Extensive Remodeling of the Immune Microenvironment in B Cell Acute Lymphoblastic Leukemia

被引:135
作者
Witkowski, Matthew T. [1 ,2 ]
Dolgalev, Igor [1 ,2 ,3 ]
Evensen, Nikki A. [1 ,2 ]
Ma, Chao [7 ,8 ]
Chambers, Tiffany [4 ]
Roberts, Kathryn G. [5 ]
Sreeram, Sheetal [1 ,2 ]
Dai, Yuling [1 ,2 ]
Tikhonova, Anastasia N. [1 ,2 ]
Lasry, Audrey [1 ,2 ]
Qu, Chunxu [5 ]
Pei, Deqing [5 ]
Cheng, Cheng [5 ]
Robbins, Gabriel A. [1 ,2 ]
Pierro, Joanna [1 ,2 ]
Selvaraj, Shanmugapriya [1 ,6 ]
Mezzano, Valeria [1 ,6 ]
Daves, Marla [4 ]
Lupo, Philip J. [4 ]
Scheurer, Michael E. [4 ]
Loomis, Cynthia A. [1 ,6 ]
Mullighan, Charles G. [5 ]
Chen, Weiqiang [7 ,8 ]
Rabin, Karen R. [4 ]
Tsirigos, Aristotelis [1 ,2 ,3 ]
Carroll, William L. [1 ,2 ]
Aifantis, Iannis [1 ,2 ]
机构
[1] NYU, Sch Med, Dept Pathol, New York, NY 10016 USA
[2] NYU, Laura & Isaac Perlmutter Canc Ctr, Sch Med, New York, NY 10016 USA
[3] NYU, Appl Bioinformat Labs, Sch Med, New York, NY 10016 USA
[4] Baylor Univ, Coll Med, Div Pediat Hematol Oncol, Houston, TX 77030 USA
[5] St Jude Childrens Res Hosp, Dept Pathol, 332 N Lauderdale St, Memphis, TN 38105 USA
[6] NYU, Expt Pathol Res Lab, Sch Med, New York, NY 10016 USA
[7] NYU, Dept Mech & Aerosp Engn, New York, NY 11202 USA
[8] NYU, Dept Biomed Engn, New York, NY 11202 USA
关键词
MUTATIONS; RESISTANCE; MONOCYTES; RELAPSE; DELETION; REVEALS; TISSUE; NT5C2; P210; MICE;
D O I
10.1016/j.ccell.2020.04.015
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A subset of B cell acute lymphoblastic leukemia (B-ALL) patients will relapse and succumb to therapy-resis tant disease. The bone marrow microenvironment may support B-ALL progression and treatment evasion. Utilizing single-cell approaches, we demonstrate B-ALL bone marrow immune microenvironment remodeling upon disease initiation and subsequent re-emergence during conventional chemotherapy. We uncover a role for non-classical monocytes in B-ALL survival, and demonstrate monocyte abundance at B-ALL diagnosis is predictive of pediatric and adult B-ALL patient survival. We show that human B-ALL blasts alter a vascularized microenvironment promoting monocytic differentiation, while depleting leukemia-associated monocytes in B-ALL animal models prolongs disease remission in vivo. Our profiling of the B-ALL immune microenvironment identifies extrinsic regulators of B-ALL survival supporting new immune-based therapeutic approaches for high-risk B-ALL treatment.
引用
收藏
页码:867 / +
页数:28
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