Scientific article
Open access

Hyperactive mTOR pathway promotes lymphoproliferation and abnormal differentiation in autoimmune lymphoproliferative syndrome

Published inBlood, vol. 128, no. 2, p. 227-238
Publication date2016-07-14

Autoimmune lymphoproliferative syndrome (ALPS) is a human disorder characterized by defective Fas signaling, resulting in chronic benign lymphoproliferation and accumulation of TCRαβ(+) CD4(-) CD8(-) double-negative T (DNT) cells. Although their phenotype resembles that of terminally differentiated or exhausted T cells, lack of KLRG1, high eomesodermin, and marginal T-bet expression point instead to a long-lived memory state with potent proliferative capacity. Here we show that despite their terminally differentiated phenotype, human ALPS DNT cells exhibit substantial mitotic activity in vivo. Notably, hyperproliferation of ALPS DNT cells is associated with increased basal and activation-induced phosphorylation of serine-threonine kinases Akt and mechanistic target of rapamycin (mTOR). The mTOR inhibitor rapamycin abrogated survival and proliferation of ALPS DNT cells, but not of CD4(+) or CD8(+) T cells in vitro. In vivo, mTOR inhibition reduced proliferation and abnormal differentiation by DNT cells. Importantly, increased mitotic activity and hyperactive mTOR signaling was also observed in recently defined CD4(+) or CD8(+) precursor DNT cells, and mTOR inhibition specifically reduced these cells in vivo, indicating abnormal programming of Fas-deficient T cells before the DNT stage. Thus, our results identify the mTOR pathway as a major regulator of lymphoproliferation and aberrant differentiation in ALPS.

  • Adolescent
  • Adult
  • Autoimmune Lymphoproliferative Syndrome / immunology
  • Autoimmune Lymphoproliferative Syndrome / pathology
  • CD4-Positive T-Lymphocytes / immunology
  • CD4-Positive T-Lymphocytes / pathology
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / pathology
  • Cell Differentiation / immunology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Lectins, C-Type / immunology
  • Leukocyte Common Antigens / immunology
  • Male
  • Proto-Oncogene Proteins c-akt / immunology
  • Receptors, Antigen, T-Cell / immunology
  • Receptors, Immunologic
  • Signal Transduction / immunology
  • TOR Serine-Threonine Kinases / immunology
  • Trans-Activators / immunology
Affiliation Not a UNIGE publication
Citation (ISO format)
VÖLKL, Simon et al. Hyperactive mTOR pathway promotes lymphoproliferation and abnormal differentiation in autoimmune lymphoproliferative syndrome. In: Blood, 2016, vol. 128, n° 2, p. 227–238. doi: 10.1182/blood-2015-11-685024
Main files (1)
Article (Published version)
Secondary files (1)
ISSN of the journal0006-4971

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