Department of Gastric Surgery, Shanghai Cancer Center, Fudan University, Shanghai, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Nat Commun. 2021 May 25;12(1):3080. doi: 10.1038/s41467-021-23356-w.
Studies that examined an association between CD8T and prognosis in gastric cancer are inconsistent, and a distinct population of CXCR5CD8T associated with better overall survival has been reported among various malignancies. Here, we show that the abundance of intratumoral CXCR5CD8T cells is associated with better overall survival in patients with gastric cancer. Patients with TNM II + III gastric cancer with higher intratumoral CXCR5CD8T cell infiltration are more likely to benefit from adjuvant chemotherapy. Microsatellite-unstable and Epstein-Barr virus positive tumors are enriched with CXCR5CD8T cells. Gastric cancer infiltrating CXCR5CD8T cells represent a specific subtype of stem-like CD8T with effector memory feature. Identification of the clinical significance and phenotype of gastric cancer infiltrating CXCR5CD8T provides a roadmap for patient stratification and trials of targeted therapies.
研究表明,CD8T 与胃癌预后之间存在关联,但在各种恶性肿瘤中,与更好的总生存率相关的 CXCR5CD8T 细胞的特定群体尚未达成一致意见。在这里,我们发现肿瘤内 CXCR5CD8T 细胞的丰度与胃癌患者的总生存率相关。TNM II+III 期胃癌患者肿瘤内 CXCR5CD8T 细胞浸润较高者更有可能从辅助化疗中获益。微卫星不稳定和 Epstein-Barr 病毒阳性肿瘤富含 CXCR5CD8T 细胞。胃癌浸润的 CXCR5CD8T 细胞代表了具有效应记忆特征的干细胞样 CD8T 的特定亚型。鉴定胃癌浸润的 CXCR5CD8T 的临床意义和表型为患者分层和靶向治疗试验提供了路线图。