Decreased RORC expression and downstream signaling in HTLV-1-associated Adult T-cell Lymphoma/Leukemia uncovers an antiproliferative IL17 link: a potential target for immunotherapy?
File(s)RORC accepted version.docx (243.78 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Retinoic acid-related drugs have shown promising pre-clinical activity in Adult T-cell Leukemia/Lymphoma, but RORC signaling has not been explored. Therefore, we investigated transcriptome-wide interactions of the RORC pathway in HTLV-1 and ATL, using our own and publicly available gene expression data for ATL and other leukemias. Gene expression data from ATL patients were analyzed using WGCNA to determine gene modules and their correlation to clinical and molecular data. Both PBMCs and CD4+ T-cells showed decreased RORC expression in four different ATL cohorts. A small subset of RORChi ATL patients was identified with significantly lower pathognomonic CADM1 and HBZ levels but similar levels of other ATL markers (CD4/CD25/CCR4), hinting at a less aggressive ATL subtype. An age-dependent decrease in RORC expression was found in HTLV-1-infected individuals, but not in healthy controls, suggesting an early molecular event predisposing to leukemogenesis. Genes upstream of RORC signaling were members of a proliferative gene module (containing proliferation markers PCNA/Ki67), whereas downstream members clustered in an anti-proliferative gene module. IL17C transcripts showed the strongest negative correlation to PCNA in both ATL cohorts, which was replicated in two large cohorts of T- and B-cell acute lymphoid leukemia (ALL). Finally, IL17C expression in purified CD4+CCR4+CD26-CD7- 'ATL-like' cells from HTLV-1-infected individuals and ATL patients was negatively correlated with clonality, underscoring a possible antileukemic/antiproliferative role. In conclusion, decreased RORC expression and downstream signaling might represent an early event in ATL pathogenesis. An antiproliferative IL17C/PCNA link is shared between ATL, T-ALL and B-ALL, suggesting (immuno)therapeutic benefit of boosting RORC/IL17 signaling.
Date Issued
2019-04-01
Date Acceptance
2018-09-18
Citation
International Journal of Cancer, 2019, 144 (7), pp.1664-1675
ISSN
0020-7136
Publisher
Wiley
Start Page
1664
End Page
1675
Journal / Book Title
International Journal of Cancer
Volume
144
Issue
7
Copyright Statement
©2018 John Wiley & Sons Ltd. This is the pre-peer reviewed version of the article, which will be published in final form at https://dx.doi.org/10.1002/ijc.31922
Sponsor
Bloodwise
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30303535
Grant Number
13060
Subjects
IL17C
PCNA
Th17
carcinogenesis
immunotherapy
inflammation
leukemia
lymphoma
proliferation
retrovirus
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-10-10