category
bioRxiv
date
Mar 18, 2026
slug
status
Published
summary
首次整合多组学技术揭示RAS突变B-ALL骨髓微环境中调节性T细胞富集现象,发现CTLA4阻断可逆转T细胞功能障碍并增强双特异性抗体疗效,为免疫治疗提供新策略
tags
测序技术
单细胞测序
type
Post

📄 原文题目

The bone marrow microenvironment of RAS pathway mutant B-ALL is enriched for immunosuppressive regulatory T cells

🔗 原文链接

💡 AI 核心解读

首次整合多组学技术揭示RAS突变B-ALL骨髓微环境中调节性T细胞富集现象,发现CTLA4阻断可逆转T细胞功能障碍并增强双特异性抗体疗效,为免疫治疗提供新策略

📝 英文原版摘要

Somatic mutations in the RAS pathway are highly prevalent in B Cell Acute Lymphoblastic Leukemia (B ALL), yet their impact on the bone marrow immune microenvironment and response to immunotherapy remains poorly defined. In this study, we integrated bulk RNA sequencing, single cell RNA sequencing (scRNAseq), and spectral flow cytometry to characterize the immune landscape of RAS mutant B ALL. We identified pathogenic mutations in KRAS, NRAS, PTPN11, or BRAF in 42% of the cohort, predominantly as clonal events. Despite similar cell frequencies by flow cytometry, bulk transcriptomes from RAS mutant samples showed suppression of immune response and T cell activation pathways, and T cells from RAS mutant patients exhibited impaired proliferation ex vivo. Single cell analysis revealed higher CD8 dysfunction scores and enrichment of regulatory T cells (Tregs) in RAS mutant bone marrow. These findings were validated by spectral flow cytometry and by CIBERSORTx deconvolution of bulk data. Trajectory analysis supported a higher CD4 to Treg differentiation in the RAS mutant niche, and CellChat mapping identified contact dependent and checkpoint interactions (including TIGIT NECTIN2 and CTLA CD86/ICOSL) enriched in RAS mutant samples. Functionally, blinatumomab produced limited leukemic cell killing ex vivo overall, but addition of CTLA4 blockade (ipilimumab) selectively restored blinatumomab efficacy in RAS mutant samples. Together, these results indicate that RAS pathway activation associates with a Treg enriched, immunosuppressive bone marrow microenvironment and point to CTLA4 targeted strategies to enhance T cell engager efficacy in this subgroup.
蛋白质无序性控制DNA中的变构作用NicheSphere揭示Spp1⁺巨噬细胞在骨髓增殖性肿瘤纤维化重塑中的核心枢纽作用
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