GATA-3 expression identifies a high-risk subset of PTCL, NOS with distinct molecular and clinical features

T Wang, AL Feldman, DA Wada, Y Lu… - Blood, The Journal …, 2014 - ashpublications.org
T Wang, AL Feldman, DA Wada, Y Lu, A Polk, R Briski, K Ristow, TM Habermann, D Thomas
Blood, The Journal of the American Society of Hematology, 2014ashpublications.org
The cell of origin and the tumor microenvironment's role remain elusive for the most common
peripheral T-cell lymphomas (PTCLs). As macrophages promote the growth and survival of
malignant T cells and are abundant constituents of the tumor microenvironment, their
functional polarization was examined in T-cell lymphoproliferative disorders. Cytokines that
are abundant within the tumor microenvironment, particularly interleukin (IL)-10, were
observed to promote alternative macrophage polarization. Macrophage polarization was …
Abstract
The cell of origin and the tumor microenvironment’s role remain elusive for the most common peripheral T-cell lymphomas (PTCLs). As macrophages promote the growth and survival of malignant T cells and are abundant constituents of the tumor microenvironment, their functional polarization was examined in T-cell lymphoproliferative disorders. Cytokines that are abundant within the tumor microenvironment, particularly interleukin (IL)-10, were observed to promote alternative macrophage polarization. Macrophage polarization was signal transducer and activator of transcription 3 dependent and was impaired by the Janus kinase inhibitor ruxolitinib. In conventional T cells, the production of T helper (Th)2-associated cytokines and IL-10, both of which promote alternative macrophage polarization, is regulated by the T-cell transcription factor GATA-binding protein 3 (GATA-3). Therefore, its role in the T-cell lymphomas was examined. GATA-3 expression was observed in 45% of PTCLs, not otherwise specified (PTCL, NOS) and was associated with distinct molecular features, including the production of Th2-associated cytokines. In addition, GATA-3 expression identified a subset of PTCL, NOS with distinct clinical features, including inferior progression-free and overall survival. Collectively, these data suggest that further understanding the cell of origin and lymphocyte ontogeny among the T-cell lymphomas may improve our understanding of the tumor microenvironment’s pathogenic role in these aggressive lymphomas.
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