From Immune Dysregulations to Therapeutic Perspectives in Myelodysplastic Syndromes: A Review.

T-cell immune inflammation myelodysplastic syndromes

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
26 Oct 2021
Historique:
received: 30 09 2021
revised: 21 10 2021
accepted: 22 10 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 28 11 2021
Statut: epublish

Résumé

The pathophysiology of myelodysplastic syndromes (MDSs) is complex and often includes immune dysregulation of both the innate and adaptive immune systems. Whereas clonal selection mainly involves smoldering inflammation, a cellular immunity dysfunction leads to increased apoptosis and blast proliferation. Addressing immune dysregulations in MDS is a recent concept that has allowed the identification of new therapeutic targets. Several approaches targeting the different actors of the immune system have therefore been developed. However, the results are very heterogeneous, indicating the need to improve our understanding of the disease and interactions between chronic inflammation, adaptive dysfunction, and somatic mutations. This review highlights current knowledge of the role of immune dysregulation in MDS pathophysiology and the field of new drugs.

Identifiants

pubmed: 34829329
pii: diagnostics11111982
doi: 10.3390/diagnostics11111982
pmc: PMC8620222
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Thibault Comont (T)

Department of Internal Medicine, IUCT-Oncopole, Toulouse University Hospital (CHU-Toulouse), 31300 Toulouse, France.
Cancer Research Center of Toulouse, Unité Mixte de Recherche (UMR) 1037 INSERM, ERL5294 Centre National de La Recherche Scientifique, 31100 Toulouse, France.
School of Medicine, Université Toulouse III-Paul Sabatier, 31062 Toulouse, France.

Emmanuel Treiner (E)

School of Medicine, Université Toulouse III-Paul Sabatier, 31062 Toulouse, France.
Laboratory of Immunology, Toulouse University Hospital (CHU-Toulouse), 31300 Toulouse, France.
Infinity, Inserm UMR1291, 31000 Toulouse, France.

François Vergez (F)

Cancer Research Center of Toulouse, Unité Mixte de Recherche (UMR) 1037 INSERM, ERL5294 Centre National de La Recherche Scientifique, 31100 Toulouse, France.
School of Medicine, Université Toulouse III-Paul Sabatier, 31062 Toulouse, France.
Laboratory of Hematology, IUCT-Oncopole, Toulouse University Hospital (CHU-Toulouse), 31300 Toulouse, France.

Classifications MeSH