The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients

Abstract Background One of the crucial functions of the immune system is to prevent tumorigenesis, yet cancer occurs when malignant cells manage to evade immune surveillance via multiple strategies. Accordingly, this study aimed at assessing the potential significance of the novel immune checkpoint...

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Main Authors: Sara M. Radwan, Nooran S. Elleboudy, Nermeen A. Nabih, Amal El-kholy, Amany M. Kamal
Format: Article
Language:English
Published: SpringerOpen 2021-10-01
Series:Egyptian Journal of Medical Human Genetics
Subjects:
Online Access:https://doi.org/10.1186/s43042-021-00198-1
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author Sara M. Radwan
Nooran S. Elleboudy
Nermeen A. Nabih
Amal El-kholy
Amany M. Kamal
author_facet Sara M. Radwan
Nooran S. Elleboudy
Nermeen A. Nabih
Amal El-kholy
Amany M. Kamal
author_sort Sara M. Radwan
collection DOAJ
description Abstract Background One of the crucial functions of the immune system is to prevent tumorigenesis, yet cancer occurs when malignant cells manage to evade immune surveillance via multiple strategies. Accordingly, this study aimed at assessing the potential significance of the novel immune checkpoint B and T lymphocyte attenuator (BTLA) as a prognostic marker in acute myeloid leukemia (AML), in addition to how it relates to response to treatment and patients’ survival. Thus, mRNA expression of BTLA was investigated on peripheral blood in 60 AML patients and 15 healthy controls. Results BTLA expression was found to be significantly elevated (p = 0.024) in the tested AML cases in comparison with healthy controls. Moreover, BTLA was over-expressed in the CD13, CD33, and HLA-DR positive cases as compared to their negative counterparts (p = 0.003; p < 0.001, and p = 0.001, respectively), and cases showing BTLA over-expression had significantly poorer overall survival times (p = 0.001) as confirmed by Kaplan–Meier survival analysis. Conclusion These observations suggest that BTLA over-expression may be associated with reduced immunity against tumors and could be recommended as a promising biomarker for unfavorable prognosis in AML.
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spelling doaj.art-92f4c2a9ef814819b62d9260dfb5a7562022-12-21T18:25:49ZengSpringerOpenEgyptian Journal of Medical Human Genetics2090-24412021-10-012211810.1186/s43042-021-00198-1The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patientsSara M. Radwan0Nooran S. Elleboudy1Nermeen A. Nabih2Amal El-kholy3Amany M. Kamal4Biochemistry Department, Faculty of Pharmacy, Ain Shams UniversityMicrobiology and Immunology Department, Faculty of Pharmacy, Ain Shams UniversityInternal Medicine Department, Clinical Hematology Division, Faculty of Medicine, Ain Shams UniversityClinical Pharmacy Department, Faculty of Pharmacy, Ain Shams UniversityBiochemistry Department, Faculty of Pharmacy, Ain Shams UniversityAbstract Background One of the crucial functions of the immune system is to prevent tumorigenesis, yet cancer occurs when malignant cells manage to evade immune surveillance via multiple strategies. Accordingly, this study aimed at assessing the potential significance of the novel immune checkpoint B and T lymphocyte attenuator (BTLA) as a prognostic marker in acute myeloid leukemia (AML), in addition to how it relates to response to treatment and patients’ survival. Thus, mRNA expression of BTLA was investigated on peripheral blood in 60 AML patients and 15 healthy controls. Results BTLA expression was found to be significantly elevated (p = 0.024) in the tested AML cases in comparison with healthy controls. Moreover, BTLA was over-expressed in the CD13, CD33, and HLA-DR positive cases as compared to their negative counterparts (p = 0.003; p < 0.001, and p = 0.001, respectively), and cases showing BTLA over-expression had significantly poorer overall survival times (p = 0.001) as confirmed by Kaplan–Meier survival analysis. Conclusion These observations suggest that BTLA over-expression may be associated with reduced immunity against tumors and could be recommended as a promising biomarker for unfavorable prognosis in AML.https://doi.org/10.1186/s43042-021-00198-1Immune checkpointsT-cellsB and T lymphocyte attenuator (BTLA)Acute myeloid leukemia
spellingShingle Sara M. Radwan
Nooran S. Elleboudy
Nermeen A. Nabih
Amal El-kholy
Amany M. Kamal
The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients
Egyptian Journal of Medical Human Genetics
Immune checkpoints
T-cells
B and T lymphocyte attenuator (BTLA)
Acute myeloid leukemia
title The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients
title_full The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients
title_fullStr The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients
title_full_unstemmed The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients
title_short The prospective prognostic value of the immune checkpoint BTLA expression in adult acute myeloid leukemia patients
title_sort prospective prognostic value of the immune checkpoint btla expression in adult acute myeloid leukemia patients
topic Immune checkpoints
T-cells
B and T lymphocyte attenuator (BTLA)
Acute myeloid leukemia
url https://doi.org/10.1186/s43042-021-00198-1
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