Identification of Immunological Parameters as Predictive Biomarkers of Relapse in Patients with Chronic Myeloid Leukemia on Treatment-Free Remission
doi: 10.3390/jcm10010042
pmid: 33375572
pmc: PMC7795332
handle: 20.500.12530/59216 , 11268/11902 , 20.500.12105/11606
doi: 10.3390/jcm10010042
pmid: 33375572
pmc: PMC7795332
handle: 20.500.12530/59216 , 11268/11902 , 20.500.12105/11606
Identification of Immunological Parameters as Predictive Biomarkers of Relapse in Patients with Chronic Myeloid Leukemia on Treatment-Free Remission
BCR-ABL is an aberrant tyrosine kinase responsible for chronic myeloid leukemia (CML). Tyrosine kinase inhibitors (TKIs) induce a potent antileukemic response mostly based on the inhibition of BCR-ABL, but they also increase the activity of Natural Killer (NK) and CD8+ T cells. After several years, patients may interrupt treatment due to sustained, deep molecular response. By unknown reasons, half of the patients relapse during treatment interruption, whereas others maintain a potent control of the residual leukemic cells for several years. In this study, several immunological parameters related to sustained antileukemic control were analyzed. According to our results, the features more related to poor antileukemic control were as follows: low levels of cytotoxic cells such as NK, (Natural Killer T) NKT and CD8±TCRγβ+ T cells; low expression of activating receptors on the surface of NK and NKT cells; impaired synthesis of proinflammatory cytokines or proteases from NK cells; and HLA-E*0103 homozygosis and KIR haplotype BX. A Random Forest algorithm predicted 90% of the accuracy for the classification of CML patients in groups of relapse or non-relapse according to these parameters. Consequently, these features may be useful as biomarkers predictive of CML relapse in patients that are candidates to initiate treatment discontinuation.
- Hospital Universitario Ramón y Cajal Spain
- University of Utah United States
- Comunidad de Madrid Spain
- Hospital Universitario Puerta de Hierro Majadahonda Spain
- Hospital Universitario de La Princesa Spain
Biotecnología, immunological response, treatment-free remission, 610, Leucemia mielógena crónica BCR-ABL positiva, Cáncer, Article, Tratamiento médico, chronic myeloid leukemia, 616
Biotecnología, immunological response, treatment-free remission, 610, Leucemia mielógena crónica BCR-ABL positiva, Cáncer, Article, Tratamiento médico, chronic myeloid leukemia, 616
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