RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Influence of Fetomaternal Microchimerism on Maternal NK Cell Reactivity against the Child's Leukemic Blasts.
Influence of Fetomaternal Microchimerism on Maternal NK Cell Reactivity against the Child's Leukemic Blasts.
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胎儿细胞在母体循环中的持续存在(胎儿微嵌合体,FM)与接受单倍体造血干细胞移植(hHSCT)的白血病患儿生存率提高和复发率降低相关。NK 细胞在母体对胎儿的耐受中发挥重要作用。
本研究前瞻性分析了 70 对母子中 FM 的发生情况、KIR 基因型和 HLA-C 类型。我们发现,FM 的发生及水平受三个母体遗传因素影响:HLA-C1 等位基因的存在、KIR2DL3 的缺失以及 cen-B/B 基序的存在。
此外,母体与子代之间的 HLA-C 匹配有利于 FM 的持续存在。来自 FM + 母体的 NK 细胞针对其子代白血病原始细胞的特异性脱颗粒水平比来自 FM - 母体的 NK 细胞高 40%,提示存在经过教育的母体 NK 细胞。
然而,亲代 NK 细胞对子代白血病原始细胞的细胞毒性独立于 KIR 遗传学(单倍型、B 含量评分、着丝粒和端粒 KIR 基因区域)且独立于 FM,表明额外的免疫效应机制参与了持续性 FM 在 hHSCT 中的有益效应。
Persistence of fetal cells in the circulation of the mother (fetal microchimerism, FM) is associated with increased survival and reduced relapse of children with leukemia receiving a haploidentical hematopoietic stem cell transplantation (hHSCT). NK cells play an important role in maternal tolerance towards the unborn child. In this study, 70 mother-child pairs were prospectively analyzed for the occurrence of FM, KIR genotype and HLA-C type.
We found that occurrence and level of FM were influenced by three maternal genetic factors: presence of an HLA-C1 allele, absence of KIR2DL3 and presence of a cen-B/B motif.
Furthermore, an HLA-C match between mother and child favored persistence of FM. NK cells from FM + mothers showed a 40% higher specific degranulation against their filial leukemic blasts than NK cells from FM - mothers, suggesting the presence of educated maternal NK cells.
Nevertheless, cytotoxicity of parental NK cells against filial leukemic blasts was independent of KIR genetics (haplotype, B content score, centromeric and telomeric KIR gene regions) and independent of FM, indicating that additional immune effector mechanisms contribute to the beneficial effect of persisting FM in hHSCT.
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