Title
Increased infiltration and tolerised antigen-specific CD8<sup>+</sup> T<inf>EM</inf> cells in tumor but not peripheral blood have no impact on survival of HCMV<sup>+</sup> glioblastoma patients
Date Issued
03 August 2017
Access level
open access
Resource Type
journal article
Author(s)
Bahador M.
Gras Navarro A.
Rahman M.A.
Sarowar S.
Ulvestad E.
Njølstad G.
Lie S.A.
Kristoffersen E.K.
Bratland E.
Chekenya M.
University of Bergen
Publisher(s)
Taylor and Francis Inc.
Abstract
Human cytomegalovirus (HCMV) antigens in glioblastoma (GBM) present opportunities for personalised immunotherapy. However, their presence in GBM tissue is still under debate, and evidence of their impact on functional immune responses and prognosis is sparse. Here, we investigated the presence of pp65 (UL83) and immediate early 1 (IE-1) HCMV antigens in a cohort of Norwegian GBM patients (n = 177), using qPCR, immunohistochemistry, and serology. HCMV status was then used to investigate whether viral antigens influenced immune cell phenotype, infiltration, activation and patient survival. Pp65 and IE-1 were detected by qPCR in 23% and 43% of GBM patients, respectively. Furthermore, there was increased seropositivity in GBM patients relative to donors (79% vs. 48%, respectively; Logistic regression, OR = 4.05, 95%CI [1.807-9.114], P = 0.001, also when adjusted for age (OR = 2.84, 95%CI [1.110-7.275], P = 0.029). Tissue IE-1-positivity correlated with increased CD3+CD8+ T-cell infiltration (P < 0.0001), where CD8+ effector memory T (TEM) cells accounted for the majority of CD8+T cells compared with peripheral blood of HCMV+ patients (P < 0.0001), and HCMV+ (P < 0.001) and HCMV− (P < 0.001) donors. HLA-A2/B8-restricted HCMV-specific CD8+ T cells were more frequent in blood and tumor of HCMV+ GBM patients compared with seronegative patients, and donors irrespective of their serostatus. In biopsies, the HCMV-specific CD8+ TEM cells highly expressed CTLA-4 and PD-1 immune checkpoint protein markers compared with populations in peripheral blood (P < 0.001 and P < 0.0001), which expressed 3-fold greater levels of CD28 (P < 0.001 and P < 0.0001). These peripheral blood T cells correspondingly secreted higher levels of IFNγ in response to pp65 and IE-1 peptide stimulation (P < 0.001). Thus, despite apparent increased immunogenicity of HCMV compared with tumor antigens, the T cells were tolerised, and HCMV status did not impact patient survival (Log Rank3.53 HR = 0.85 95%CI [0.564-1.290], P = 0.45). Enhancing immune functionality in the tumor microenvironment thus may improve patient outcome.
Volume
6
Issue
8
Language
English
OCDE Knowledge area
Oncología
Inmunología
Subjects
Scopus EID
2-s2.0-85026862736
PubMed ID
Source
OncoImmunology
ISSN of the container
21624011
Sponsor(s)
We thank the Norwegian Cancer Society (#6786380), the Norwegian Research Council (FRIMEDBIO grant #230691) and the University of Bergen for financing our work. We are grateful to Bendik Nordanger and Guro Gundersen for technical assistance and to the patients and healthy donors who consented to participate in this study. We thank the staff at the neurosurgical department and surgical theatres at Haukeland University Hospital for providing annotated tumor / blood samples for the Brain Tumor Biobank. Flow cytometry and confocal microscopy were performed at the molecular imaging center at the University of Bergen. We are grateful to Dr Janice Nigro for critical discussions, language and manuscript editing. Norwegian Cancer Society (#6786380, MC), the Norwegian Research Council (FRIMEDBIO grant #230691, MC) and the University of Bergen (MC and AGN).
Sources of information:
Directorio de Producción Científica
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