Review Article

CD4+CD25highCD127low/-FoxP3+ Regulatory T-Cell Population in Acute Leukemias: A Review of the Literature

Table 1

Review of the literature—Tregs in acute leukemia in child and adult patients.

ALL/AML/patientsBM/PB sampleFrequency of TregsFunction of TregsImpact on prognosisReference

B-ALL/controls (adults)BM/PBIncreasedIncreased suppressive capabilityCorrelation with disease progression
Returned to the normal level in remission
Bhattacharya et al., 2014 [27]
B-ALL, T-ALL/controls (adults)PBMCIncreasedTregs suppress immune function in ALL through the downregulation of IL-2 and upregulation of IL-10 and TGF-betaNot evaluatedWu et al., 2012 [2]
B-ALL/controls (adults, child)BMMC/PBMCIncreasedNot evaluatedNot tested
Correlation with age
Idris et al., 2016 [20]
B-ALL, T-ALL (child)BMIncreased, higher in T-cell than B-cell ALLNot evaluatedCD4+ non-Treg cells may have a role in early response to treatmentLustfeld et al., 2014 [1]
ALL/AML (adult)PBIncreasedNot evaluatedTregs may be used as a biomarker for predicting sensitivity to chemotherapy and prognosisDarwish et al., 2015 [73]
B-ALL (child)PBIncreased, lower after chemotherapyNot evaluatedNot evaluatedSalem et al., 2016 [28]
ALL (child)PBIncreasedActivation of Treg cells is one of the mechanisms of immunosuppression in ALLNot evaluatedStasiak-Barmuta et al., 2009 [33]
ALL (child)PBIncreasedThe increase of Tregs and decrease of NK cells indicate that the function of NK cells may be depressedTreg T-cells play a role in occurrence and development of leukemia and are involved in downregulating NK cell functionWu et al., 2010 [72]
ALL (adult)PBIncreasedThe serum derived from the ALL patients can convert CD4+CD25- T-cells to CD4+CD25+ Tregs, which might be the important reasons for immunosuppressionNot evaluatedLi et al., 2007 [75]
AML (adults)PBMC/BMMCIncreasedInhibition of proliferation and cytokine production (IL-2, IFN-gamma) and improved IL-10 productionPredicted response to chemotherapyWang et al., 2005 [60]
AML/controls (adults)PB/BMIncreased before and after inductionIL-10, TGF-beta1, and cell-to-cell contact are necessary for higher Treg-mediated suppressionPredicted better response to chemotherapySzczepanski et al., 2009 [24]
AML (adults)PB/BMIncreased, particularly high in R/R AMLTregs may play a role in pathogenesis of AMLSequential measurement of Treg frequency may have a clinical value in the evaluation of therapeutic effects and clinical outcome
Associated with poor prognosis
Shenghui et al., 2011 [44]
AML (adults)PBIncreasedTreg cells may play a suppressive role in host antitumor immune responseTregs may be a biomarker for predicting sensitivity to chemotherapy and prognosisYang et al., 2013 [77]