[HTML][HTML] Cytotoxic tumour-infiltrating T lymphocytes influence outcome in resected pancreatic ductal adenocarcinoma

P Lohneis, M Sinn, S Bischoff, A Jühling… - European journal of …, 2017 - Elsevier
P Lohneis, M Sinn, S Bischoff, A Jühling, U Pelzer, L Wislocka, M Bahra, BV Sinn, C Denkert
European journal of cancer, 2017Elsevier
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 …
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.
Elsevier