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CML cells actively evade host immune surveillance through cytokine-mediated downregulation of MHC-II expression.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Tarafdar, Anuradha 
Hopcroft, Lisa EM 
Pellicano, Francesca 
Cassels, Jennifer 

Abstract

Targeting the fusion oncoprotein BCR-ABL with tyrosine kinase inhibitors has significantly affected chronic myeloid leukemia (CML) treatment, transforming the life expectancy of patients; however the risk for relapse remains, due to persistence of leukemic stem cells (LSCs). Therefore it is imperative to explore the mechanisms that result in LSC survival and develop new therapeutic approaches. We now show that major histocompatibility complex (MHC)-II and its master regulator class II transactivator (CIITA) are downregulated in CML compared with non-CML stem/progenitor cells in a BCR-ABL kinase-independent manner. Interferon γ (IFN-γ) stimulation resulted in an upregulation of CIITA and MHC-II in CML stem/progenitor cells; however, the extent of IFN-γ-induced MHC-II upregulation was significantly lower than when compared with non-CML CD34+ cells. Interestingly, the expression levels of CIITA and MHC-II significantly increased when CML stem/progenitor cells were treated with the JAK1/2 inhibitor ruxolitinib (RUX). Moreover, mixed lymphocyte reactions revealed that exposure of CD34+ CML cells to IFN-γ or RUX significantly enhanced proliferation of the responder CD4+CD69+ T cells. Taken together, these data suggest that cytokine-driven JAK-mediated signals, provided by CML cells and/or the microenvironment, antagonize MHC-II expression, highlighting the potential for developing novel immunomodulatory-based therapies to enable host-mediated immunity to assist in the detection and eradication of CML stem/progenitor cells.

Description

Keywords

Cells, Cultured, Cytokines, Down-Regulation, Female, Flow Cytometry, Gene Expression Regulation, Histocompatibility Antigens Class II, Humans, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Lymphocyte Culture Test, Mixed, Male, Neoplastic Stem Cells, Oligonucleotide Array Sequence Analysis, Reverse Transcriptase Polymerase Chain Reaction, Signal Transduction, Tumor Escape

Journal Title

Blood

Conference Name

Journal ISSN

0006-4971
1528-0020

Volume Title

129

Publisher

American Society of Hematology
Sponsorship
Wellcome Trust (109967/Z/15/Z)
This study was funded by project grants from Leuka and Tenovus-Scotland (Ref. S12/21). This study was supported by the Glasgow Experimental Cancer Medicine Centre, which is funded by Cancer Research UK and the Chief Scientist’s Office, Scotland. Cell sorting facilities were funded by the Kay Kendall Leukaemia Fund (KKL501) and the Howat Foundation. A.T. was funded by a Bloodwise project grant (13012). P.G. was funded by a Medical Research Council (MRC) UK clinical research training fellowship grant (G1000288). H.G.J. was funded by the Friends of Paul O’Gorman Leukemia Research Centre. F.P., L.E.M.H., and T.L.H. were supported by Cancer Research UK Programme grant (C11074/A11008). D.V. was funded by LLR project grant (14005). A.M.M. was supported by an MRC project grant (MR/K014854/1).