PMID- 37021528 OWN - NLM STAT- MEDLINE DCOM- 20230908 LR - 20230913 IS - 1592-8721 (Electronic) IS - 0390-6078 (Print) IS - 0390-6078 (Linking) VI - 108 IP - 9 DP - 2023 Sep 1 TI - IL-18 and VEGF-A trigger type 2 innate lymphoid cell accumulation and pro-tumoral function in chronic myeloid leukemia. PG - 2396-2409 LID - 10.3324/haematol.2022.282140 [doi] AB - Chronic myeloid leukemia (CML) is a hematologic malignancy associated to an unregulated growth of myeloid cells in bone marrow (BM) and peripheral blood (PB), characterized by the BCR-ABL1 translocation. Given the known cytokine impairment in the leukemic niche of CML, we investigated the impact of this microenvironmental dysregulation on innate lymphoid cells (ILC), whose role in cancer has recently emerged. Three ILC subsets are identified based on transcriptional profiles and cytokine secretion. We observed that interleukin 18 (IL-18) and vascular endothelial growth factor A (VEGF-A) are increased in CML patients' sera and that ILC2 are enriched in CML PB and BM. We found that IL-18 drives ILC2 proliferation and that CML ILC2 highly express CXCR4 and CXCR7 BM-homing receptors, potentially explaining their enrichment in PB and BM, respectively. Next, we showed that ILC2 are hyper-activated through a tumor-derived VEGF-Adependent mechanism, which leads to higher IL-13 secretion. In response to IL-13, leukemic cells increase their clonogenic capacity. Finally, we discovered that the pro-tumoral axis involving VEGF-A, IL-18 and ILC2 was disrupted upon tyrosine kinase inhibitor treatment, normalizing the levels of all these players in CML patients responding to therapy. Overall, our study uncovers the involvement of ILC2 in CML progression, mediated by VEGF-A and IL-18. FAU - Fiordi, Benedetta AU - Fiordi B AD - Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; Ludwig Institute for Cancer Research, Lausanne Branch, Lausanne, Switzerland. FAU - Salvestrini, Valentina AU - Salvestrini V AD - IRCCS Azienda Ospedaliero-Universitaria di Bologna, Institute of Hematology << Seragnoli >>, Bologna, Italy. FAU - Gugliotta, Gabriele AU - Gugliotta G AD - IRCCS Azienda Ospedaliero-Universitaria di Bologna, Institute of Hematology << Seragnoli >>, Bologna, Italy. FAU - Castagnetti, Fausto AU - Castagnetti F AD - IRCCS Azienda Ospedaliero-Universitaria di Bologna, Institute of Hematology << Seragnoli >>, Bologna, Italy. FAU - Curti, Antonio AU - Curti A AD - IRCCS Azienda Ospedaliero-Universitaria di Bologna, Institute of Hematology << Seragnoli >>, Bologna, Italy. FAU - Speiser, Daniel E AU - Speiser DE AD - Department of Oncology, Lausanne University Hospital (CHUV) and University of Lausanne, Epalinges, Switzerland. FAU - Marcenaro, Emanuela AU - Marcenaro E AD - Department of Experimental Medicine (DIMES), University of Genova, Genova, Italy; IRCCS Ospedale Policlinico San Martino, Genova, Italy. FAU - Jandus, Camilla AU - Jandus C AD - Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; Ludwig Institute for Cancer Research, Lausanne Branch, Lausanne, Switzerland. FAU - Trabanelli, Sara AU - Trabanelli S AD - Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, Geneva, Switzerland; Ludwig Institute for Cancer Research, Lausanne Branch, Lausanne, Switzerland. sara.trabanelli@unige.ch. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230901 PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Interleukin-18) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) RN - 0 (Interleukin-13) SB - IM MH - Humans MH - *Vascular Endothelial Growth Factor A MH - Immunity, Innate MH - Interleukin-18 MH - Fusion Proteins, bcr-abl/metabolism MH - Interleukin-13 MH - Lymphocytes/metabolism MH - *Leukemia, Myelogenous, Chronic, BCR-ABL Positive/pathology PMC - PMC10483352 EDAT- 2023/04/07 06:00 MHDA- 2023/09/08 06:42 PMCR- 2023/04/06 CRDT- 2023/04/06 04:52 PHST- 2022/09/20 00:00 [received] PHST- 2023/09/08 06:42 [medline] PHST- 2023/04/07 06:00 [pubmed] PHST- 2023/04/06 04:52 [entrez] PHST- 2023/04/06 00:00 [pmc-release] AID - 10.3324/haematol.2022.282140 [doi] PST - epublish SO - Haematologica. 2023 Sep 1;108(9):2396-2409. doi: 10.3324/haematol.2022.282140.