Effector memory T-cell frequencies in relation to tumour stage, location and HPV status in HNSCC patients

Oral Dis. 2013 Sep;19(6):577-84. doi: 10.1111/odi.12037. Epub 2012 Nov 26.

Abstract

Background: The immune system plays an important role in tumour immune surveillance. Head and neck squamous cell carcinoma patients are often immune compromised.

Objective: To chart the baseline levels of T-cell subpopulation frequencies in patients with cancer prior to treatment.

Subjects and methods: Blood samples of patients were taken at the time of diagnosis, analysed with flowcytometry and compared with blood samples of healthy donors.

Results: Compared to healthy donors, a significant shift from naive to effector memory T cells was observed. This effect was most prominent in stage II patients. A similar shift from naive to effector memory T cells was noted in patients with oropharynx or larynx squamous cell carcinomas. Furthermore, the percentage of effector memory and effector T cells was higher in the group of patients with human papillomavirus-positive oropharyngeal squamous cell carcinomas, compared with patients with human papillomavirus-negative tumours, suggestive of virus-induced T-cell activation.

Conclusion: Here, we provide a simple and easily implementable tool to document T lymphocyte subsets in the peripheral blood of head and neck cancer patients, which might be useful for prognosis and/or therapy response prediction.

Keywords: HPV; T cell subpopulations; head and neck cancer; peripheral blood lymphocytes; prognostic factor.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • CD3 Complex / analysis
  • CD4-Positive T-Lymphocytes / classification
  • CD8-Positive T-Lymphocytes / classification
  • Carcinoma, Squamous Cell / blood*
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / virology
  • Case-Control Studies
  • Cohort Studies
  • Female
  • Flow Cytometry
  • Head and Neck Neoplasms / blood*
  • Head and Neck Neoplasms / pathology
  • Head and Neck Neoplasms / virology
  • Human papillomavirus 16 / isolation & purification*
  • Humans
  • Hypopharyngeal Neoplasms / blood
  • Immunologic Memory / immunology*
  • Immunophenotyping
  • Laryngeal Neoplasms / blood
  • Leukocyte Common Antigens / analysis
  • Lymphocyte Activation / immunology
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Oropharyngeal Neoplasms / blood
  • Oropharyngeal Neoplasms / virology
  • Pilot Projects
  • T-Lymphocyte Subsets / classification*
  • T-Lymphocyte Subsets / virology
  • Tumor Necrosis Factor Receptor Superfamily, Member 7 / analysis

Substances

  • CD3 Complex
  • Tumor Necrosis Factor Receptor Superfamily, Member 7
  • Leukocyte Common Antigens
  • PTPRC protein, human