George S. Wise Faculty of Life Sciences, The Shmunis School of Biomedicine and Cancer Research, Tel Aviv University, Tel Aviv 69978-01, Israel.
Sheba Medical Center, Breast Oncology Institute, Ramat Gan 5211401, Israel.
Cells. 2021 Jun 8;10(6):1429. doi: 10.3390/cells10061429.
Triple-negative breast cancer (TNBC) is primarily treated via chemotherapy; in parallel, efforts are made to introduce immunotherapies into TNBC treatment. CD4+ TNFR2+ lymphocytes were reported as Tregs that contribute to tumor progression. However, our published study indicated that TNFR2+ tumor-infiltrating lymphocytes (TNFR2+ TILs) were associated with improved survival in TNBC patient tumors. Based on our analyses of the contents of CD4+ and CD8+ TILs in TNBC patient tumors, in the current study, we determined the impact of chemotherapy on CD4+ and CD8+ TIL subsets in TNBC mouse tumors. We found that chemotherapy led to (1) a reduction in CD4+ TNFR2+ FOXP3+ TILs, indicating that chemotherapy decreased the content of CD4+ TNFR2+ Tregs, and (2) an elevation in CD8+ TNFR2+ and CD8+ TNFR2+ PD-1+ TILs; high levels of these two subsets were significantly associated with reduced tumor growth. In spleens of tumor-bearing mice, chemotherapy down-regulated CD4+ TNFR2+ FOXP3+ cells but the subset of CD8+ TNFR2+ PD-1+ was not present prior to chemotherapy and was not increased by the treatment. Thus, our data suggest that chemotherapy promotes the proportion of protective CD8+ TNFR2+ TILs and that, unlike other cancer types, therapeutic strategies directed against TNFR2 may be detrimental in TNBC.
三阴性乳腺癌(TNBC)主要通过化疗治疗;同时,也在努力将免疫疗法引入 TNBC 治疗中。CD4+TNFR2+淋巴细胞被报道为有助于肿瘤进展的 Tregs。然而,我们之前的研究表明,TNFR2+肿瘤浸润淋巴细胞(TNFR2+TILs)与 TNBC 患者肿瘤的生存改善相关。基于我们对 TNBC 患者肿瘤中 CD4+和 CD8+TIL 含量的分析,在本研究中,我们确定了化疗对 TNBC 小鼠肿瘤中 CD4+和 CD8+TIL 亚群的影响。我们发现化疗导致(1)CD4+TNFR2+FOXP3+TILs 减少,表明化疗降低了 CD4+TNFR2+Tregs 的含量,以及(2)CD8+TNFR2+和 CD8+TNFR2+PD-1+TILs 增加;这两个亚群的高水平与肿瘤生长减少显著相关。在荷瘤小鼠的脾脏中,化疗下调了 CD4+TNFR2+FOXP3+细胞,但化疗前不存在 CD8+TNFR2+PD-1+亚群,且该亚群也未因治疗而增加。因此,我们的数据表明,化疗促进了保护性 CD8+TNFR2+TIL 的比例,与其他癌症类型不同,针对 TNFR2 的治疗策略在 TNBC 中可能是有害的。
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