Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells

Leukemia stem cells (LSCs) promote the disease and seem resistant to therapy and immune control. Why LSCs are selectively resistant against elimination by CD8+ cytotoxic T cells (CTLs) is still unknown. In this study, we demonstrate that LSCs in chronic myeloid leukemia (CML) can be recognized and k...

Full description

Bibliographic Details
Main Authors: Magdalena Hinterbrandner, Viviana Rubino, Carina Stoll, Stefan Forster, Noah Schnüriger, Ramin Radpour, Gabriela M. Baerlocher, Adrian F. Ochsenbein, Carsten Riether
Format: Article
Language:English
Published: American Society for Clinical investigation 2021-12-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.151797
_version_ 1811334822649397248
author Magdalena Hinterbrandner
Viviana Rubino
Carina Stoll
Stefan Forster
Noah Schnüriger
Ramin Radpour
Gabriela M. Baerlocher
Adrian F. Ochsenbein
Carsten Riether
author_facet Magdalena Hinterbrandner
Viviana Rubino
Carina Stoll
Stefan Forster
Noah Schnüriger
Ramin Radpour
Gabriela M. Baerlocher
Adrian F. Ochsenbein
Carsten Riether
author_sort Magdalena Hinterbrandner
collection DOAJ
description Leukemia stem cells (LSCs) promote the disease and seem resistant to therapy and immune control. Why LSCs are selectively resistant against elimination by CD8+ cytotoxic T cells (CTLs) is still unknown. In this study, we demonstrate that LSCs in chronic myeloid leukemia (CML) can be recognized and killed by CD8+ CTLs in vitro. However, Tregs, which preferentially localized close to CD8+ CTLs in CML BM, protected LSCs from MHC class I–dependent CD8+ CTL–mediated elimination in vivo. BM Tregs in CML were characterized by the selective expression of tumor necrosis factor receptor 4 (Tnfrsf4). Stimulation of Tnfrsf4 signaling did not deplete Tregs but reduced the capacity of Tregs to protect LSCs from CD8+ CTL–mediated killing. In the BM of newly diagnosed CML patients, TNFRSF4 mRNA levels were significantly increased and correlated with the expression of the Treg-restricted transcription factor FOXP3. Overall, these results identify Tregs as key regulators of immune escape of LSCs and TNFRSF4 as a potential target to reduce the function of Tregs and boost antileukemic immunity in CML.
first_indexed 2024-04-13T17:14:52Z
format Article
id doaj.art-aaa5ee6b3a7049b09b48d1e423a16b98
institution Directory Open Access Journal
issn 2379-3708
language English
last_indexed 2024-04-13T17:14:52Z
publishDate 2021-12-01
publisher American Society for Clinical investigation
record_format Article
series JCI Insight
spelling doaj.art-aaa5ee6b3a7049b09b48d1e423a16b982022-12-22T02:38:10ZengAmerican Society for Clinical investigationJCI Insight2379-37082021-12-01623Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cellsMagdalena HinterbrandnerViviana RubinoCarina StollStefan ForsterNoah SchnürigerRamin RadpourGabriela M. BaerlocherAdrian F. OchsenbeinCarsten RietherLeukemia stem cells (LSCs) promote the disease and seem resistant to therapy and immune control. Why LSCs are selectively resistant against elimination by CD8+ cytotoxic T cells (CTLs) is still unknown. In this study, we demonstrate that LSCs in chronic myeloid leukemia (CML) can be recognized and killed by CD8+ CTLs in vitro. However, Tregs, which preferentially localized close to CD8+ CTLs in CML BM, protected LSCs from MHC class I–dependent CD8+ CTL–mediated elimination in vivo. BM Tregs in CML were characterized by the selective expression of tumor necrosis factor receptor 4 (Tnfrsf4). Stimulation of Tnfrsf4 signaling did not deplete Tregs but reduced the capacity of Tregs to protect LSCs from CD8+ CTL–mediated killing. In the BM of newly diagnosed CML patients, TNFRSF4 mRNA levels were significantly increased and correlated with the expression of the Treg-restricted transcription factor FOXP3. Overall, these results identify Tregs as key regulators of immune escape of LSCs and TNFRSF4 as a potential target to reduce the function of Tregs and boost antileukemic immunity in CML.https://doi.org/10.1172/jci.insight.151797HematologyStem cells
spellingShingle Magdalena Hinterbrandner
Viviana Rubino
Carina Stoll
Stefan Forster
Noah Schnüriger
Ramin Radpour
Gabriela M. Baerlocher
Adrian F. Ochsenbein
Carsten Riether
Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells
JCI Insight
Hematology
Stem cells
title Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells
title_full Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells
title_fullStr Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells
title_full_unstemmed Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells
title_short Tnfrsf4-expressing regulatory T cells promote immune escape of chronic myeloid leukemia stem cells
title_sort tnfrsf4 expressing regulatory t cells promote immune escape of chronic myeloid leukemia stem cells
topic Hematology
Stem cells
url https://doi.org/10.1172/jci.insight.151797
work_keys_str_mv AT magdalenahinterbrandner tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT vivianarubino tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT carinastoll tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT stefanforster tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT noahschnuriger tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT raminradpour tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT gabrielambaerlocher tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT adrianfochsenbein tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells
AT carstenriether tnfrsf4expressingregulatorytcellspromoteimmuneescapeofchronicmyeloidleukemiastemcells