肿瘤组织中 CCR6+Foxp3+调节性 T 细胞的富集与 CD8+T 细胞功能受损和乳腺癌预后不良相关。

Enrichment of CCR6+Foxp3+ regulatory T cells in the tumor mass correlates with impaired CD8+ T cell function and poor prognosis of breast cancer.

机构信息

Institute for Immunobiology and Department of Immunology, Shanghai Medical College of Fudan University, Shanghai 200032, PR China.

出版信息

Clin Immunol. 2010 Jun;135(3):466-75. doi: 10.1016/j.clim.2010.01.014. Epub 2010 Feb 24.

Abstract

CCR6(+) subset of CD4(+) regulatory T cells, a newly characterized subset of Tregs, has been reported to contribute to local immune inhibition. However, whether CCR6(+) Tregs are present in tumor environment and their relation to the prognosis of tumor remain to be elucidated. In this study, we found that CCR6(+) CD4(+) CD25(high) Tregs, expressing high levels of CD45RO, are dominantly enriched in tumor mass from patients with breast cancer. Furthermore, the frequency of CCR6(+) Tregs, but not CCR6(-) Tregs in tumor infiltrating lymphocytes (TILs), significantly increased in patients during tumor progression, which reversely correlated with decreased frequency of the IFN-gamma(+)CD8(+)T cells in TILs. Most importantly, the frequency of CCR6(+) Tregs, but not CCR6(-) Tregs, reversely correlated to the survival of patients with breast cancer. This study suggested that a new subset of tumor-resident Tregs, CCR6(+) Tregs, may be dominantly responsible for the immunosuppression in tumor immunity and a potential predictor of the poor prognosis of breast cancer.

摘要

CCR6(+) 细胞是 CD4(+) 调节性 T 细胞(Tregs)的一个新亚群,据报道,它有助于局部免疫抑制。然而,肿瘤微环境中是否存在 CCR6(+)Tregs 及其与肿瘤预后的关系仍有待阐明。在本研究中,我们发现 CCR6(+)CD4(+)CD25(high)Tregs,即表达高水平 CD45RO 的细胞,在乳腺癌患者的肿瘤组织中明显富集。此外,在肿瘤进展过程中,肿瘤浸润淋巴细胞(TILs)中 CCR6(+)Tregs 的频率而非 CCR6(-)Tregs 的频率显著增加,与 TILs 中 IFN-γ(+)CD8(+)T 细胞频率的降低呈负相关。最重要的是,CCR6(+)Tregs 的频率而非 CCR6(-)Tregs 的频率与乳腺癌患者的生存呈负相关。本研究表明,一种新的肿瘤驻留 Tregs 亚群 CCR6(+)Tregs 可能是肿瘤免疫抑制的主要原因,也是乳腺癌不良预后的潜在预测因子。

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