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进展期乳腺癌中的1型和2型肿瘤浸润效应细胞亚群

Type 1 and type 2 tumor infiltrating effector cell subpopulations in progressive breast cancer.

作者信息

Reome Joyce B, Hylind James C, Dutton Richard W, Dobrzanski Mark J

机构信息

Trudeau Institute, Saranac Lake, NY 12983 USA.

出版信息

Clin Immunol. 2004 Apr;111(1):69-81. doi: 10.1016/j.clim.2003.11.013.

Abstract

Effector T cells fall into two subpopulations based on cytokine-secretion. Type 1 cells secrete IFN-gamma, whereas type 2 cells secrete IL-4, IL-10, and GM-CSF. NKT cells represent a third subpopulation that secretes similar cytokines and have been associated with immunoregulation. Using the TS/A adenocarcinoma, we assessed the phenotype and kinetics of tumor-infiltrating lymphocytes (TIL) in mice challenged subcutaneously in the mammary region. Flow cytometric analysis shows that T cells do not infiltrate the primary tumor site until days 7-14 following tumor challenge. Both CD4 and CD8 TILs were predominantly CD44(High) and expressed CD25, CD69, and CD95 cell surface activation markers. Activated CD4/CD44(High) TIL numbers reached peak levels at day 21 that precipitously decreased by day 28 whereas corresponding CD8 cell numbers progressively increased, however, at lower levels and with later kinetics. Intracellular cytokine staining showed that greater numbers of IL-4-producing Th2 cells were elicited and with earlier kinetics than that of IFN-gamma-producing Th1 cells. T cells co-expressing DX5 (CD3(+)/DX5(+)) emerged (>21 days), suggesting a recruitment of NK-like T cells at later stages of tumor progression. Moreover, tumors selectively up-regulated TGF-beta, MIF, and IP-10 gene expression at times as early as day 4, with peak levels at day 7 in vivo. Such gene expression remained elevated and correlated with a continued progression in tumor growth suggesting that preferential effector cell recruitment and production of select factors during different stages of tumor maturation may aid in regulating effective endogenous antitumor responses in progressive breast cancer.

摘要

效应T细胞根据细胞因子分泌情况可分为两个亚群。1型细胞分泌干扰素-γ,而2型细胞分泌白细胞介素-4、白细胞介素-10和粒细胞-巨噬细胞集落刺激因子。自然杀伤T细胞代表第三个亚群,分泌类似的细胞因子,并与免疫调节有关。利用TS/A腺癌,我们评估了在乳腺区域皮下接种的小鼠肿瘤浸润淋巴细胞(TIL)的表型和动力学。流式细胞术分析显示,在肿瘤接种后7-14天,T细胞才会浸润原发性肿瘤部位。CD4和CD8 TIL主要为CD44(高表达),并表达CD25、CD69和CD95细胞表面活化标志物。活化的CD4/CD44(高表达)TIL数量在第21天达到峰值水平,到第28天急剧下降,而相应的CD8细胞数量逐渐增加,不过数量较少且动力学变化较晚。细胞内细胞因子染色显示,产生白细胞介素-4的Th2细胞数量比产生干扰素-γ的Th1细胞更多,且动力学变化更早。共表达DX5(CD3(+)/DX5(+))的T细胞在21天之后出现,表明在肿瘤进展后期募集了自然杀伤样T细胞。此外,肿瘤在早在第4天就选择性地上调转化生长因子-β、巨噬细胞移动抑制因子和干扰素诱导蛋白10的基因表达,在体内第7天达到峰值水平。这种基因表达持续升高,并与肿瘤生长的持续进展相关,表明在肿瘤成熟的不同阶段优先募集效应细胞和产生特定因子可能有助于调节进展期乳腺癌中有效的内源性抗肿瘤反应。

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