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Abstracts (complete list) - Wissenschaft Online

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Stefanie Gross, Uwe Trefzer, Wolfram Sterry, Peter Walden<br />

Characterization of tumor-specific versus virus-specific tumorinfiltrating<br />

and peripheral blood T cells from melanoma<br />

patients<br />

Successful tumor immunotherapy depends on two aspects. First, the generation of<br />

sufficient numbers of tumor-specific T cells and, second, that these cells finally „do their<br />

job“. In numerous studies it has been shown, that the first part can be achieved now<br />

quite well. Following vaccination, vaccine-specific T cells can be monitored in the blood<br />

of the patients, but the clinical outcome still remains poor. In a few cases T cells have<br />

been monitored within the tumor as well. These cells are different in phenotype and<br />

functional capacity compared to those from the blood. The changes T cells are<br />

undergoing within the tumor microenvironment are still poorly understood, but remain<br />

one of the obstacles for successful immunotherapy.<br />

To address the question, whether or not, the changes T cells are undergoing within the<br />

tumor microenvironment depend on the specificity of the T cells, we evaluated the<br />

phenotypes of tumor-specific tumor-infiltrating T cells (TIL) and peripheral T cells in<br />

melanoma patients in comparison to T cells specific for immunodominant viral antigens.<br />

We used 12 color flow cytometry to analyze Dextramer stained cells ex vivo. In total 76<br />

samples (54 tumors and 22 PBMC) of 49 patiens and 3 healthy donors were analyzed.<br />

Tumor specific (Tyrosinase, Telomerase and gp100) Dextramer positive cells were<br />

compared to virus specific (CMV and EBV) Dextramer positive cells. These cells were<br />

phenotyped for the expression of markers that are indicators for activation,<br />

differentiation and negative regulation.<br />

In the tumor, we found both, tumor-specific and virus-specific T cells. The tumorspecific<br />

T cells are enriched in the tumor compared to the peripheral blood, but still it<br />

seems that non-tumor-specific T cells represent the majority of T cells within the tumor.<br />

However, the tumor specific T cells showed a different expression pattern for the<br />

activation markers CD25 and CD69 and for the negative regulatory markers PD-1 and<br />

CTLA-4 than the virus specific T cells.<br />

From our results it can be concluded that the infiltration of T cells into the tumor does<br />

not depend on their specificity. T cells which do not recognize tumor cells do enter the<br />

tumor and are affected by the tumor associated cytokine milieu.<br />

Nonetheless, some of the phenotypic changes T cells undergo within the tumor<br />

microenvironment seem to depend on the recognition of their cognate epitope on the<br />

tumor cells.

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