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结直肠癌患者循环和肿瘤浸润性Tim-3

Circulating and tumor-infiltrating Tim-3 in patients with colorectal cancer.

作者信息

Xu Benling, Yuan Long, Gao Quanli, Yuan Peng, Zhao Peng, Yuan Huijuan, Fan Huijie, Li Tiepeng, Qin Peng, Han Lu, Fang Weijia, Suo Zhenhe

机构信息

Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, P. R. China.

Department of Cancer Biotherapy, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Henan, P. R. China.

出版信息

Oncotarget. 2015 Aug 21;6(24):20592-603. doi: 10.18632/oncotarget.4112.

Abstract

T-cell exhaustion represents a progressive loss of T-cell function. The inhibitory receptor PD-1 is known to negatively regulate CD8+ T cell responses directed against tumor antigen, but the blockades of PD-1 pathway didn't show the objective responses in patients with colorectal cancer (CRC). Thus, further exploring the molecular mechanism responsible for inducing T-cell dysfunction in CRC patients may reveal effective strategies for immune therapy. This study aims to characterize co-inhibitory receptors on T cells in CRC patients to identify novel targets for immunotherapy. In this study, peripheral blood samples from 20 healthy controls and 54 consented CRC patients, and tumor and matched paraneoplastic tissues from 7 patients with advanced CRC, subjected to multicolor flow cytometric analysis of the expression of PD-1 and Tim-3 receptors on CD8+ T cells. It was found that CRC patients presented with significantly higher levels of circulating Tim-3+PD-1+CD8+ T cells compared to the healthy controls (medians of 3.12% and 1.99%, respectively, p = 0.0403). A similar increase of Tim-3+PD-1+CD8+ T cells was also observed in the tumor tissues compared to paraneoplastic tussues. Tim-3+PD-1+CD8+ T cells in tumor tissues produced even less cytokine than that in paraneoplastic tissues. Functional ex vivo experiments showed that Tim-3+PD-1+CD8+ T cells produced significantly less IFN-γ than Tim-3-PD-1-CD8+ T cells, followed by Tim-3+PD-1-CD8+ T cells, and Tim-3-PD-1+CD8+ T cells, indicating a stronger inhibition of IFN-γ production of Tim-3+CD8+ T cells . It is also found in this study that Tim-3+PD-1+CD8+ T cell increase in circulation was correlated with clinical cancer stage but not histologic grade and serum concentrations of cancer biomarker CEA. Our results indicate that upregulation of the inhibitory receptor Tim-3 may restrict T cell responses in CRC patients, and therefore blockage of Tim-3 and thus restoring T cell responses may be a potential therapeutic approach for CRC patients.

摘要

T细胞耗竭代表T细胞功能的逐渐丧失。已知抑制性受体PD-1会负向调节针对肿瘤抗原的CD8+T细胞反应,但PD-1通路阻断在结直肠癌(CRC)患者中并未显示出客观反应。因此,进一步探索导致CRC患者T细胞功能障碍的分子机制可能会揭示免疫治疗的有效策略。本研究旨在表征CRC患者T细胞上的共抑制受体,以确定免疫治疗的新靶点。在本研究中,对20名健康对照者和54名同意参与的CRC患者的外周血样本,以及7名晚期CRC患者的肿瘤组织和配对的癌旁组织,进行了CD8+T细胞上PD-1和Tim-3受体表达的多色流式细胞术分析。结果发现,与健康对照者相比,CRC患者循环中Tim-3+PD-1+CD8+T细胞水平显著更高(中位数分别为3.12%和1.99%,p = 0.0403)。与癌旁组织相比,肿瘤组织中Tim-3+PD-1+CD8+T细胞也有类似增加。肿瘤组织中的Tim-3+PD-1+CD8+T细胞产生的细胞因子甚至比癌旁组织中的更少。体外功能实验表明,Tim-3+PD-1+CD8+T细胞产生的IFN-γ明显少于Tim-3-PD-1-CD8+T细胞,其次是Tim-3+PD-1-CD8+T细胞和Tim-3-PD-1+CD8+T细胞,表明Tim-3+CD8+T细胞对IFN-γ产生的抑制作用更强。本研究还发现,循环中Tim-3+PD-1+CD8+T细胞的增加与临床癌症分期相关,但与组织学分级和癌症生物标志物CEA的血清浓度无关。我们的结果表明,抑制性受体Tim-3的上调可能会限制CRC患者的T细胞反应,因此阻断Tim-3从而恢复T细胞反应可能是CRC患者的一种潜在治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a8b/4653028/eca943d4724f/oncotarget-06-20592-g001.jpg

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