Dysfunctional Vγ9Vδ2 T cells are negative prognosticators and markers of dysregulated mevalonate pathway activity in chronic lymphocytic leukemia cells

The role of Vγ9Vδ2 T cells in chronic lymphocytic leukemia (CLL) is unexplored, although these cells have a natural inclination to react against B-cell malignancies. Proliferation induced by zoledronic acid was used as a surrogate of γδ TCR-dependent stimulation to functionally interrogate Vγ9Vδ2 T...

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Veröffentlicht in:Blood 2012-10, Vol.120 (16), p.3271-3279
Hauptverfasser: Coscia, Marta, Vitale, Candida, Peola, Silvia, Foglietta, Myriam, Rigoni, Micol, Griggio, Valentina, Castella, Barbara, Angelini, Daniela, Chiaretti, Sabina, Riganti, Chiara, Guarini, Anna, Drandi, Daniela, Ladetto, Marco, Bosia, Amalia, Foà, Robin, Battistini, Luca, Boccadoro, Mario, Fournié, Jean-Jacques, Massaia, Massimo
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container_end_page 3279
container_issue 16
container_start_page 3271
container_title Blood
container_volume 120
creator Coscia, Marta
Vitale, Candida
Peola, Silvia
Foglietta, Myriam
Rigoni, Micol
Griggio, Valentina
Castella, Barbara
Angelini, Daniela
Chiaretti, Sabina
Riganti, Chiara
Guarini, Anna
Drandi, Daniela
Ladetto, Marco
Bosia, Amalia
Foà, Robin
Battistini, Luca
Boccadoro, Mario
Fournié, Jean-Jacques
Massaia, Massimo
description The role of Vγ9Vδ2 T cells in chronic lymphocytic leukemia (CLL) is unexplored, although these cells have a natural inclination to react against B-cell malignancies. Proliferation induced by zoledronic acid was used as a surrogate of γδ TCR-dependent stimulation to functionally interrogate Vγ9Vδ2 T cells in 106 untreated CLL patients. This assay permitted the identification of responder and low-responder (LR) patients. The LR status was associated with greater baseline counts of Vγ9Vδ2 T cells and to the expansion of the effector memory and terminally differentiated effector memory subsets. The tumor immunoglobulin heavy chain variable region was more frequently unmutated in CLL cells of LR patients, and the mevalonate pathway, which generates Vγ9Vδ2 TCR ligands, was more active in unmutated CLL cells. In addition, greater numbers of circulating regulatory T cells were detected in LR patients. In multivariate analysis, the LR condition was an independent predictor of shorter time-to-first treatment. Accordingly, the time-to-first treatment was significantly shorter in patients with greater baseline numbers of total Vγ9Vδ2 T cells and effector memory and terminally differentiated effector memory subpopulations. These results unveil a clinically relevant in vivo relationship between the mevalonate pathway activity of CLL cells and dys-functional Vγ9Vδ2 T cells.
doi_str_mv 10.1182/blood-2012-03-417519
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Proliferation induced by zoledronic acid was used as a surrogate of γδ TCR-dependent stimulation to functionally interrogate Vγ9Vδ2 T cells in 106 untreated CLL patients. This assay permitted the identification of responder and low-responder (LR) patients. The LR status was associated with greater baseline counts of Vγ9Vδ2 T cells and to the expansion of the effector memory and terminally differentiated effector memory subsets. The tumor immunoglobulin heavy chain variable region was more frequently unmutated in CLL cells of LR patients, and the mevalonate pathway, which generates Vγ9Vδ2 TCR ligands, was more active in unmutated CLL cells. In addition, greater numbers of circulating regulatory T cells were detected in LR patients. In multivariate analysis, the LR condition was an independent predictor of shorter time-to-first treatment. 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Proliferation induced by zoledronic acid was used as a surrogate of γδ TCR-dependent stimulation to functionally interrogate Vγ9Vδ2 T cells in 106 untreated CLL patients. This assay permitted the identification of responder and low-responder (LR) patients. The LR status was associated with greater baseline counts of Vγ9Vδ2 T cells and to the expansion of the effector memory and terminally differentiated effector memory subsets. The tumor immunoglobulin heavy chain variable region was more frequently unmutated in CLL cells of LR patients, and the mevalonate pathway, which generates Vγ9Vδ2 TCR ligands, was more active in unmutated CLL cells. In addition, greater numbers of circulating regulatory T cells were detected in LR patients. In multivariate analysis, the LR condition was an independent predictor of shorter time-to-first treatment. Accordingly, the time-to-first treatment was significantly shorter in patients with greater baseline numbers of total Vγ9Vδ2 T cells and effector memory and terminally differentiated effector memory subpopulations. These results unveil a clinically relevant in vivo relationship between the mevalonate pathway activity of CLL cells and dys-functional Vγ9Vδ2 T cells.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biomarkers, Tumor - genetics</subject><subject>Biomarkers, Tumor - metabolism</subject><subject>Blotting, Western</subject><subject>Bone Density Conservation Agents - pharmacology</subject><subject>Case-Control Studies</subject><subject>Cell Differentiation - drug effects</subject><subject>Cell Differentiation - immunology</subject><subject>Cells, Cultured</subject><subject>Diphosphonates - pharmacology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gene Expression Profiling</subject><subject>Geranyltranstransferase - antagonists &amp; inhibitors</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Humans</subject><subject>Imidazoles - pharmacology</subject><subject>Immunologic Memory - immunology</subject><subject>Leukemia, Lymphocytic, Chronic, B-Cell - immunology</subject><subject>Leukemia, Lymphocytic, Chronic, B-Cell - metabolism</subject><subject>Leukemia, Lymphocytic, Chronic, B-Cell - mortality</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. 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subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Blotting, Western
Bone Density Conservation Agents - pharmacology
Case-Control Studies
Cell Differentiation - drug effects
Cell Differentiation - immunology
Cells, Cultured
Diphosphonates - pharmacology
Female
Follow-Up Studies
Gene Expression Profiling
Geranyltranstransferase - antagonists & inhibitors
Hematologic and hematopoietic diseases
Humans
Imidazoles - pharmacology
Immunologic Memory - immunology
Leukemia, Lymphocytic, Chronic, B-Cell - immunology
Leukemia, Lymphocytic, Chronic, B-Cell - metabolism
Leukemia, Lymphocytic, Chronic, B-Cell - mortality
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphocyte Activation - immunology
Male
Medical sciences
Mevalonic Acid - metabolism
Middle Aged
Oligonucleotide Array Sequence Analysis
Real-Time Polymerase Chain Reaction
Receptors, Antigen, T-Cell, gamma-delta - immunology
Reverse Transcriptase Polymerase Chain Reaction
RNA, Messenger - genetics
Signal Transduction
Survival Rate
T-Lymphocyte Subsets - immunology
T-Lymphocyte Subsets - metabolism
T-Lymphocyte Subsets - pathology
T-Lymphocytes, Regulatory - immunology
Zoledronic Acid
title Dysfunctional Vγ9Vδ2 T cells are negative prognosticators and markers of dysregulated mevalonate pathway activity in chronic lymphocytic leukemia cells
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