and associated with aging, clonal hematopoiesis, myelodysplastic syndromes (MDS), and acute myeloid leukemia (AML). As the innate immune system and its pathway regulators have been implicated in the pathogenesis of MDS/AML, novel approaches targeting these pathways have shown promising results. Variability in expression of Toll like receptors (TLRs), abnormal levels of MyD88 and subsequent activation of NF-κβ, dysregulated IL1-receptor associated kinases (IRAK), alterations in TGF-β and SMAD signaling, high levels of S100A8/A9 have all been implicated in pathogenesis of MDS/AML. In this review we not only discuss the interplay of various innate immune pathways in MDS pathogenesis but also focus on potential therapeutic targets from recent clinical trials including the use of monoclonal antibodies and small molecule inhibitors against these pathways.
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spelling doaj.art-683079f0ef6041bf9cc850cc07833d732023-07-09T11:08:20ZengBMCExperimental Hematology & Oncology2162-36192023-07-0112111210.1186/s40164-023-00422-1Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative reviewCharan Thej Reddy Vegivinti0Praneeth Reddy Keesari1Sindhusha Veeraballi2Catarina Maria Pina Martins Maia3Ansh Krishnachandra Mehta4Rohit Reddy Lavu5Rahul Kumar Thakur6Sri Harsha Tella7Riya Patel8Venkata Kiranmayi Kakumani9Yashwitha Sai Pulakurthi10Srinivas Aluri11Ritesh Kumar Aggarwal12Nandini Ramachandra13Rongbao Zhao14Srabani Sahu15Aditi Shastri16Amit Verma17Department of Medicine, Jacobi Medical Center/Albert Einstein College of MedicineDepartment of Medicine, Staten Island University HospitalDepartment of Medicine, Saint Michael’s Medical CenterDepartment of Hematology and Oncology, National Institute of Health Department of Oncology, Albert Einstein College of MedicineDepartment of Oncology, Yashoda hospitalsDepartment of Medicine, Jacobi Medical Center/Albert Einstein College of MedicineDepartment of Medical Oncology, Mayo ClinicDepartment of Hematology and Oncology, University of Buffalo - Roswell Park Comprehensive Cancer CenterHarvard Medical Faculty Physicians, Beth Israel Deaconess Medical CenterDepartment of Medicine, Saint Michael’s Medical Center Department of Oncology, Albert Einstein College of Medicine Department of Oncology, Albert Einstein College of Medicine Department of Oncology, Albert Einstein College of Medicine Department of Oncology, Albert Einstein College of Medicine Department of Oncology, Albert Einstein College of Medicine Department of Oncology, Albert Einstein College of Medicine Department of Oncology, Albert Einstein College of MedicineAbstract Dysregulation of the innate immune system and inflammatory-related pathways has been implicated in hematopoietic defects in the bone marrow microenvironment and associated with aging, clonal hematopoiesis, myelodysplastic syndromes (MDS), and acute myeloid leukemia (AML). As the innate immune system and its pathway regulators have been implicated in the pathogenesis of MDS/AML, novel approaches targeting these pathways have shown promising results. Variability in expression of Toll like receptors (TLRs), abnormal levels of MyD88 and subsequent activation of NF-κβ, dysregulated IL1-receptor associated kinases (IRAK), alterations in TGF-β and SMAD signaling, high levels of S100A8/A9 have all been implicated in pathogenesis of MDS/AML. In this review we not only discuss the interplay of various innate immune pathways in MDS pathogenesis but also focus on potential therapeutic targets from recent clinical trials including the use of monoclonal antibodies and small molecule inhibitors against these pathways.https://doi.org/10.1186/s40164-023-00422-1Myelodysplastic syndromes (MDS)Acute myeloid leukemia (AML)Innate Immune pathwaysTumor microenvironment (TME)Toll like receptors (TLRs)IL1 receptor Associated kinase (IRAK)
spellingShingle Charan Thej Reddy Vegivinti
Praneeth Reddy Keesari
Sindhusha Veeraballi
Catarina Maria Pina Martins Maia
Ansh Krishnachandra Mehta
Rohit Reddy Lavu
Rahul Kumar Thakur
Sri Harsha Tella
Riya Patel
Venkata Kiranmayi Kakumani
Yashwitha Sai Pulakurthi
Srinivas Aluri
Ritesh Kumar Aggarwal
Nandini Ramachandra
Rongbao Zhao
Srabani Sahu
Aditi Shastri
Amit Verma
Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review
Experimental Hematology & Oncology
Myelodysplastic syndromes (MDS)
Acute myeloid leukemia (AML)
Innate Immune pathways
Tumor microenvironment (TME)
Toll like receptors (TLRs)
IL1 receptor Associated kinase (IRAK)
title Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review
title_full Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review
title_fullStr Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review
title_full_unstemmed Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review
title_short Role of innate immunological/inflammatory pathways in myelodysplastic syndromes and AML: a narrative review
title_sort role of innate immunological inflammatory pathways in myelodysplastic syndromes and aml a narrative review
topic Myelodysplastic syndromes (MDS)
Acute myeloid leukemia (AML)
Innate Immune pathways
Tumor microenvironment (TME)
Toll like receptors (TLRs)
IL1 receptor Associated kinase (IRAK)
url https://doi.org/10.1186/s40164-023-00422-1
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