Prognostic value of programmed cell death protein 1 expression on CD8+ T lymphocytes in pancreatic cancer.

Prognostic value of programmed cell death protein 1 expression on CD8+ T lymphocytes in pancreatic cancer.
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CD8 T淋巴细胞上程序性细胞死亡蛋白1表达在胰腺癌中的预后价值

DOI:
10.1038/s41598-017-08479-9
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发表时间:
2017-08-10
期刊:
影响因子:
4.6
通讯作者:
Cao L
Cao L
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Shen T;Zhou L;Shen H;Shi C;Jia S;Ding GP;Cao L

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胰腺癌是最具侵袭性的恶性肿瘤之一,具有高度免疫抑制的肿瘤微环境。免疫检查点阻断在许多恶性肿瘤中导致了显著和持久的客观反应,在传统的手术、放疗和化疗方式失败的地方,靶向程序性细胞死亡蛋白1 (PD-1)的基于抗体的策略显示出希望。在本研究中,我们探讨了CD8+外周T淋巴细胞或肿瘤浸润T淋巴细胞(TILs)在胰腺导管腺癌(PDAC)中PD-1蛋白表达的临床价值。CD8+ TILs上PD-1蛋白的表达与总生存率及临床分期、N分型、M分型等临床病理特征相关。PD-1蛋白在外周血CD8+ T细胞上的表达也有类似的结果,而其在外周血CD4+ T细胞上的表达无统计学意义。比较术前和术后4周外周血CD8+ T细胞表达PD-1蛋白水平,发现术前和术后外周血PD-1表达状态无变化。我们的研究结果表明,外周或肿瘤浸润的CD8+ T细胞表达的PD-1蛋白是PDAC诊断和预后的一个有希望的生物标志物,可能有助于指导未来的免疫治疗。
Pancreatic cancer is one of the most aggressive malignancies and has a highly immunosuppressive tumour microenvironment. Immune checkpoint blockade has led to remarkable and durable objective responses in a number of malignancies and antibody-based strategies targeting programmed cell death protein 1 (PD-1) are showing promise where traditional modalities of surgery, radiotherapy, and chemotherapy have failed. In this study, we examined the clinical value of PD-1 protein expression by CD8+ peripheral T lymphocytes or tumour-infiltrating T lymphocytes (TILs) in pancreatic ductal adenocarcinoma (PDAC). Expression of PD-1 protein on CD8+ TILs correlated with overall survival and clinicopathological characteristics such as clinical stage, N classification, and M classification. Similar findings were observed for the expression of PD-1 protein on peripheral CD8+ T cells, whereas its expression on peripheral CD4+ T cells showed no significance. Comparison of the levels of PD-1 protein expressed by peripheral CD8+ T cells before and 4 weeks after surgery indicated that preoperative and postoperative status of peripheral PD-1 expression was unchanged. Our findings showed that PD-1 protein expressed by peripheral or tumour-infiltrated CD8+ T cells was a promising biomarker for diagnosis and prognosis in PDAC and might help guide future immunotherapies.
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