Ig-like transcript 2 (ILT2) suppresses T cell function in chronic lymphocytic leukemia

Mónica Villa-Álvarez1,2,3, Seila Lorenzo-Herrero1,2,3, Ana P Gonzalez-Rodriguez2,4,3

  • 1Department of Functional Biology, University of Oviedo, Oviedo, Spain.

Oncoimmunology
|November 11, 2017
PubMed

Insights

In chronic lymphocytic leukemia (CLL), the inhibitory receptor ILT2 is increased on T cells, impairing their function. Blocking ILT2 restores T cell activity, suggesting it as a potential therapeutic target for CLL.

Area of Science:

  • Immunology
  • Hematology
  • Cancer Biology

Background:

  • Chronic lymphocytic leukemia (CLL) involves significant immune system dysregulation.
  • Impaired T cell function in cancer is often linked to inhibitory receptor signaling.

Purpose of the Study:

  • To investigate the role of the novel inhibitory receptor Ig-like transcript 2 (ILT2) in CLL pathogenesis.
  • To understand ILT2's impact on T cell function and leukemic cell survival in CLL.

Main Methods:

  • Analysis of ILT2 expression on T cells and leukemic cells from CLL patients.
  • Assessment of ILT2's effect on T cell activation, proliferation, and cytokine production.
  • Evaluation of ILT2 blockade efficacy in restoring T cell function.

Main Results:

  • ILT2 expression was reduced on CLL cells but increased on CD4+ and CD8+ T cells, especially in patients with 11q deletion.
  • ILT2 impaired T cell activation and proliferation while downregulating IL-2 production.
  • ILT2 induced T cell expression of IFN-γ, promoting leukemic cell survival.
  • ILT2 blockade successfully restored T cell activation, proliferation, and cytokine production.

Conclusions:

  • A novel immune inhibitory pathway involving ILT2 is upregulated in CLL.
  • ILT2 plays a critical role in T cell dysfunction and leukemic cell survival in CLL.
  • ILT2 blockade represents a potential therapeutic strategy for CLL.

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