Staphylococcus aureus induces drug resistance in cancer T cells in Sézary syndrome.

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_3DF042FBAE8E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Staphylococcus aureus induces drug resistance in cancer T cells in Sézary syndrome.
Journal
Blood
Author(s)
Vadivel C.K., Willerslev-Olsen A., Namini MRJ, Zeng Z., Yan L., Danielsen M., Gluud M., Pallesen EMH, Wojewoda K., Osmancevic A., Hedebo S., Chang Y.T., Lindahl L.M., Koralov S.B., Geskin L.J., Bates S.E., Iversen L., Litman T., Bech R., Wobser M., Guenova E., Kamstrup M.R., Ødum N., Buus T.B.
ISSN
1528-0020 (Electronic)
ISSN-L
0006-4971
Publication state
Published
Issued date
11/04/2024
Peer-reviewed
Oui
Volume
143
Number
15
Pages
1496-1512
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Patients with Sézary syndrome (SS), a leukemic variant of cutaneous T-cell lymphoma (CTCL), are prone to Staphylococcus aureus infections and have a poor prognosis due to treatment resistance. Here, we report that S aureus and staphylococcal enterotoxins (SE) induce drug resistance in malignant T cells against therapeutics commonly used in CTCL. Supernatant from patient-derived, SE-producing S aureus and recombinant SE significantly inhibit cell death induced by histone deacetylase (HDAC) inhibitor romidepsin in primary malignant T cells from patients with SS. Bacterial killing by engineered, bacteriophage-derived, S aureus-specific endolysin (XZ.700) abrogates the effect of S aureus supernatant. Similarly, mutations in major histocompatibility complex (MHC) class II binding sites of SE type A (SEA) and anti-SEA antibody block induction of resistance. Importantly, SE also triggers resistance to other HDAC inhibitors (vorinostat and resminostat) and chemotherapeutic drugs (doxorubicin and etoposide). Multimodal single-cell sequencing indicates T-cell receptor (TCR), NF-κB, and JAK/STAT signaling pathways (previously associated with drug resistance) as putative mediators of SE-induced drug resistance. In support, inhibition of TCR-signaling and Protein kinase C (upstream of NF-κB) counteracts SE-induced rescue from drug-induced cell death. Inversely, SE cannot rescue from cell death induced by the proteasome/NF-κB inhibitor bortezomib. Inhibition of JAK/STAT only blocks rescue in patients whose malignant T-cell survival is dependent on SE-induced cytokines, suggesting 2 distinct ways SE can induce drug resistance. In conclusion, we show that S aureus enterotoxins induce drug resistance in primary malignant T cells. These findings suggest that S aureus enterotoxins cause clinical treatment resistance in patients with SS, and antibacterial measures may improve the outcome of cancer-directed therapy in patients harboring S aureus.
Keywords
Humans, Sezary Syndrome/drug therapy, Sezary Syndrome/pathology, Staphylococcus aureus, NF-kappa B, T-Lymphocytes, Enterotoxins/pharmacology, Lymphoma, T-Cell, Cutaneous/pathology, Receptors, Antigen, T-Cell, Staphylococcal Infections, Histone Deacetylase Inhibitors/pharmacology, Histone Deacetylase Inhibitors/therapeutic use, Skin Neoplasms, Drug Resistance
Pubmed
Web of science
Open Access
Yes
Create date
10/01/2024 11:14
Last modification date
25/06/2024 6:28
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