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Epithelial ovarian cancer is infiltrated by activated effector T cells co-expressing CD39, PD-1, TIM-3, CD137 and interacting with cancer cells and myeloid cells

Tassi, Elena ; Bergamini, Alice ; Wignall, Jessica ; Sant'Angelo, Miriam ; Brunetto, Emanuela ; Balestrieri, Chiara ; Redegalli, Miriam ; Potenza, Alessia ; Abbati, Danilo and Manfredi, Francesco , et al. (2023) In Frontiers in Immunology 14. p.01-14
Abstract

INTRODUCTION: Despite predicted efficacy, immunotherapy in epithelial ovarian cancer (EOC) has limited clinical benefit and the prognosis of patients remains poor. There is thus a strong need for better identifying local immune dynamics and immune-suppressive pathways limiting T-cell mediated anti-tumor immunity.

METHODS: In this observational study we analyzed by immunohistochemistry, gene expression profiling and flow cytometry the antigenic landscape and immune composition of 48 EOC specimens, with a focus on tumor-infiltrating lymphocytes (TILs).

RESULTS: Activated T cells showing features of partial exhaustion with a CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ surface profile were exclusively present in EOC specimens but... (More)

INTRODUCTION: Despite predicted efficacy, immunotherapy in epithelial ovarian cancer (EOC) has limited clinical benefit and the prognosis of patients remains poor. There is thus a strong need for better identifying local immune dynamics and immune-suppressive pathways limiting T-cell mediated anti-tumor immunity.

METHODS: In this observational study we analyzed by immunohistochemistry, gene expression profiling and flow cytometry the antigenic landscape and immune composition of 48 EOC specimens, with a focus on tumor-infiltrating lymphocytes (TILs).

RESULTS: Activated T cells showing features of partial exhaustion with a CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ surface profile were exclusively present in EOC specimens but not in corresponding peripheral blood or ascitic fluid, indicating that the tumor microenvironment might sustain this peculiar phenotype. Interestingly, while neoplastic cells expressed several tumor-associated antigens possibly able to stimulate tumor-specific TILs, macrophages provided both co-stimulatory and inhibitory signals and were more abundant in TILs-enriched specimens harboring the CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ signature.

CONCLUSION: These data demonstrate that EOC is enriched in CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ T lymphocytes, a phenotype possibly modulated by antigen recognition on neoplastic cells and by a combination of inhibitory and co-stimulatory signals largely provided by infiltrating myeloid cells. Furthermore, we have identified immunosuppressive pathways potentially hampering local immunity which might be targeted by immunotherapeutic approaches.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Female, T-Lymphocytes, Hepatitis A Virus Cellular Receptor 2/metabolism, Programmed Cell Death 1 Receptor/metabolism, Carcinoma, Ovarian Epithelial/metabolism, Leukocyte Common Antigens/metabolism, Ovarian Neoplasms, Myeloid Cells/metabolism, Tumor Microenvironment
in
Frontiers in Immunology
volume
14
article number
1212444
pages
01 - 14
publisher
Frontiers Media S. A.
external identifiers
  • scopus:85174724610
  • pmid:37868997
ISSN
1664-3224
DOI
10.3389/fimmu.2023.1212444
language
English
LU publication?
no
additional info
Copyright © 2023 Tassi, Bergamini, Wignall, Sant’Angelo, Brunetto, Balestrieri, Redegalli, Potenza, Abbati, Manfredi, Cangi, Magliacane, Scalisi, Ruggiero, Maffia, Trippitelli, Rabaiotti, Cioffi, Bocciolone, Candotti, Candiani, Taccagni, Schultes, Doglioni, Mangili and Bonini.
id
349b445e-4715-487b-8020-661baa6fd3b7
date added to LUP
2025-01-30 09:50:43
date last changed
2025-07-05 03:32:15
@article{349b445e-4715-487b-8020-661baa6fd3b7,
  abstract     = {{<p>INTRODUCTION: Despite predicted efficacy, immunotherapy in epithelial ovarian cancer (EOC) has limited clinical benefit and the prognosis of patients remains poor. There is thus a strong need for better identifying local immune dynamics and immune-suppressive pathways limiting T-cell mediated anti-tumor immunity.</p><p>METHODS: In this observational study we analyzed by immunohistochemistry, gene expression profiling and flow cytometry the antigenic landscape and immune composition of 48 EOC specimens, with a focus on tumor-infiltrating lymphocytes (TILs).</p><p>RESULTS: Activated T cells showing features of partial exhaustion with a CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ surface profile were exclusively present in EOC specimens but not in corresponding peripheral blood or ascitic fluid, indicating that the tumor microenvironment might sustain this peculiar phenotype. Interestingly, while neoplastic cells expressed several tumor-associated antigens possibly able to stimulate tumor-specific TILs, macrophages provided both co-stimulatory and inhibitory signals and were more abundant in TILs-enriched specimens harboring the CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ signature.</p><p>CONCLUSION: These data demonstrate that EOC is enriched in CD137+CD39+PD-1+TIM-3+CD45RA-CD62L-CD95+ T lymphocytes, a phenotype possibly modulated by antigen recognition on neoplastic cells and by a combination of inhibitory and co-stimulatory signals largely provided by infiltrating myeloid cells. Furthermore, we have identified immunosuppressive pathways potentially hampering local immunity which might be targeted by immunotherapeutic approaches.</p>}},
  author       = {{Tassi, Elena and Bergamini, Alice and Wignall, Jessica and Sant'Angelo, Miriam and Brunetto, Emanuela and Balestrieri, Chiara and Redegalli, Miriam and Potenza, Alessia and Abbati, Danilo and Manfredi, Francesco and Cangi, Maria Giulia and Magliacane, Gilda and Scalisi, Fabiola and Ruggiero, Eliana and Maffia, Maria Chiara and Trippitelli, Federica and Rabaiotti, Emanuela and Cioffi, Raffaella and Bocciolone, Luca and Candotti, Giorgio and Candiani, Massimo and Taccagni, Gianluca and Schultes, Birgit and Doglioni, Claudio and Mangili, Giorgia and Bonini, Chiara}},
  issn         = {{1664-3224}},
  keywords     = {{Humans; Female; T-Lymphocytes; Hepatitis A Virus Cellular Receptor 2/metabolism; Programmed Cell Death 1 Receptor/metabolism; Carcinoma, Ovarian Epithelial/metabolism; Leukocyte Common Antigens/metabolism; Ovarian Neoplasms; Myeloid Cells/metabolism; Tumor Microenvironment}},
  language     = {{eng}},
  pages        = {{01--14}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Immunology}},
  title        = {{Epithelial ovarian cancer is infiltrated by activated effector T cells co-expressing CD39, PD-1, TIM-3, CD137 and interacting with cancer cells and myeloid cells}},
  url          = {{http://dx.doi.org/10.3389/fimmu.2023.1212444}},
  doi          = {{10.3389/fimmu.2023.1212444}},
  volume       = {{14}},
  year         = {{2023}},
}