HTLV-1 Tax Transcriptionally Activates HMGB1 and Links Glycolytic Reprogramming to Immune-Evasion Phenotypes in Adult T-Cell Leukemia/Lymphoma

AuthorRuoting Linen
AuthorShuang Zhouen
AuthorHongzhi Gaoen
AuthorRuoteng Xieen
Issued Date2026-04-30en
AbstractBackground: Adult T-cell leukemia/lymphoma (ATLL) is a human T-cell leukemia virus type 1 (HTLV-1)-associated T-cell malignancy marked by metabolic remodeling and immune escape. Whether the viral transactivator Tax directly engages host transcriptional regulators that connect these processes remains unclear. Objectives: This study tested whether Tax transcriptionally activates high mobility group box 1 (HMGB1) and whether the Tax-HMGB1 axis is associated with glycolytic and immune-evasion phenotypes in ATLL. Methods: Public Gene Expression Omnibus (GEO) cohorts were analyzed within cohort after dataset-specific preprocessing, probe-to-gene collapsing, and standardized signature scoring. Patient-cohort findings were interpreted as associations, whereas mechanistic ordering was examined in a Tax-inducible T-cell model by HMGB1 promoter luciferase assays, chromatin immunoprecipitation quantitative polymerase chain reaction (ChIP-qPCR), small interfering RNA (siRNA) knockdown/rescue, extracellular acidification rate (ECAR), lactate and glucose-uptake assays, flow cytometry, and donor-matched cytotoxic co-culture. Results: In ATLL samples, HMGB1 expression and predefined glycolysis and immune-inhibitory signature scores were higher than in normal CD4+ T-cell controls. Within ATLL, HMGB1 expression was positively associated with both scores and with programmed death-ligand 1 (PD-L1; CD274). Tax induction in a switch model increased HMGB1 expression together with glycolytic and checkpoint-related programs. In mechanistic assays, Tax increased HMGB1 promoter activity and enriched the HMGB1 promoter interval -1163 to -975 in ChIP-qPCR, whereas mutation of a C/EBP-like motif blunted reporter responsiveness. HMGB1 knockdown reduced lactate, ECAR, glucose uptake, PD-L1 and Galectin-9 surface expression, and resistance to cytotoxic killing; HMGB1 re-expression partially restored metabolic output. Lactate inhibition and PD-L1 blockade each partially rescued cytotoxic killing in donor-matched co-cultures. Conclusions: The experimental data support direct transcriptional activation of HMGB1 by Tax and place HMGB1 upstream of a lactate-associated immune-evasion phenotype in ATLL models. The public patient datasets provide complementary associative support but do not by themselves establish causality or resolve contributions from extracellular HMGB1 and tumor microenvironmental composition.en
DOIhttps://doi.org/10.5812/jjm-171048en
URIhttps://brieflands.com/journals/jjm/articles/171048en
KeywordHTLV-1en
KeywordTaxen
KeywordHMGB1en
Keywordadult T-cell leukemia/lymphomaen
Keywordglycolysisen
Keywordlactateen
KeywordPD-L1en
Keywordimmune evasionen
PublisherBrieflandsen
TitleHTLV-1 Tax Transcriptionally Activates HMGB1 and Links Glycolytic Reprogramming to Immune-Evasion Phenotypes in Adult T-Cell Leukemia/Lymphomaen
TypeResearch Articleen

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