Preprint Brief Report Version 1 Preserved in Portico This version is not peer-reviewed

B Cell Subsets and Immune Checkpoint Expression in Patients With Chronic Lymphocytic Leukaemia

Version 1 : Received: 18 January 2024 / Approved: 18 January 2024 / Online: 19 January 2024 (04:36:13 CET)

A peer-reviewed article of this Preprint also exists.

Ntsethe, A.; Mkhwanazi, Z.A.; Dludla, P.V.; Nkambule, B.B. B Cell Subsets and Immune Checkpoint Expression in Patients with Chronic Lymphocytic Leukemia. Curr. Issues Mol. Biol. 2024, 46, 1731-1740. Ntsethe, A.; Mkhwanazi, Z.A.; Dludla, P.V.; Nkambule, B.B. B Cell Subsets and Immune Checkpoint Expression in Patients with Chronic Lymphocytic Leukemia. Curr. Issues Mol. Biol. 2024, 46, 1731-1740.

Abstract

Chronic lymphocytic leukemia (CLL) is characterized by dysfunctional B cells. Immune checkpoint molecules such as cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), and programmed death-1 (PD-1) are upregulated in patients with CLL and may correlate with prognostic markers such as beta-2 microglobulin (B2M). The aim of this study was to evaluate the levels of immune checkpoints on B-cell subsets and to further correlate them with B2M levels in patients with CLL. We recruited 21 patients with CLL and 12 controls. B cell subsets and the levels of immune checkpoint expression were determined using conventional multi-color flowcytometry. Basal levels of B2M in patients with CLL were measured using an Enzyme-linked immunosorbent assay. Patients with CLL had increased levels of activated B cells when compared to the control group, p< 0.001. The expression of PD-1 and CTLA-4 were increased on activated B cells and memory B cells, p< 0.05. There were no associations between B2M levels and the measured immune checkpoints on B cell subsets, after adjusting for sex and age. African patients with CLL express elevated levels of PD-1 and CTLA-4 immune checkpoints on activated and memory B cell subsets. However, there is no correlation between these immune checkpoint expressions and B2M levels.

Keywords

Chronic lymphocytic leukaemia; immune checkpoints; B cell subsets; beta-2 microglobulin; programmed death protein 1; cytotoxic T-lymphocyte associated protein 4

Subject

Medicine and Pharmacology, Immunology and Allergy

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