Home > Publications database > Integrative multi-omics reveals a regulatory and exhausted T-cell landscape in CLL and identifies galectin-9 as an immunotherapy target. |
Journal Article | DKFZ-2025-01646 |
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2025
Springer Nature
[London]
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Please use a persistent id in citations: doi:10.1038/s41467-025-61822-x
Abstract: T-cell exhaustion contributes to immunotherapy failure in chronic lymphocytic leukemia (CLL). Here, we analyze T cells from CLL patients' blood, bone marrow, and lymph nodes, as well as from a CLL mouse model, using single-cell RNA sequencing, mass cytometry, and tissue imaging. T cells in CLL lymph nodes show the most distinct profiles, with accumulation of regulatory T cells and CD8+ T cells in various exhaustion states, including precursor (TPEX) and terminally exhausted (TEX) cells. Integration of T-cell receptor sequencing data and use of the predicTCR classifier suggest an enrichment of CLL-reactive T cells in lymph nodes. Interactome studies reveal potential immunotherapy targets, notably galectin-9, a TIM3 ligand. Inhibiting galectin-9 in mice reduces disease progression and TIM3+ T cells. Galectin-9 expression also correlates with worse survival in CLL and other cancers, suggesting its role in immune evasion and potential as a therapeutic target.
Keyword(s): Galectins: metabolism (MeSH) ; Galectins: genetics (MeSH) ; Galectins: antagonists & inhibitors (MeSH) ; Galectins: immunology (MeSH) ; Leukemia, Lymphocytic, Chronic, B-Cell: immunology (MeSH) ; Leukemia, Lymphocytic, Chronic, B-Cell: therapy (MeSH) ; Leukemia, Lymphocytic, Chronic, B-Cell: genetics (MeSH) ; Leukemia, Lymphocytic, Chronic, B-Cell: pathology (MeSH) ; Humans (MeSH) ; Animals (MeSH) ; Mice (MeSH) ; Hepatitis A Virus Cellular Receptor 2: metabolism (MeSH) ; Immunotherapy: methods (MeSH) ; T-Lymphocytes, Regulatory: immunology (MeSH) ; T-Lymphocytes, Regulatory: metabolism (MeSH) ; Lymph Nodes: immunology (MeSH) ; Lymph Nodes: pathology (MeSH) ; CD8-Positive T-Lymphocytes: immunology (MeSH) ; CD8-Positive T-Lymphocytes: metabolism (MeSH) ; Female (MeSH) ; Male (MeSH) ; Disease Models, Animal (MeSH) ; Multiomics (MeSH) ; Galectins ; LGALS9 protein, human ; Hepatitis A Virus Cellular Receptor 2 ; galectin 9, mouse ; HAVCR2 protein, human
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