Cytotoxic tumour-infiltrating T lymphocytes influence outcome in resected pancreatic ductal adenocarcinoma
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Cytotoxic tumour-infiltrating T lymphocytes influence outcome in resected pancreatic ductal adenocarcinoma. / Lohneis, Philipp; Sinn, Marianne; Bischoff, Sven; Jühling, Anja; Pelzer, Uwe; Wislocka, Lilianna; Bahra, Marcus; Sinn, Bruno V; Denkert, Carsten; Oettle, Helmut; Bläker, Hendrik; Riess, Hanno; Jöhrens, Korinna; Striefler, Jana K.
in: EUR J CANCER, Jahrgang 83, 09.2017, S. 290-301.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Cytotoxic tumour-infiltrating T lymphocytes influence outcome in resected pancreatic ductal adenocarcinoma
AU - Lohneis, Philipp
AU - Sinn, Marianne
AU - Bischoff, Sven
AU - Jühling, Anja
AU - Pelzer, Uwe
AU - Wislocka, Lilianna
AU - Bahra, Marcus
AU - Sinn, Bruno V
AU - Denkert, Carsten
AU - Oettle, Helmut
AU - Bläker, Hendrik
AU - Riess, Hanno
AU - Jöhrens, Korinna
AU - Striefler, Jana K
N1 - Copyright © 2017 Elsevier Ltd. All rights reserved.
PY - 2017/9
Y1 - 2017/9
N2 - BACKGROUND: We studied the prognostic effect of CD3-, CD8- and CD103-positive T lymphocytes in a cohort of 165 patients with resected pancreatic ductal adenocarcinomas (PDACs) of the treatment group (adjuvant gemcitabine) and the untreated control group of the CONKO-001 study.METHODS: Immunohistochemical stainings on tissue microarrays (TMAs) against CD3, CD8 and CD103 were performed according to standard procedures.RESULTS: A high number of CD8-positive lymphocytes were significantly and independently associated with longer disease-free survival (DFS) and overall survival (OS) in the overall study population. Median DFS/OS were 7.4/18.1 months for patients with a low number of CD8-positive intratumoural lymphocytes (≤42 per 1 mm tissue core) and 12.7/25.2 months for patients with high numbers (>42 per 1-mm tissue core; p = 0.008/0.020; HR 0.62/0.65). The ratio of intraepithelial to total CD103-positive lymphocytes, but not total numbers of CD103-positive lymphocytes or CD103-positive intraepithelial lymphocytes, was associated with significantly improved DFS and OS in the overall study population (p = 0.022/0.009). Median DFS/OS was 5.9/15.7 for patients with a ratio of intraepithelial to total CD103-positive intratumoural lymphocytes higher than 0.3 and 11.6/24.7 for patients with a lower ratio.CONCLUSION: T-lymphocyte subpopulations might be prognostic in resectable PDAC but need standardization and verification by further studies.
AB - BACKGROUND: We studied the prognostic effect of CD3-, CD8- and CD103-positive T lymphocytes in a cohort of 165 patients with resected pancreatic ductal adenocarcinomas (PDACs) of the treatment group (adjuvant gemcitabine) and the untreated control group of the CONKO-001 study.METHODS: Immunohistochemical stainings on tissue microarrays (TMAs) against CD3, CD8 and CD103 were performed according to standard procedures.RESULTS: A high number of CD8-positive lymphocytes were significantly and independently associated with longer disease-free survival (DFS) and overall survival (OS) in the overall study population. Median DFS/OS were 7.4/18.1 months for patients with a low number of CD8-positive intratumoural lymphocytes (≤42 per 1 mm tissue core) and 12.7/25.2 months for patients with high numbers (>42 per 1-mm tissue core; p = 0.008/0.020; HR 0.62/0.65). The ratio of intraepithelial to total CD103-positive lymphocytes, but not total numbers of CD103-positive lymphocytes or CD103-positive intraepithelial lymphocytes, was associated with significantly improved DFS and OS in the overall study population (p = 0.022/0.009). Median DFS/OS was 5.9/15.7 for patients with a ratio of intraepithelial to total CD103-positive intratumoural lymphocytes higher than 0.3 and 11.6/24.7 for patients with a lower ratio.CONCLUSION: T-lymphocyte subpopulations might be prognostic in resectable PDAC but need standardization and verification by further studies.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Antimetabolites, Antineoplastic/therapeutic use
KW - CD3 Complex/metabolism
KW - CD8-Positive T-Lymphocytes/immunology
KW - Carcinoma, Pancreatic Ductal/immunology
KW - Deoxycytidine/analogs & derivatives
KW - Disease-Free Survival
KW - Female
KW - Humans
KW - Integrin beta4/analysis
KW - Lymphocytes, Tumor-Infiltrating/immunology
KW - Male
KW - Middle Aged
KW - Pancreatic Neoplasms/immunology
KW - Prognosis
KW - T-Lymphocytes, Cytotoxic/immunology
U2 - 10.1016/j.ejca.2017.06.016
DO - 10.1016/j.ejca.2017.06.016
M3 - SCORING: Journal article
C2 - 28772128
VL - 83
SP - 290
EP - 301
JO - EUR J CANCER
JF - EUR J CANCER
SN - 0959-8049
ER -