Immune signature in the microenvironment of SOLID tumors

The complex interaction between tumor cells and the immune system is described in the concept of cancer immunoediting, which is composed of three phases: the elimination phase, in which innate and adaptive immune cells destroy developing tumors before they become clinically detectable; the equilibrium phase, in which tumor cells that develop resistance to effector immune cells survive but stay dormant under the pressure of immune mechanisms; the escape phase occurring when this equilibrium is lost because tumors acquire new properties that circumvent immune recognition and destruction. Our projects aim to investigate the role played by specific innate and adaptive cell populations in this complex interaction, by providing a deep transcriptomic, phenotypic and functional immune characterization in different types of human solid cancers. The results of these studies are expected to provide new insights into the comprehension of anti-tumor immune mechanisms, and to identify novel cellular and molecular targets to be used in patient follow-up and cancer immunotherapy.

Innate lymphiod cells in hematologic malignancies

Innate lymphoid cells (ILCs) are the innate counterparts of T cells, mirroring helper (ILC1, 2, 3) and cytotoxic (NK cells) T cell function. ILCs are emerging as important actors in the pathophysiology of both solid and hematologic cancers by generating a suppressive and tolerant environment. We thus aim at performing a comprehensive immune-phenotypic and functional characterization of ILCs to understand their role in determining the prognosis of hematologic malignancies as well as the responses of patients to the current available therapeutic strategies, including hematopoietic stem cell transplantation. The results that we will obtain will have a clinical utility to identify new clinically relevant prognostic variables and predictive factors of therapy response and to optimize strategies for post-transplant management.

endothelial dysfunction

The study of endothelial dysfunction (ED) is crucial to identify the pathogenesis of cardiovascular diseases and provide treatment indications but is hindered by the limited availability of patient-specific primary endothelial cells (ECs). Endothelial colony-forming cells (ECFCs) – EC progenitors involved in EC homeostasis - represent a non-invasive tool to overcome this issue. Thanks to our long-standing experience in ECFC characterization and by applying in vitro assays that evaluate the ECFC ability to promote thrombosis, we are now studying ED in unprovoked venous thromboembolism (uVTE) and anti-phospholipid syndrome (APS). Combining EC-based assays with extracellular vesicle characterization, we are also studying ED in patients receiving CART-cell therapy for lymphoproliferative diseases.

Innate immunity in SARS-CoV-2 infection and vaccination

The disease progression of SARS-CoV-2 infection can be either asymptomatic or develop into life-threatening pneumonia. The reasons for this dichotomy are still unknown but are partly due to the profile of the patient’s immune response, therefore a better understanding of its magnitude, specificity and kinetics is crucial to the treatment of Covid-19 patients. For these reasons, we are studying the impact of both SARS-CoV-2 infection, in the acute phase and its neurological and neuropsychological complications (NeuroCOVID), and upon vaccination on the homeostasis of immune cells naturally endowed with the highest antiviral activities: NK cells, unconventional T cells (γδ T cells and MAIT cells) and DCs.

COMPLETED PRoJECTS