CHARACTERIZATION OF REGULATORY T CELLS IN PATIENTS WITH MULTIPLE MYELOMA (EHA 2023)
We performed single-cell RNA sequencing (scRNA-seq) of sorted CD4 + T cells from BM mononuclear cells (BMMCs) of healthy donor (HD), patients with monoclonal gammopathy of undetermined significance (MGUS), smoldering MM (SMM), and MM at diagnosis, and patients with or without minimal residual disease (MRD) after treatment with bortezomib/thalidomide/dexamethasone (VTD). We identified 17 clusters of BM CD4 T cells by scRNA-seq,, which were subdivide into classical CD4 T subsets; naïve (CCR7 + SELL + HNRNPLL - ), central memory (CCR7+SELL+HNRNPLL+), tissue-resident memory T (TRM, CD69 high KLF3 - S1PR1 - ), Th1 (TBX21 + CXCR3 + IFNG + ), Th2 (GATA3 + CCR4 high ), Th17(RORC + CCR6 high ), cytotoxic T (GZMB + PRF1 + GNLY + NKG7 + ) and regulatory T cells (Tregs, FOXP3 + CTLA4 + ). Notably, the frequency of cytotoxic T was increased in MM patients at diagnosis compared with HD, while the frequency of cytotoxic T was significantly reduced after VTD in both patients with or without MRD. Interestingly, frequency of activated Tregs (HLA- DR high CTLA4 high ) among total Tregs was increased in MM at diagnosis compared with HD.