Impaired interferon signaling is a common immune defect in human cancer

Proc Natl Acad Sci U S A. 2009 Jun 2;106(22):9010-5. doi: 10.1073/pnas.0901329106. Epub 2009 May 18.

Abstract

Immune dysfunction develops in patients with many cancer types and may contribute to tumor progression and failure of immunotherapy. Mechanisms underlying cancer-associated immune dysfunction are not fully understood. Efficient IFN signaling is critical to lymphocyte function; animals rendered deficient in IFN signaling develop cancer at higher rates. We hypothesized that altered IFN signaling may be a key mechanism of immune dysfunction common to cancer. To address this, we assessed the functional responses to IFN in peripheral blood lymphocytes from patients with 3 major cancers: breast cancer, melanoma, and gastrointestinal cancer. Type-I IFN (IFN-alpha)-induced signaling was reduced in T cells and B cells from all 3 cancer-patient groups compared to healthy controls. Type-II IFN (IFN-gamma)-induced signaling was reduced in B cells from all 3 cancer patient groups, but not in T cells or natural killer cells. Impaired-IFN signaling was equally evident in stage II, III, and IV breast cancer patients, and downstream functional defects in T cell activation were identified. Taken together, these findings indicate that defects in lymphocyte IFN signaling arise in patients with breast cancer, melanoma, and gastrointestinal cancer, and these defects may represent a common cancer-associated mechanism of immune dysfunction.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • B-Lymphocytes / immunology
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / immunology*
  • Cohort Studies
  • Disease Progression
  • Down-Regulation
  • Female
  • Gastrointestinal Neoplasms / drug therapy
  • Gastrointestinal Neoplasms / immunology*
  • Humans
  • Immunity / drug effects
  • Immunologic Memory
  • Interferon-alpha / genetics
  • Interferon-alpha / immunology*
  • Interferon-gamma / genetics
  • Interferon-gamma / immunology*
  • Male
  • Melanoma / drug therapy
  • Melanoma / immunology*
  • Middle Aged
  • Signal Transduction
  • T-Lymphocytes / immunology

Substances

  • Antineoplastic Agents
  • Interferon-alpha
  • Interferon-gamma