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December 8, 2025Blood

Venetoclax-based therapy remodels T-cell and NK-cell immunity in patients with chronic lymphocytic leukemia

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Authors

AFAnna Maria FrustaciMVMarzia VarettoniMMMaria Chiara Montalbano

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Overview

Observational study shows venetoclax modifies T-cell and NK-cell immunity in chronic lymphocytic leukemia, suggesting implications for immune checkpoint regulation.

Key Points

  • This research aims to evaluate the immunological effects of venetoclax-based therapies in chronic lymphocytic leukemia (CLL).
  • Multicenter observational study involving 68 patients with relapsed/refractory CLL.
  • Assessment of T-cell and NK-cell profiles using flow cytometry.
  • Monitoring changes at 1, 6, and 12 months after treatment initiation.
  • Venetoclax treatment significantly reduced CD3⁺, CD4⁺, and CD8⁺ T-cell counts.
  • Increase in terminally differentiated T cells was observed, alongside decreased effector memory T cells.
  • Improvement in T-cell homing capacity indicated by increased CD62L expression after 12 months.
  • The NK-cell subset responsible for cytotoxic activity increased significantly over time.

Cite This Study

Frustaci et al. (2025) studied this question.

synapsesocial.com/papers/69362f4e4fa91c937236d8a7https://doi.org/10.1182/blood-2025-5657
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Venetoclax-Based Regimens in CLL: Immunoglobulin G Levels, Absolute Neutrophil Counts, and Infectious Complications2025
  2. 2Long‐term immune changes in patients with relapsed/refractory chronic lymphocytic leukemia following treatment with venetoclax plus rituximab2024 · 3 citations
  3. 3Integrating venetoclax-based targeted and/or immune therapies for chronic lymphocytic leukemia2026 · 4 citations
  4. 4Real-World Outcomes of Venetoclax in Relapsed/Refractory Chronic Lymphocytic Leukemia2026
  5. 5Immune reconstitution after venetoclax-based treatments in CLL2025