Castino Giovanni Francesco, Cortese Nina, Capretti Giovanni, Serio Simone, Di Caro Giuseppe, Mineri Rossana, Magrini Elena, Grizzi Fabio, Cappello Paola, Novelli Francesco, Spaggiari Paola, Roncalli Massimo, Ridolfi Cristina, Gavazzi Francesca, Zerbi Alessandro, Allavena Paola, Marchesi Federica
Department of Immunology and Inflammation, Humanitas Clinical and Research Center , Rozzano, Italy.
Section of Pancreatic Surgery, Department of Surgery, Humanitas Clinical and Research Center , Rozzano, Italy.
Oncoimmunology. 2015 Sep 11;5(4):e1085147. doi: 10.1080/2162402X.2015.1085147. eCollection 2016 Apr.
B-cell responses are emerging as critical regulators of cancer progression. In this study, we investigated the role of B lymphocytes in the microenvironment of human pancreatic ductal adenocarcinoma (PDAC), in a retrospective consecutive series of 104 PDAC patients and in PDAC preclinical models. Immunohistochemical analysis revealed that B cells occupy two histologically distinct compartments in human PDAC, either scatteringly infiltrating (CD20-TILs), or organized in tertiary lymphoid tissue (CD20-TLT). Only when retained within TLT, high density of B cells predicted longer survival (median survival 16.9 mo CD20-TLT vs. 10.7 mo CD20-TLT; = 0.0085). Presence of B cells within TLT associated to a germinal center (GC) immune signature, correlated with CD8-TIL infiltration, and empowered their favorable prognostic value. Immunotherapeutic vaccination of spontaneously developing PDAC (Kras-Pdx1-Cre) mice with α-enolase (ENO1) induced formation of TLT with active GCs and correlated with increased recruitment of T lymphocytes, suggesting induction of TLT as a strategy to favor mobilization of immune cells in PDAC. In contrast, in an implanted tumor model devoid of TLT, depletion of B cells with an anti-CD20 antibody reinstated an antitumor immune response. Our results highlight B cells as an essential element of the microenvironment of PDAC and identify their spatial organization as a key regulator of their antitumor function. A mindfully evaluation of B cells in human PDAC could represent a powerful prognostic tool to identify patients with distinct clinical behaviors and responses to immunotherapeutic strategies.
B细胞反应正逐渐成为癌症进展的关键调节因子。在本研究中,我们在104例胰腺导管腺癌(PDAC)患者的回顾性连续系列研究以及PDAC临床前模型中,调查了B淋巴细胞在人胰腺导管腺癌微环境中的作用。免疫组织化学分析显示,B细胞在人PDAC中占据两个组织学上不同的区域,要么是散在浸润(CD20阳性肿瘤浸润淋巴细胞,CD20-TILs),要么是组织成三级淋巴组织(CD20阳性三级淋巴组织,CD20-TLT)。只有当B细胞保留在三级淋巴组织内时,高密度的B细胞才预示着更长的生存期(CD20-TLT组的中位生存期为16.9个月,而CD20-TILs组为10.7个月;P = 0.0085)。三级淋巴组织内B细胞的存在与生发中心(GC)免疫特征相关,与CD8阳性肿瘤浸润淋巴细胞浸润相关,并增强了它们的良好预后价值。用α-烯醇化酶(ENO1)对自发发生的PDAC(Kras-Pdx1-Cre)小鼠进行免疫治疗性疫苗接种,诱导形成具有活跃生发中心的三级淋巴组织,并与T淋巴细胞募集增加相关,这表明诱导三级淋巴组织形成是促进PDAC中免疫细胞动员的一种策略。相反,在一个没有三级淋巴组织的植入肿瘤模型中,用抗CD20抗体清除B细胞可恢复抗肿瘤免疫反应。我们的结果强调B细胞是PDAC微环境的一个重要组成部分,并确定它们的空间组织是其抗肿瘤功能的关键调节因子。对人PDAC中B细胞进行审慎评估可能是一种强大的预后工具,可用于识别具有不同临床行为和对免疫治疗策略反应的患者。