Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL
Abstract. Acquired T cell dysfunction is a hallmark of chronic lymphocytic leukemia (CLL), and is linked to an increased risk of infections, but also reduced immune surveillance and disappointing responses to autologous T cell-based immunotherapy. The mechanisms of T cell dysfunction in CLL are not...
Main Authors: | , , , , , , , , , , |
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Format: | Article |
Language: | English |
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Wiley
2020-04-01
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Series: | HemaSphere |
Online Access: | http://journals.lww.com/10.1097/HS9.0000000000000337 |
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author | Tom Hofland Iris de Weerdt Sanne Endstra Aldo Jongejan Laura Platenkamp Ester B.M. Remmerswaal Perry D. Moerland Ineke J.M. ten Berge Mark-David Levin Arnon P. Kater Sanne H. Tonino |
author_facet | Tom Hofland Iris de Weerdt Sanne Endstra Aldo Jongejan Laura Platenkamp Ester B.M. Remmerswaal Perry D. Moerland Ineke J.M. ten Berge Mark-David Levin Arnon P. Kater Sanne H. Tonino |
author_sort | Tom Hofland |
collection | DOAJ |
description | Abstract. Acquired T cell dysfunction is a hallmark of chronic lymphocytic leukemia (CLL), and is linked to an increased risk of infections, but also reduced immune surveillance and disappointing responses to autologous T cell-based immunotherapy. The mechanisms of T cell dysfunction in CLL are not well understood. Studying immunity against chronic viruses allows for detailed analysis of the effect of CLL on T cells chronically exposed to a specific antigen. Cytomegalovirus (CMV) reactivations are rare in CLL, which corroborates with preserved CMV-specific T cell function. Epstein-Barr virus (EBV) is another herpesvirus that results in chronic infection, but unlike CMV, is characterized by subclinical reactivations in CLL patients. Since both herpesviruses induce strong CD8+ T cell responses, but have different clinical outcomes, studying these specific T cells may shed light on the mechanisms of CLL-induced T cell dysfunction.
We first analyzed the phenotype of EBV-specific CD8+ T cells in CLL and healthy controls, and found that in CLL EBV-specific CD8+ T cells are in an advanced differentiation state with higher expression of inhibitory receptors. Secondly, CLL-derived EBV-specific CD8+ T cells show reduced cytotoxic potential, in contrast to CMV-specific T cells. Finally, we performed transcriptome analysis to visualize differential modulation by CLL of these T cell subsets. While T cell activation and differentiation genes are unaffected, in EBV-specific T cells expression of genes involved in synapse formation and T cell exhaustion is altered. Our findings on the heterogeneity of antigen specific T cell function in CLL aids in understanding immune-dysregulation in this disease. |
first_indexed | 2024-03-07T17:10:21Z |
format | Article |
id | doaj.art-ffac109445dc47468b9b6719d21181a3 |
institution | Directory Open Access Journal |
issn | 2572-9241 |
language | English |
last_indexed | 2024-03-07T17:10:21Z |
publishDate | 2020-04-01 |
publisher | Wiley |
record_format | Article |
series | HemaSphere |
spelling | doaj.art-ffac109445dc47468b9b6719d21181a32024-03-03T01:48:50ZengWileyHemaSphere2572-92412020-04-0142e33710.1097/HS9.0000000000000337202004000-00001Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLLTom HoflandIris de WeerdtSanne EndstraAldo JongejanLaura PlatenkampEster B.M. RemmerswaalPerry D. MoerlandIneke J.M. ten BergeMark-David LevinArnon P. KaterSanne H. ToninoAbstract. Acquired T cell dysfunction is a hallmark of chronic lymphocytic leukemia (CLL), and is linked to an increased risk of infections, but also reduced immune surveillance and disappointing responses to autologous T cell-based immunotherapy. The mechanisms of T cell dysfunction in CLL are not well understood. Studying immunity against chronic viruses allows for detailed analysis of the effect of CLL on T cells chronically exposed to a specific antigen. Cytomegalovirus (CMV) reactivations are rare in CLL, which corroborates with preserved CMV-specific T cell function. Epstein-Barr virus (EBV) is another herpesvirus that results in chronic infection, but unlike CMV, is characterized by subclinical reactivations in CLL patients. Since both herpesviruses induce strong CD8+ T cell responses, but have different clinical outcomes, studying these specific T cells may shed light on the mechanisms of CLL-induced T cell dysfunction. We first analyzed the phenotype of EBV-specific CD8+ T cells in CLL and healthy controls, and found that in CLL EBV-specific CD8+ T cells are in an advanced differentiation state with higher expression of inhibitory receptors. Secondly, CLL-derived EBV-specific CD8+ T cells show reduced cytotoxic potential, in contrast to CMV-specific T cells. Finally, we performed transcriptome analysis to visualize differential modulation by CLL of these T cell subsets. While T cell activation and differentiation genes are unaffected, in EBV-specific T cells expression of genes involved in synapse formation and T cell exhaustion is altered. Our findings on the heterogeneity of antigen specific T cell function in CLL aids in understanding immune-dysregulation in this disease.http://journals.lww.com/10.1097/HS9.0000000000000337 |
spellingShingle | Tom Hofland Iris de Weerdt Sanne Endstra Aldo Jongejan Laura Platenkamp Ester B.M. Remmerswaal Perry D. Moerland Ineke J.M. ten Berge Mark-David Levin Arnon P. Kater Sanne H. Tonino Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL HemaSphere |
title | Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL |
title_full | Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL |
title_fullStr | Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL |
title_full_unstemmed | Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL |
title_short | Functional Differences Between EBV- and CMV-Specific CD8+ T cells Demonstrate Heterogeneity of T cell Dysfunction in CLL |
title_sort | functional differences between ebv and cmv specific cd8 t cells demonstrate heterogeneity of t cell dysfunction in cll |
url | http://journals.lww.com/10.1097/HS9.0000000000000337 |
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