Department of Surgical Oncological and Oral Sciences, Section of Urology, University of Palermo, Palermo, Italy.
Department of Biopathology and Clinical and Forensic Biotechnology, University of Palermo, Palermo, Italy.
Investig Clin Urol. 2019 Mar;60(2):91-98. doi: 10.4111/icu.2019.60.2.91. Epub 2019 Feb 26.
The aim of our study was to prospectively evaluate the distribution of gamma-delta (γδ)1 and γδ2 T cells and their phenotypes in peripheral blood and prostate samples of patients diagnosed with or without prostate cancer (PCa) at prostate biopsy.
A consecutive series of 43 outpatients underwent trans-rectal echo-guided prostate biopsy for suspected PCa. Flow cytometry analysis was used to identify and characterize the γδ T cells populations in peripheral blood and tissue samples. Patients were stratified according to the presence or not of PCa, and its International Society of Urological Pathology (ISUP) grade (1 vs. ≥2).
The distribution of γδ T cells in peripheral blood and prostate tissue showed wide variability and non-significant differences. A slightly higher percentage of δ2 T cells and a slightly lower percentage of δ1 T cells were found in peripheral blood of cancer patients. A non-significantly higher percentage of both Vδ1 and Vδ2 was expressed in cancer tissues, but a trend for lower distribution of δ1 and δ2 T cells was observed in ISUP grade ≥2. The "central memory" and "effector memory" were the most expressed T cells phenotype in peripheral blood and tissue samples. However no substantial differences in T cells subtypes distribution between cancer and healthy tissue were observed.
No substantially different percentages of γδ T cells were found in peripheral blood and biopsy samples of healthy and PCa patients. However a non-significant trend for lower infiltrate in higher ISUP grade cancer tissue was observed, suggesting a possible role for the immunosurveillance of PCa.
我们的研究旨在前瞻性评估在经直肠超声引导前列腺活检诊断为或未诊断为前列腺癌(PCa)的患者的外周血和前列腺样本中γ-δ(γδ)1 和 γδ2 T 细胞及其表型的分布。
连续系列的 43 名门诊患者因疑似 PCa 接受经直肠超声引导前列腺活检。使用流式细胞术分析来鉴定和描述外周血和组织样本中的 γδ T 细胞群体。根据是否存在 PCa 和国际泌尿科病理学会(ISUP)分级(1 级与≥2 级)对患者进行分层。
外周血和前列腺组织中 γδ T 细胞的分布存在很大差异,但无统计学意义。癌症患者外周血中 δ2 T 细胞的百分比略高,而 δ1 T 细胞的百分比略低。在癌症组织中,Vδ1 和 Vδ2 的表达百分比略高,但在 ISUP 分级≥2 时,δ1 和 δ2 T 细胞的分布趋势较低。“中央记忆”和“效应记忆”是外周血和组织样本中表达最丰富的 T 细胞表型。然而,在癌症和健康组织之间,T 细胞亚型分布没有明显差异。
在健康和 PCa 患者的外周血和活检样本中,γδ T 细胞的百分比没有明显差异。然而,在 ISUP 分级较高的癌症组织中,浸润程度较低的趋势不明显,这表明 PCa 的免疫监视可能发挥作用。