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效应记忆 T 细胞频率与 HNSCC 患者的肿瘤分期、部位和 HPV 状态的关系。

Effector memory T-cell frequencies in relation to tumour stage, location and HPV status in HNSCC patients.

机构信息

Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

Oral Dis. 2013 Sep;19(6):577-84. doi: 10.1111/odi.12037. Epub 2012 Nov 26.

Abstract

BACKGROUND

The immune system plays an important role in tumour immune surveillance. Head and neck squamous cell carcinoma patients are often immune compromised.

OBJECTIVE

To chart the baseline levels of T-cell subpopulation frequencies in patients with cancer prior to treatment.

SUBJECTS AND METHODS

Blood samples of patients were taken at the time of diagnosis, analysed with flowcytometry and compared with blood samples of healthy donors.

RESULTS

Compared to healthy donors, a significant shift from naive to effector memory T cells was observed. This effect was most prominent in stage II patients. A similar shift from naive to effector memory T cells was noted in patients with oropharynx or larynx squamous cell carcinomas. Furthermore, the percentage of effector memory and effector T cells was higher in the group of patients with human papillomavirus-positive oropharyngeal squamous cell carcinomas, compared with patients with human papillomavirus-negative tumours, suggestive of virus-induced T-cell activation.

CONCLUSION

Here, we provide a simple and easily implementable tool to document T lymphocyte subsets in the peripheral blood of head and neck cancer patients, which might be useful for prognosis and/or therapy response prediction.

摘要

背景

免疫系统在肿瘤免疫监测中起着重要作用。头颈部鳞状细胞癌患者通常免疫功能受损。

目的

绘制癌症患者治疗前 T 细胞亚群频率的基线水平。

受试者和方法

在诊断时采集患者的血液样本,用流式细胞术进行分析,并与健康供体的血液样本进行比较。

结果

与健康供体相比,观察到从幼稚 T 细胞向效应记忆 T 细胞的显著转移。这种效应在 II 期患者中最为明显。在口咽或喉鳞状细胞癌患者中也观察到从幼稚 T 细胞向效应记忆 T 细胞的类似转移。此外,与 HPV 阴性肿瘤患者相比,HPV 阳性口咽鳞状细胞癌患者的效应记忆和效应 T 细胞的百分比更高,提示病毒诱导的 T 细胞激活。

结论

在这里,我们提供了一种简单且易于实施的工具,用于记录头颈部癌症患者外周血中的 T 淋巴细胞亚群,这可能对预后和/或治疗反应预测有用。

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