Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival

Autor: George Coukos, Ben Daniel, Pui Cheng, Weiping Zou, Melina Evdemon-Hogan, Lieping Chen, Xavier Alvarez, Andrew A. Lackner, Linhua Zou, Lin Zhang, Mary L. Disis, Ilona Kryczek, Keith L. Knutson, Yun Zhu, Alan N. Gordon, Tyler J. Curiel, Matthew E. Burow, Shuang Wei, Peter Mottram, Leann Myers, Jose R. Conejo-Garcia
Rok vydání: 2004
Předmět:
Zdroj: Nature Medicine. 10:942-949
ISSN: 1546-170X
1078-8956
Popis: Regulatory T (T(reg)) cells mediate homeostatic peripheral tolerance by suppressing autoreactive T cells. Failure of host antitumor immunity may be caused by exaggerated suppression of tumor-associated antigen-reactive lymphocytes mediated by T(reg) cells; however, definitive evidence that T(reg) cells have an immunopathological role in human cancer is lacking. Here we show, in detailed studies of CD4(+)CD25(+)FOXP3(+) T(reg) cells in 104 individuals affected with ovarian carcinoma, that human tumor T(reg) cells suppress tumor-specific T cell immunity and contribute to growth of human tumors in vivo. We also show that tumor T(reg) cells are associated with a high death hazard and reduced survival. Human T(reg) cells preferentially move to and accumulate in tumors and ascites, but rarely enter draining lymph nodes in later cancer stages. Tumor cells and microenvironmental macrophages produce the chemokine CCL22, which mediates trafficking of T(reg) cells to the tumor. This specific recruitment of T(reg) cells represents a mechanism by which tumors may foster immune privilege. Thus, blocking T(reg) cell migration or function may help to defeat human cancer.
Databáze: OpenAIRE