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Mature dendritic cells enriched in regulatory molecules may control regulatory T cells and the prognosis of head and neck cancer
Authors:Kiyoshi Minohara  Masaki Imai  Takuma Matoba  James Badger Wing  Hiroaki Shime  Mizuyu Odanaka  Ryuta Uraki  Daisuke Kawakita  Tatsuya Toyama  Satoru Takahashi  Akimichi Morita  Shingo Murakami  Naganari Ohkura  Shimon Sakaguchi  Shinichi Iwasaki  Sayuri Yamazaki
Affiliation:1. Department of Immunology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;2. Department of Immunology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;3. Laboratory of Human Immunology (Single Cell Immunology), Immunology Frontier Research Center, Osaka University, Osaka, Japan

Human Single Cell Immunology Team, Center for Infectious Disease Education and Research, Osaka University, Osaka, Japan;4. Department of Immunology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Division of Virology, Institute of Medical Science, University of Tokyo, Tokyo, Japan

The Research Center for Global Viral Diseases, National Center for Global Health and Medicine Research Institute, Tokyo, Japan;5. Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;6. Department of Breast Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;7. Department of Experimental Pathology and Tumor Biology, Nagoya City University, Graduate School of Medical Sciences, Nagoya, Japan;8. Department of Geriatric and Environmental Dermatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;9. Department of Experimental Immunology, World Premier International Research Center Initiative, Immunology Frontier Research Center, Osaka University, Osaka, Japan

Department of Frontier Research in Tumor Immunology, Center of Medical Innovation and Translational Research, Graduate School of Medicine, Osaka University, Osaka, Japan;10. Department of Experimental Immunology, World Premier International Research Center Initiative, Immunology Frontier Research Center, Osaka University, Osaka, Japan

Abstract:We previously reported that regulatory T (Treg) cells expressing CTLA-4 on the cell surface are abundant in head and neck squamous cell carcinoma (HNSCC). The role of expanded Treg cells in the tumor microenvironment of HNSCC remains unclear. In this study, we reveal that the tumor microenvironment of HNSCC is characterized by the high expression of genes related to Treg cells, dendritic cells (DCs), and interleukin (IL)-17-related molecules. Increased expression of IL17A, IL17F, or IL23A contributes to a favorable prognosis of HNSCC. In the tumor microenvironment of HNSCC, IL23A and IL12B are expressed in mature dendritic cells enriched in regulatory molecules (mregDCs). The mregDCs in HNSCC are a migratory and mature phenotype; their signature genes strongly correlate with Treg signature genes in HNSCC. We also observed that IL17A was highly expressed in Th17 cells and exhausted CD8+ T cells in HNSCC. These data suggest that mregDCs in HNSCC may contribute to the prognosis by balancing Treg cells and effector T cells that produce IL-17. Targeting mregDCs may be a novel strategy for developing new immune therapies against HNSCC.
Keywords:head and neck squamous cell carcinoma (HNSCC)  IL-17  mature dendritic cells enriched in regulatory molecules (mregDCs)  regulatory T (Treg) cells
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