Vanni Anna, Matani Francesca, Bonaudo Camilla, Mazzoni Alessio, Capone Manuela, Lamacchia Giulia, Salvati Lorenzo, Bartoli Lucia, Francalanci Stefania, Petti Mirko, Capelli Federico, Nozzoli Filippo, Cosmi Lorenzo, Liotta Francesco, Della Puppa Alessandro, Maggi Laura, Annunziato Francesco
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Neurosurgery, Department of NEUROFARBA, University of Florence, University Hospital of Careggi, Florence, Italy.
Eur J Immunol. 2025 Jun;55(6):e51681. doi: 10.1002/eji.202451681.
Glioblastoma is the most common malignant brain tumor in adults, for which immunotherapy shows reduced efficacy. Current knowledge on immunotherapy failure is limited and detailed information about immune infiltrates in glioblastoma is urgently needed. We enrolled 34 glioblastoma patients collecting peripheral blood (PB), total tumor resection, or tumor from the necrotic area, the intermediate, and the marginal tissue through 5-aminolevulinic-acid (5-ALA) assisted surgery. T cells were evaluated for immune checkpoints and tissue residence memory (Trm) cell markers expression, and their cytokine production profile. Biological data were correlated with the patient's overall survival. Flow cytometry analysis showed a significantly higher frequency of T lymphocytes expressing PD-1, Trm markers in glioblastoma than in PB. In particular, we observed a preferential enrichment of CD8 cells expressing PD-1 and Trm markers in the intermediate and marginal tissue. T cells cytokine production resulted in increased glioblastoma compared with PB, in particular in PD-1+ cells and in the intermediate and marginal layers. These data suggest that CD103+ T-cell frequency in the core and TNF-a+CD8+ T cells in the intermediate layer influence the patient's survival. In conclusion, T cells obtained from different GBM layers showed different phenotypes and cytokines expression, suggesting new prognostic factors and supporting surgery particle strategy.
胶质母细胞瘤是成人中最常见的恶性脑肿瘤,免疫疗法对其疗效欠佳。目前关于免疫疗法失败的认识有限,急需有关胶质母细胞瘤中免疫浸润的详细信息。我们招募了34例胶质母细胞瘤患者,通过5-氨基酮戊酸(5-ALA)辅助手术收集外周血(PB)、全肿瘤切除术标本,或坏死区域、中间区域和边缘组织的肿瘤标本。评估T细胞的免疫检查点和组织驻留记忆(Trm)细胞标志物表达,以及它们的细胞因子产生谱。生物学数据与患者的总生存期相关。流式细胞术分析显示,胶质母细胞瘤中表达PD-1、Trm标志物的T淋巴细胞频率显著高于外周血。特别是,我们观察到中间区域和边缘组织中表达PD-1和Trm标志物的CD8细胞优先富集。与外周血相比,胶质母细胞瘤中T细胞的细胞因子产生增加,特别是在PD-1+细胞以及中间层和边缘层。这些数据表明,核心区域的CD103+T细胞频率和中间层的TNF-a+CD8+T细胞影响患者的生存。总之,从不同胶质母细胞瘤层获得的T细胞表现出不同的表型和细胞因子表达,提示了新的预后因素,并支持手术颗粒策略。
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