2015
DOI: 10.1016/j.stem.2015.07.011
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A TIM-3/Gal-9 Autocrine Stimulatory Loop Drives Self-Renewal of Human Myeloid Leukemia Stem Cells and Leukemic Progression

Abstract: Signaling mechanisms underlying self-renewal of leukemic stem cells (LSCs) are poorly understood, and identifying pathways specifically active in LSCs could provide opportunities for therapeutic intervention. T-cell immunoglobin mucin-3 (TIM-3) is expressed on the surface of LSCs in many types of human acute myeloid leukemia (AML), but not on hematopoietic stem cells (HSCs). Here, we show that TIM-3 and its ligand, galectin-9 (Gal-9), constitute an autocrine loop critical for LSC self-renewal and development o… Show more

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Cited by 222 publications
(216 citation statements)
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“…It has been reported to specifically interact with the immune receptor Tim-3 inducing mTOR pathway activation as well as forming an autocrine loop with Tim-3 in human AML cells 3,5 . Due to very high expression levels of Tim-3 in AML cells this protein is currently considered as a target for anti-AML therapy.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…It has been reported to specifically interact with the immune receptor Tim-3 inducing mTOR pathway activation as well as forming an autocrine loop with Tim-3 in human AML cells 3,5 . Due to very high expression levels of Tim-3 in AML cells this protein is currently considered as a target for anti-AML therapy.…”
Section: Resultsmentioning
confidence: 99%
“…Although the biochemical activities of Tim-3 have recently been elucidated, 3-7 the functional role of this protein/receptor in AML cells remains unclear and the reasons for striking increases in Tim-3 levels in these cells are also not yet understood. Galectin-9, which was found to be a natural Tim-3 ligand, 3,5 was recently suggested to form an autocrine loop, where newly released galectin-9 interacts with Tim-3 expressed on the cell surface 3 . Furthermore, in leukocytes Tim-3 is known to be shed by proteolytic enzymes including metalloproteinases 8 .…”
Section: Introductionmentioning
confidence: 99%
“…Of particular interest is the upregulation of galectin-9 (LGALS9), which is the ligand for TIM-3 [40]. LGALS9 can exert pleiotropic effects through TIM-3, and it has been shown to promote leukemic stem cell renewal, suggesting that this gene that appears to be up-regulated by the process of immune reconstitution after chemotherapy may also have a role in AML relapse [41, 42]. …”
Section: Discussionmentioning
confidence: 99%
“…This process is named autocrine or paracrine mechanisms. 35 Sustained proliferation leads to a greater mutation possibility. Thus, mutation is one of the main factors in leukemia initiation and progression.…”
Section: Leukemia Pathogenesismentioning
confidence: 99%