Nature Communications (Feb 2024)

Comprehensive characterization of IFNγ signaling in acute myeloid leukemia reveals prognostic and therapeutic strategies

  • Bofei Wang,
  • Patrick K. Reville,
  • Mhd Yousuf Yassouf,
  • Fatima Z. Jelloul,
  • Christopher Ly,
  • Poonam N. Desai,
  • Zhe Wang,
  • Pamella Borges,
  • Ivo Veletic,
  • Enes Dasdemir,
  • Jared K. Burks,
  • Guilin Tang,
  • Shengnan Guo,
  • Araceli Isabella Garza,
  • Cedric Nasnas,
  • Nicole R. Vaughn,
  • Natalia Baran,
  • Qing Deng,
  • Jairo Matthews,
  • Preethi H. Gunaratne,
  • Dinler A. Antunes,
  • Suhendan Ekmekcioglu,
  • Koji Sasaki,
  • Miriam B. Garcia,
  • Branko Cuglievan,
  • Dapeng Hao,
  • Naval Daver,
  • Michael R. Green,
  • Marina Konopleva,
  • Andrew Futreal,
  • Sean M. Post,
  • Hussein A. Abbas

DOI
https://doi.org/10.1038/s41467-024-45916-6
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 16

Abstract

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Abstract Interferon gamma (IFNγ) is a critical cytokine known for its diverse roles in immune regulation, inflammation, and tumor surveillance. However, while IFNγ levels were elevated in sera of most newly diagnosed acute myeloid leukemia (AML) patients, its complex interplay in AML remains insufficiently understood. We aim to characterize these complex interactions through comprehensive bulk and single-cell approaches in bone marrow of newly diagnosed AML patients. We identify monocytic AML as having a unique microenvironment characterized by IFNγ producing T and NK cells, high IFNγ signaling, and immunosuppressive features. IFNγ signaling score strongly correlates with venetoclax resistance in primary AML patient cells. Additionally, IFNγ treatment of primary AML patient cells increased venetoclax resistance. Lastly, a parsimonious 47-gene IFNγ score demonstrates robust prognostic value. In summary, our findings suggest that inhibiting IFNγ is a potential treatment strategy to overcoming venetoclax resistance and immune evasion in AML patients.