Blood transcriptional profiling reveals IL-1 and integrin signaling pathways associated with clinical response to extracorporeal photopheresis in patients with leukemic cutaneous T-cell lymphoma

Zuolin Ying, Lisa Shiue, Katherine Park, Jutta Kollet, Pedram Bijani, Meghali Goswami, Madeleine Duvic, Xiao Ni

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Extracorporeal photopheresis (ECP) is a frontline therapy for patients with leukemic cutaneous T-cell lymphoma (L-CTCL), but its mechanisms of action are not fully understood. This study was to explore the molecular mechanisms underlying clinical response versus non-response in patients with L-CTCL. We performed blood transcriptional profiling of ten L-CTCL patients at Day 2 and 1 month post-ECP compared to pre-ECP baseline using Agilent Whole Human Genome Microarray technology. Differentially expressed genes (DEGs) between five clinically-responsive patients and five clinically-resistant patients were cross-compared. Higher numbers of genes were modulated in responders than non-responders after ECP at both Day 2 and 1 month, with two thirds of DEGs down-regulated. The down-regulated DEGs at 1 month post-ECP were related to inflammatory, immune and/or stress responses, platelet functions, and chromatin remodeling. Upregulated DEGs were mainly related to functions of the nucleolus. Pathway analysis revealed that integrin and IL-1 signaling pathways were the top pathways affected in responders, which were minimally affected in non-responders. The top upstream transcription regulators affected were IL1B, EGR1, FAS, and TGFB1. Our results suggest that the modulation of cell adhesion and suppression of IL-1β induced inflammation may underlie the efficacy of ECP in L-CTCL.

Original languageEnglish (US)
Pages (from-to)3183-3197
Number of pages15
JournalOncotarget
Volume10
Issue number34
DOIs
StatePublished - May 1 2019

Keywords

  • Cutaneous T-cell lymphoma
  • Extracorporeal photopheresis
  • Integrin
  • Microarray
  • Non-Hodgkin’s lymphoma

ASJC Scopus subject areas

  • Oncology

MD Anderson CCSG core facilities

  • Clinical Trials Office
  • Flow Cytometry and Cellular Imaging Facility

Fingerprint

Dive into the research topics of 'Blood transcriptional profiling reveals IL-1 and integrin signaling pathways associated with clinical response to extracorporeal photopheresis in patients with leukemic cutaneous T-cell lymphoma'. Together they form a unique fingerprint.

Cite this