Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity

Abstract The role of the bone marrow (BM) microenvironment in regulating the antitumor immune response in Waldenstrom macroglobulinemia (WM) remains poorly understood. Here we transcriptionally and phenotypically profiled non-malignant (CD19- CD138-) BM cells from WM patients with a focus on myeloid...

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Main Authors: Vaishali Bhardwaj, Zhi-Zhang Yang, Shahrzad Jalali, Jose C. Villasboas, Rekha Mudappathi, Junwen Wang, Prithviraj Mukherjee, Jonas Paludo, Xinyi Tang, Hyo Jin Kim, Jordan E. Krull, Kerstin Wenzl, Anne J. Novak, Patrizia Mondello, Stephen M. Ansell
Format: Article
Language:English
Published: Nature Publishing Group 2024-12-01
Series:Blood Cancer Journal
Online Access:https://doi.org/10.1038/s41408-024-01173-w
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author Vaishali Bhardwaj
Zhi-Zhang Yang
Shahrzad Jalali
Jose C. Villasboas
Rekha Mudappathi
Junwen Wang
Prithviraj Mukherjee
Jonas Paludo
Xinyi Tang
Hyo Jin Kim
Jordan E. Krull
Kerstin Wenzl
Anne J. Novak
Patrizia Mondello
Stephen M. Ansell
author_facet Vaishali Bhardwaj
Zhi-Zhang Yang
Shahrzad Jalali
Jose C. Villasboas
Rekha Mudappathi
Junwen Wang
Prithviraj Mukherjee
Jonas Paludo
Xinyi Tang
Hyo Jin Kim
Jordan E. Krull
Kerstin Wenzl
Anne J. Novak
Patrizia Mondello
Stephen M. Ansell
author_sort Vaishali Bhardwaj
collection DOAJ
description Abstract The role of the bone marrow (BM) microenvironment in regulating the antitumor immune response in Waldenstrom macroglobulinemia (WM) remains poorly understood. Here we transcriptionally and phenotypically profiled non-malignant (CD19- CD138-) BM cells from WM patients with a focus on myeloid derived suppressive cells (MDSCs) to provide a deeper understanding of their role in WM. We found that HLA-DRlowCD11b+CD33+ MDSCs were significantly increased in WM patients as compared to normal controls, with an expansion of predominantly polymorphonuclear (PMN)-MDSCs. Single-cell immunogenomic profiling of WM MDSCs identified an immune-suppressive gene signature with upregulated inflammatory pathways associated with interferon and tumor necrosis factor (TNF) signaling. Gene signatures associated with an inflammatory and immune suppressive environment were predominately expressed in PMN-MDSCs. In vitro, WM PMN-MDSCs demonstrated robust T-cell suppression and their viability and expansion was notably enhanced by granulocyte colony stimulating factor (G-CSF) and TNFα. Furthermore, BM malignant B-cells attracted PMN-MDSCs to a greater degree than monocytic MDSCs. Collectively, these data suggest that malignant WM B cells actively recruit PMN-MDSCs which promote an immunosuppressive BM microenvironment through a direct T cell inhibition, while release of G-CSF/TNFα in the microenvironment further promotes PMN-MDSC expansion and in turn immune suppression. Targeting PMN-MDSCs may therefore represent a potential therapeutic strategy in patients with WM.
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spelling doaj-art-73a4e0ff95a04bec9708ae3f76ab728c2025-08-20T02:31:41ZengNature Publishing GroupBlood Cancer Journal2044-53852024-12-0114111310.1038/s41408-024-01173-wExpanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activityVaishali Bhardwaj0Zhi-Zhang Yang1Shahrzad Jalali2Jose C. Villasboas3Rekha Mudappathi4Junwen Wang5Prithviraj Mukherjee6Jonas Paludo7Xinyi Tang8Hyo Jin Kim9Jordan E. Krull10Kerstin Wenzl11Anne J. Novak12Patrizia Mondello13Stephen M. Ansell14Division of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDepartment of Quantitative Health Sciences and Center for Individualized Medicine, Mayo Clinic ArizonaDepartment of Quantitative Health Sciences and Center for Individualized Medicine, Mayo Clinic ArizonaDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicDivision of Hematology and Internal Medicine Mayo ClinicAbstract The role of the bone marrow (BM) microenvironment in regulating the antitumor immune response in Waldenstrom macroglobulinemia (WM) remains poorly understood. Here we transcriptionally and phenotypically profiled non-malignant (CD19- CD138-) BM cells from WM patients with a focus on myeloid derived suppressive cells (MDSCs) to provide a deeper understanding of their role in WM. We found that HLA-DRlowCD11b+CD33+ MDSCs were significantly increased in WM patients as compared to normal controls, with an expansion of predominantly polymorphonuclear (PMN)-MDSCs. Single-cell immunogenomic profiling of WM MDSCs identified an immune-suppressive gene signature with upregulated inflammatory pathways associated with interferon and tumor necrosis factor (TNF) signaling. Gene signatures associated with an inflammatory and immune suppressive environment were predominately expressed in PMN-MDSCs. In vitro, WM PMN-MDSCs demonstrated robust T-cell suppression and their viability and expansion was notably enhanced by granulocyte colony stimulating factor (G-CSF) and TNFα. Furthermore, BM malignant B-cells attracted PMN-MDSCs to a greater degree than monocytic MDSCs. Collectively, these data suggest that malignant WM B cells actively recruit PMN-MDSCs which promote an immunosuppressive BM microenvironment through a direct T cell inhibition, while release of G-CSF/TNFα in the microenvironment further promotes PMN-MDSC expansion and in turn immune suppression. Targeting PMN-MDSCs may therefore represent a potential therapeutic strategy in patients with WM.https://doi.org/10.1038/s41408-024-01173-w
spellingShingle Vaishali Bhardwaj
Zhi-Zhang Yang
Shahrzad Jalali
Jose C. Villasboas
Rekha Mudappathi
Junwen Wang
Prithviraj Mukherjee
Jonas Paludo
Xinyi Tang
Hyo Jin Kim
Jordan E. Krull
Kerstin Wenzl
Anne J. Novak
Patrizia Mondello
Stephen M. Ansell
Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity
Blood Cancer Journal
title Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity
title_full Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity
title_fullStr Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity
title_full_unstemmed Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity
title_short Expanded tumor-associated polymorphonuclear myeloid-derived suppressor cells in Waldenstrom macroglobulinemia display immune suppressive activity
title_sort expanded tumor associated polymorphonuclear myeloid derived suppressor cells in waldenstrom macroglobulinemia display immune suppressive activity
url https://doi.org/10.1038/s41408-024-01173-w
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