Esendagli G, Bruderek K, Goldmann T, Busche A, Branscheid D, Vollmer E, Brandau S
Department of Immunology and Cell Biology, Research Center Borstel, Borstel, Germany.
Lung Cancer. 2008 Jan;59(1):32-40. doi: 10.1016/j.lungcan.2007.07.022. Epub 2007 Sep 7.
Even though the lung represents a special immune compartment with the capacity of a high inflammatory response, ineffective anti-tumour immunity is common in lung-associated malignancies. We asked whether a differential composition of the immune cell infiltrate in malignant (MLTAs) and non-malignant lung tissue areas (N-MLTAs) exists and might potentially contribute to this effect. We performed a comparative analysis of immune cells residing in MLTAs and N-MLTAs of non-small cell lung cancer (NSCLC) patients. To this end, we used immunophenotyping and functional analyses on directly isolated immune cells and tissue arrays on archived paraffin-embedded specimens. A strong T cell infiltration was prominent in both tissue compartments whereas CD4(+)CD25(+)CD127(-) T regulatory cells were present in MLTAs only. Nonetheless, concurrent functional ex vivo T cell analyses revealed no significant difference between T cells of MLTA and N-MLTA, suggesting that tumour-infiltrating T cells were not functionally impaired. Interestingly, T cell infiltration was less pronounced in specimens with a high neutrophilic infiltrate. NK cell infiltration was strikingly heterogenous between MLTA and N-MLTA. While NK cells were almost absent in the malignant tissue regions, non-malignant counterparts were selectively populated by NK cells and those NK cells showed strong cytotoxic activity ex vivo. We report that malignant and non-malignant tissue areas in NSCLC are selectively infiltrated by certain immune cell types with NK cells being displaced from the tumour tissue. These phenomena have important implications for tumour immunology of NSCLC and should be considered for the development of future immunologic intervention therapies.
尽管肺代表了一个具有高炎症反应能力的特殊免疫区室,但无效的抗肿瘤免疫在与肺相关的恶性肿瘤中很常见。我们询问在恶性肺组织区域(MLTAs)和非恶性肺组织区域(N-MLTAs)中免疫细胞浸润的组成是否存在差异,以及这种差异是否可能导致了这种现象。我们对非小细胞肺癌(NSCLC)患者的MLTAs和N-MLTAs中的免疫细胞进行了比较分析。为此,我们对直接分离的免疫细胞和存档石蜡包埋标本的组织芯片进行了免疫表型分析和功能分析。在两个组织区域中均有明显的T细胞浸润,而CD4(+)CD25(+)CD127(-)调节性T细胞仅存在于MLTAs中。尽管如此,同时进行的体外T细胞功能分析显示,MLTA和N-MLTA中的T细胞之间没有显著差异,这表明肿瘤浸润性T细胞在功能上没有受损。有趣的是,在嗜中性粒细胞浸润高的标本中,T细胞浸润不太明显。MLTA和N-MLTA之间的NK细胞浸润存在显著差异。虽然恶性组织区域几乎没有NK细胞,但非恶性组织区域则有选择性地被NK细胞占据,并且这些NK细胞在体外表现出强大的细胞毒性活性。我们报告,NSCLC中的恶性和非恶性组织区域被某些免疫细胞类型选择性浸润,NK细胞从肿瘤组织中被取代。这些现象对NSCLC的肿瘤免疫学具有重要意义,在未来免疫干预治疗的开发中应予以考虑。