Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia

T cells, as integral components of the adaptive immune system, recognize diverse antigens through unique T cell receptors (TCRs). To achieve this, during T cell maturation, the thymus generates a wide repertoire of TCRs. This is essential for understanding cancer evolution, progression, and the effi...

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Main Authors: Georgios Petros Barakos, Vasileios Georgoulis, Epameinondas Koumpis, Eleftheria Hatzimichael
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diseases
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Online Access:https://www.mdpi.com/2079-9721/13/1/19
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author Georgios Petros Barakos
Vasileios Georgoulis
Epameinondas Koumpis
Eleftheria Hatzimichael
author_facet Georgios Petros Barakos
Vasileios Georgoulis
Epameinondas Koumpis
Eleftheria Hatzimichael
author_sort Georgios Petros Barakos
collection DOAJ
description T cells, as integral components of the adaptive immune system, recognize diverse antigens through unique T cell receptors (TCRs). To achieve this, during T cell maturation, the thymus generates a wide repertoire of TCRs. This is essential for understanding cancer evolution, progression, and the efficacy of immunotherapies. Myelodysplastic neoplasms (MDS) and acute myeloid leukemia (AML) are hematological neoplasms that are characterized by immune evasion mechanisms, with immunotherapy giving only modest results thus far. Our review of TCR repertoire dynamics in these diseases reveals distinct patterns: MDS patients show increased TCR clonality with disease progression, while AML exhibits varied TCR signatures depending on disease stage and treatment response. Understanding these patterns has important clinical implications, as TCR repertoire metrics may serve as potential biomarkers for disease progression and treatment response, particularly in the context of immunotherapy and stem cell transplantation. These insights could guide patient stratification and treatment selection, ultimately improving therapeutic outcomes in MDS and AML.
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spelling doaj-art-2de805aa145b40d2983d2b0a18e75e252025-01-24T13:29:16ZengMDPI AGDiseases2079-97212025-01-011311910.3390/diseases13010019Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid LeukemiaGeorgios Petros Barakos0Vasileios Georgoulis1Epameinondas Koumpis2Eleftheria Hatzimichael3First Department of Internal Medicine, General Hospital of Piraeus “Tzaneio”, 18536 Piraeus, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45500 Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45500 Ioannina, GreeceDepartment of Haematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45500 Ioannina, GreeceT cells, as integral components of the adaptive immune system, recognize diverse antigens through unique T cell receptors (TCRs). To achieve this, during T cell maturation, the thymus generates a wide repertoire of TCRs. This is essential for understanding cancer evolution, progression, and the efficacy of immunotherapies. Myelodysplastic neoplasms (MDS) and acute myeloid leukemia (AML) are hematological neoplasms that are characterized by immune evasion mechanisms, with immunotherapy giving only modest results thus far. Our review of TCR repertoire dynamics in these diseases reveals distinct patterns: MDS patients show increased TCR clonality with disease progression, while AML exhibits varied TCR signatures depending on disease stage and treatment response. Understanding these patterns has important clinical implications, as TCR repertoire metrics may serve as potential biomarkers for disease progression and treatment response, particularly in the context of immunotherapy and stem cell transplantation. These insights could guide patient stratification and treatment selection, ultimately improving therapeutic outcomes in MDS and AML.https://www.mdpi.com/2079-9721/13/1/19myelodysplastic syndromesacute myeloid leukemiaT cell receptorTCR repertoireimmunotherapyhematopoietic stem cell transplantation
spellingShingle Georgios Petros Barakos
Vasileios Georgoulis
Epameinondas Koumpis
Eleftheria Hatzimichael
Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia
Diseases
myelodysplastic syndromes
acute myeloid leukemia
T cell receptor
TCR repertoire
immunotherapy
hematopoietic stem cell transplantation
title Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia
title_full Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia
title_fullStr Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia
title_full_unstemmed Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia
title_short Elucidating the Role of the T Cell Receptor Repertoire in Myelodysplastic Neoplasms and Acute Myeloid Leukemia
title_sort elucidating the role of the t cell receptor repertoire in myelodysplastic neoplasms and acute myeloid leukemia
topic myelodysplastic syndromes
acute myeloid leukemia
T cell receptor
TCR repertoire
immunotherapy
hematopoietic stem cell transplantation
url https://www.mdpi.com/2079-9721/13/1/19
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