RT Journal Article T1 NKT-Like (CD3+CD56+) Cells in Chronic Myeloid Leukemia Patients Treated With Tyrosine Kinase Inhibitors. A1 Almeida, Jani-Sofia A1 Couceiro, Patrícia A1 Lopez-Sejas, Nelson A1 Alves, Vera A1 Růžičkova, Lenka A1 Tarazona, Raquel A1 Solana, Rafael A1 Freitas-Tavares, Paulo A1 Santos-Rosa, Manuel A1 Rodrigues-Santos, Paulo K1 NKT-like cells K1 Chronic myeloid leukemia K1 Immune checkpoints K1 Natural cytotoxicity receptors K1 Tyrosine kinase inhibitors AB Therapy with Tyrosine Kinase Inhibitors (TKI) aiming stable deep molecular response is the gold standard to treat Chronic Myeloid Leukemia (CML). NKT-like cells (CD3+CD56+) combine characteristics of T and NK cells. The physiopathological role of these cells remains unknown although the literature refers their association with inflammation, autoimmune diseases, and cancer. Since the information regarding the role of NKT-like cells in CML is rare, we aimed at the characterization of these cells in CML patients treated with TKIs. Peripheral blood NKT-like cells from 48 CML patients and 40 healthy donors were analyzed by multiparametric flow cytometry. Functional tests consisting of co-culture with leukemic target cells (K562 cell line) were used to measure degranulation and cytokine production. Our results revealed that NKT-like cells are decreased in treated CML patients, although they present increased expression of activation markers (CD69 and HLA-DR), increased degranulation (CD107a) and impaired IFN-γ production. Significantly alterations on the expression of tumor recognition (NCRs and NKp80), and immune regulation receptors (LAG-3, TIM-3, and CD137) by NKT-like cells were observed in CML patients. Second generation TKIs increased cell activation (CD69) and decreased expression of NKp44 and NKp80 by NKT-like cells from CML patients when compared to Imatinib. CML patients that achieved deep molecular response (MR4.5) presented downregulation of NKp44 and LAG-3. Further studies are needed to clarify the role of these cells as biomarkers of therapy response and also to evaluate their value for discrimination of better candidates for sustained treatment-free remission after TKI discontinuation. PB Frontiers Research Foundation YR 2019 FD 2019-10-07 LK http://hdl.handle.net/10668/14649 UL http://hdl.handle.net/10668/14649 LA en NO Almeida JS, Couceiro P, López-Sejas N, Alves V, Růžičková L, Tarazona R, et al. NKT-Like (CD3+CD56+) Cells in Chronic Myeloid Leukemia Patients Treated With Tyrosine Kinase Inhibitors. Front Immunol. 2019 Oct 22;10:2493 DS RISalud RD Apr 18, 2025