BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia

Patients with chronic lymphocytic leukemia (CLL) progressively develop marked immunosuppression, dampening innate and adaptive-driven antitumor responses. However, the underlying mechanisms promoting immune exhaustion are largely unknown. Herein, we provide new insights into the role of BTLA/HVEM ax...

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Authors: Sordo-Bahamonde, Christian; Lorenzo-Herrero, Seila; Martínez-Pérez, Alejandra; Gonzalez-Rodriguez, Ana P.; Payer, Ángel R.; González García, Esther; Aguilar-García, Candelaria; González-Rodríguez, Sara; López-Soto, Alejandro; García-Torre, Alejandra; Gonzalez, Segundo
Format: Article
Status:Published version
Publication date:2023
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/70232
Online Access:http://hdl.handle.net/10230/70232
http://dx.doi.org/10.1007/s00262-023-03435-1
Access Level:Open access
Keyword:CLL
Leukemia
T cell
BTLA
HVEM
Checkpoint
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author Sordo-Bahamonde, Christian
author2 Lorenzo-Herrero, Seila
Martínez-Pérez, Alejandra
Gonzalez-Rodriguez, Ana P.
Payer, Ángel R.
González García, Esther
Aguilar-García, Candelaria
González-Rodríguez, Sara
López-Soto, Alejandro
García-Torre, Alejandra
Gonzalez, Segundo
author2_role author
author
author
author
author
author
author
author
author
author
author_browse Aguilar-García, Candelaria
García-Torre, Alejandra
Gonzalez, Segundo
Gonzalez-Rodriguez, Ana P.
González García, Esther
González-Rodríguez, Sara
Lorenzo-Herrero, Seila
López-Soto, Alejandro
Martínez-Pérez, Alejandra
Payer, Ángel R.
Sordo-Bahamonde, Christian
author_facet Sordo-Bahamonde, Christian
Lorenzo-Herrero, Seila
Martínez-Pérez, Alejandra
Gonzalez-Rodriguez, Ana P.
Payer, Ángel R.
González García, Esther
Aguilar-García, Candelaria
González-Rodríguez, Sara
López-Soto, Alejandro
García-Torre, Alejandra
Gonzalez, Segundo
author_role author
collection Recercat. Dipósit de la Recerca de Catalunya
description Patients with chronic lymphocytic leukemia (CLL) progressively develop marked immunosuppression, dampening innate and adaptive-driven antitumor responses. However, the underlying mechanisms promoting immune exhaustion are largely unknown. Herein, we provide new insights into the role of BTLA/HVEM axis promoting defects in T cell-mediated responses against leukemic cells. Increased expression of BTLA, an inhibitory immune checkpoint, was detected on the surface of CD4 + and CD8 + T lymphocytes in patients with CLL. Moreover, high levels of BTLA on CD4 + T cells correlated with diminished time to treatment. Signaling through BTLA activation led to decreased IL-2 and IFN-γ production ex vivo, whereas BTLA/HVEM binding disruption enhanced IFN-γ + CD8 + T lymphocytes. Accordingly, BTLA blockade in combination with bispecific anti-CD3/anti-CD19 antibody promoted CD8 + T cell-mediated anti-leukemic responses. Finally, treatment with an anti-BLTA blocking monoclonal antibody alone or in combination with ibrutinib-induced leukemic cell depletion in vitro. Altogether, our data reveal that BTLA dysregulation has a prognostic role and is limiting T cell-driven antitumor responses, thus providing new insights about immune exhaustion in patients with CLL.
eu_rights_str_mv openAccess
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id ES_8360e4ecc47e00a019958f23f42b756f
institution Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:recercat.cat:10230/70232
publishDate 2023
publishDateSort 2023
publisher Nature Research
publisherStr Nature Research
reponame_str Recercat. Dipósit de la Recerca de Catalunya
spelling BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia Sordo-Bahamonde, Christian Lorenzo-Herrero, Seila Martínez-Pérez, Alejandra Gonzalez-Rodriguez, Ana P. Payer, Ángel R. González García, Esther Aguilar-García, Candelaria González-Rodríguez, Sara López-Soto, Alejandro García-Torre, Alejandra Gonzalez, Segundo CLL Leukemia T cell BTLA HVEM Checkpoint Patients with chronic lymphocytic leukemia (CLL) progressively develop marked immunosuppression, dampening innate and adaptive-driven antitumor responses. However, the underlying mechanisms promoting immune exhaustion are largely unknown. Herein, we provide new insights into the role of BTLA/HVEM axis promoting defects in T cell-mediated responses against leukemic cells. Increased expression of BTLA, an inhibitory immune checkpoint, was detected on the surface of CD4 + and CD8 + T lymphocytes in patients with CLL. Moreover, high levels of BTLA on CD4 + T cells correlated with diminished time to treatment. Signaling through BTLA activation led to decreased IL-2 and IFN-γ production ex vivo, whereas BTLA/HVEM binding disruption enhanced IFN-γ + CD8 + T lymphocytes. Accordingly, BTLA blockade in combination with bispecific anti-CD3/anti-CD19 antibody promoted CD8 + T cell-mediated anti-leukemic responses. Finally, treatment with an anti-BLTA blocking monoclonal antibody alone or in combination with ibrutinib-induced leukemic cell depletion in vitro. Altogether, our data reveal that BTLA dysregulation has a prognostic role and is limiting T cell-driven antitumor responses, thus providing new insights about immune exhaustion in patients with CLL. Nature Research http://hdl.handle.net/10230/70232 http://dx.doi.org/10.1007/s00262-023-03435-1
spellingShingle BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
Sordo-Bahamonde, Christian
CLL
Leukemia
T cell
BTLA
HVEM
Checkpoint
status_str publishedVersion
title BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
title_full BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
title_fullStr BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
title_full_unstemmed BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
title_short BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
title_sort BTLA dysregulation correlates with poor outcome and diminished T cell-mediated antitumor responses in chronic lymphocytic leukemia
topic CLL
Leukemia
T cell
BTLA
HVEM
Checkpoint
topic_facet CLL
Leukemia
T cell
BTLA
HVEM
Checkpoint
url http://hdl.handle.net/10230/70232
http://dx.doi.org/10.1007/s00262-023-03435-1