Table 2.

Driver mutations and the immunological TME

StudyDriver mutationDiseaseImmune correlates
Vadakekolathu et al9  RUNX1, TP53 AML Higher TIS, IFN signaling, and cytotoxicity scores relative to patients with favorable or intermediate-risk AML 
Vadakekolathu et al35  TP53 AML High expression of IFNG, FOXP3, immune checkpoints, markers of immune senescence, and phosphatidylinositol 3-kinase-Akt and NF-κB signaling intermediates 
Sallman et al36  TP53 AML Reduced numbers of BM-infiltrating OX40+ cytotoxic T cells and helper T cells
Decreased ICOS+ and 4-1BB+ NK cells
Expansion of myeloid-derived suppressor cells and Treg cells
Increase of PD-L1 expression in HSCs 
Dufva et al8  TP53 AML High cytolytic score (especially in MDS-like cases) and high expression of PD-L1 
NPM1 AML Increased expression of VISTA and ULBP1 (NKG2D ligand) 
RUNX1 AML High expression of B-cell–associated markers (BTN2A2, SLAMF7, and LY9) in addition to HLA II 
Abbas et al37  chr7/7q loss AML Higher Treg and CD8+ T-cell infiltration, downregulation of IFN-γ pathway genes, and worse survival compared with AML cases with intact chr7/7q 
Yeaton et al38  TET2 AML Emergence of inflammatory monocyte-like cells during progression to myeloid transformation 
Notarangelo et al39  IDH1/IDH2 Human IDH-mutant cancers Acute but reversible inhibition of CD8+ T-cell proliferation, cytotoxicity, and IFN-γ signaling by oncometabolite d-2HG 
StudyDriver mutationDiseaseImmune correlates
Vadakekolathu et al9  RUNX1, TP53 AML Higher TIS, IFN signaling, and cytotoxicity scores relative to patients with favorable or intermediate-risk AML 
Vadakekolathu et al35  TP53 AML High expression of IFNG, FOXP3, immune checkpoints, markers of immune senescence, and phosphatidylinositol 3-kinase-Akt and NF-κB signaling intermediates 
Sallman et al36  TP53 AML Reduced numbers of BM-infiltrating OX40+ cytotoxic T cells and helper T cells
Decreased ICOS+ and 4-1BB+ NK cells
Expansion of myeloid-derived suppressor cells and Treg cells
Increase of PD-L1 expression in HSCs 
Dufva et al8  TP53 AML High cytolytic score (especially in MDS-like cases) and high expression of PD-L1 
NPM1 AML Increased expression of VISTA and ULBP1 (NKG2D ligand) 
RUNX1 AML High expression of B-cell–associated markers (BTN2A2, SLAMF7, and LY9) in addition to HLA II 
Abbas et al37  chr7/7q loss AML Higher Treg and CD8+ T-cell infiltration, downregulation of IFN-γ pathway genes, and worse survival compared with AML cases with intact chr7/7q 
Yeaton et al38  TET2 AML Emergence of inflammatory monocyte-like cells during progression to myeloid transformation 
Notarangelo et al39  IDH1/IDH2 Human IDH-mutant cancers Acute but reversible inhibition of CD8+ T-cell proliferation, cytotoxicity, and IFN-γ signaling by oncometabolite d-2HG 

d-2HG, d-2-hydroxyglutarate; ICOS, inducible T-cell costimulator; MDS, myelodysplastic syndrome; TIS, tumor inflammation signature.

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