肿瘤内 HPV16 特异性 T 细胞构成 I 型肿瘤微环境,改善 HPV16 驱动的口咽癌患者的生存。

Intratumoral HPV16-Specific T Cells Constitute a Type I-Oriented Tumor Microenvironment to Improve Survival in HPV16-Driven Oropharyngeal Cancer.

机构信息

Department of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.

Department of Pathology, Leiden University Medical Center, Leiden, the Netherlands.

出版信息

Clin Cancer Res. 2018 Feb 1;24(3):634-647. doi: 10.1158/1078-0432.CCR-17-2140. Epub 2017 Oct 10.

Abstract

Human papillomavirus (HPV)-associated oropharyngeal squamous cell cancer (OPSCC) has a much better prognosis than HPV-negative OPSCC, and this is linked to dense tumor immune infiltration. As the viral antigens may trigger potent immunity, we studied the relationship between the presence of intratumoral HPV-specific T-cell responses, the immune contexture in the tumor microenvironment, and clinical outcome. To this purpose, an in-depth analysis of tumor-infiltrating immune cells in a prospective cohort of 97 patients with HPV16-positive and HPV16-negative OPSCC was performed using functional T-cell assays, mass cytometry (CyTOF), flow cytometry, and fluorescent immunostaining of tumor tissues. Key findings were validated in a cohort of 75 patients with HPV16-positive OPSCC present in the publicly available The Cancer Genome Atlas database. In 64% of the HPV16-positive tumors, type I HPV16-specific T cells were present. Their presence was not only strongly related to a better overall survival, a smaller tumor size, and less lymph node metastases but also to a type I-oriented tumor microenvironment, including high numbers of activated CD161 T cells, CD103 tissue-resident T cells, dendritic cells (DC), and DC-like macrophages. The viral antigens trigger a tumor-specific T-cell response that shapes a favorable immune contexture for the response to standard therapy. Hence, reinforcement of HPV16-specific T-cell reactivity is expected to boost this process. .

摘要

人乳头瘤病毒(HPV)相关的口咽鳞状细胞癌(OPSCC)比 HPV 阴性的 OPSCC 预后要好得多,这与肿瘤密集的免疫浸润有关。由于病毒抗原可能引发强烈的免疫反应,我们研究了肿瘤内 HPV 特异性 T 细胞反应的存在、肿瘤微环境中的免疫结构与临床结果之间的关系。为此,我们使用功能 T 细胞检测、质谱流式细胞术(CyTOF)、流式细胞术和肿瘤组织的荧光免疫染色,对 97 例 HPV16 阳性和 HPV16 阴性 OPSCC 患者的前瞻性队列中的肿瘤浸润免疫细胞进行了深入分析。在公开的癌症基因组图谱数据库中,我们验证了 HPV16 阳性 OPSCC 患者的 75 例患者队列中的关键发现。在 64%的 HPV16 阳性肿瘤中,存在 I 型 HPV16 特异性 T 细胞。它们的存在不仅与总体生存率提高、肿瘤体积减小和淋巴结转移减少密切相关,而且与 I 型为主的肿瘤微环境有关,包括大量活化的 CD161 T 细胞、CD103 组织驻留 T 细胞、树突状细胞(DC)和 DC 样巨噬细胞。病毒抗原引发肿瘤特异性 T 细胞反应,为标准治疗的反应塑造了有利的免疫结构。因此,预计增强 HPV16 特异性 T 细胞反应将促进这一过程。

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