Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies

γδ T cells play an important role in disease control in acute myeloid leukemia (AML) and have become an emerging area of therapeutic interest. These cells represent a minor population of T lymphocytes with intrinsic abilities to recognize antigens in a major histocompatibility complex-independent ma...

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Main Authors: Venkata Lokesh Battula, Abhishek Maiti, Adishwar Rao, Akriti Agrawal, Gautam Borthakur
Format: Article
Language:English
Published: BMJ Publishing Group 2024-02-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/12/2/e007981.full
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author Venkata Lokesh Battula
Abhishek Maiti
Adishwar Rao
Akriti Agrawal
Gautam Borthakur
author_facet Venkata Lokesh Battula
Abhishek Maiti
Adishwar Rao
Akriti Agrawal
Gautam Borthakur
author_sort Venkata Lokesh Battula
collection DOAJ
description γδ T cells play an important role in disease control in acute myeloid leukemia (AML) and have become an emerging area of therapeutic interest. These cells represent a minor population of T lymphocytes with intrinsic abilities to recognize antigens in a major histocompatibility complex-independent manner and functionally straddle the innate and adaptive immunity interface. AML shows high expression of phosphoantigens and UL-16 binding proteins that activate the Vδ2 and Vδ1 subtypes of γδ T cells, respectively, leading to γδ T cell-mediated cytotoxicity. Insights from murine models and clinical data in humans show improved overall survival, leukemia-free survival, reduced risk of relapse, enhanced graft-versus-leukemia effect, and decreased graft-versus-host disease in patients with AML who have higher reconstitution of γδ T cells following allogeneic hematopoietic stem cell transplantation. Clinical trials leveraging γδ T cell biology have used unmodified and modified allogeneic cells as well as bispecific engagers and monoclonal antibodies. In this review, we discuss γδ T cells’ biology, roles in cancer and AML, and mechanisms of immune escape and antileukemia effect; we also discuss recent clinical advances related to γδ T cells in the field of AML therapeutics.
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series Journal for ImmunoTherapy of Cancer
spelling doaj-art-3b5dbe9d27ac462c95a83770656f106f2025-02-06T00:10:10ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262024-02-0112210.1136/jitc-2023-007981Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategiesVenkata Lokesh Battula0Abhishek Maiti1Adishwar Rao2Akriti Agrawal3Gautam Borthakur4Department of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, USADepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, USADepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, USADermatology, Venereology and Leprology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, IndiaDepartment of Leukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, USAγδ T cells play an important role in disease control in acute myeloid leukemia (AML) and have become an emerging area of therapeutic interest. These cells represent a minor population of T lymphocytes with intrinsic abilities to recognize antigens in a major histocompatibility complex-independent manner and functionally straddle the innate and adaptive immunity interface. AML shows high expression of phosphoantigens and UL-16 binding proteins that activate the Vδ2 and Vδ1 subtypes of γδ T cells, respectively, leading to γδ T cell-mediated cytotoxicity. Insights from murine models and clinical data in humans show improved overall survival, leukemia-free survival, reduced risk of relapse, enhanced graft-versus-leukemia effect, and decreased graft-versus-host disease in patients with AML who have higher reconstitution of γδ T cells following allogeneic hematopoietic stem cell transplantation. Clinical trials leveraging γδ T cell biology have used unmodified and modified allogeneic cells as well as bispecific engagers and monoclonal antibodies. In this review, we discuss γδ T cells’ biology, roles in cancer and AML, and mechanisms of immune escape and antileukemia effect; we also discuss recent clinical advances related to γδ T cells in the field of AML therapeutics.https://jitc.bmj.com/content/12/2/e007981.full
spellingShingle Venkata Lokesh Battula
Abhishek Maiti
Adishwar Rao
Akriti Agrawal
Gautam Borthakur
Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies
Journal for ImmunoTherapy of Cancer
title Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies
title_full Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies
title_fullStr Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies
title_full_unstemmed Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies
title_short Gamma delta T cells in acute myeloid leukemia: biology and emerging therapeutic strategies
title_sort gamma delta t cells in acute myeloid leukemia biology and emerging therapeutic strategies
url https://jitc.bmj.com/content/12/2/e007981.full
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