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Title:
Prognostic impact of high levels of circulating plasmacytoid dendritic cells in breast cancer | Journal of Translational Medicine
Description:
Identifying immune markers in blood that are informative for breast cancer patient survival would not only be useful for prognosis but might also provide mechanistic insights into processes facilitating survival. We phenotyped circulating plasmacytoid dendritic cells (pDCs), myeloid-derived suppressor cells (MDSCs) and regulatory T-cells in relation to T-cell responses to Her-2 in vitro in 75 untreated breast cancer patients 28–87 years of age at diagnosis. Patients with later stage tumors had lower levels of circulating pDCs (p = 0.008). There was a positive association between 5-year survival and higher than median levels of circulating pDCs (p = 0.03). We confirmed that 5-year survival correlated with CD8+ but not CD4+ T-cell responsiveness to Her-2 peptides in this cohort of younger and older patients (p = 0.04). Including pDCs in the analysis of previously-established parameters revealed that patients who had a CD8+ T-cell response to Her-2 together with a low ratio of MDSCs:pDCs had 100 % 5-year survival. High levels of pDCs and the presence of a CD8+ T-cell response to Her-2 were independent positive survival indicators according to multivariate Cox analysis. Our new results suggest that circulating pDCs could be a positive prognostic indicator in breast cancer patients of all ages, together with the previously established CD8+ T-cell reactivity to Her-2 antigens in older patients only. These two prognostic indicators were independent and emphasize the important role of immunity in ensuring breast cancer patient survival, even in those not undergoing immunotherapy.
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fsc-area-versus-fsc-height/width plot cross-prime cd8+ t-cells tumour-specific t-cell responses taa-specific t-cell responses taa-specific cd8+ t-cells bd-lsr-ii flow cytometer myeloid-derived suppressor cells natural interferon-producing cells jithendra kini bailur kaplan–meier analysis showed cd8+ t-cell cytotoxicity 2-reactive t-cells assayed cd8{alpha}+ dendritic cells cd8+ t-cell responses cd8+ t-cell responders cd8+ t-cell stimulation cd8+ t-cell response peripheral t-cell reactivity cd4+ t-cell responses foxp3+ cd4+ t-cells foxp3+/cd4+ t-cells cd4+ t-cell responsiveness article download pdf kaplan–meir analysis showed induce t-cell immunity cd4+ t-cell response cd8-peridinin-chlorophyll protein vitro t-cell responses previously-established parameters revealed plasmacytoid dendritic cells multivariate cox analysis foxp3+ natural regulatory kaplan–meier analysis myeloid suppressor cells high-dose weekly schedule hla-dr-percp-cy5 tumor antigen-loaded pdcs myeloid dendritic cells dendritic cell vaccines full access 2-specific t-cells specific t-cells t-cell responses impair t-cell patients clinico-pathological parameters t-cell response pdcs produce interferon-α regulatory t-cells memory th1 polarization cell-based immunotherapy
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mainEntity:
headline:Prognostic impact of high levels of circulating plasmacytoid dendritic cells in breast cancer
description:Identifying immune markers in blood that are informative for breast cancer patient survival would not only be useful for prognosis but might also provide mechanistic insights into processes facilitating survival. We phenotyped circulating plasmacytoid dendritic cells (pDCs), myeloid-derived suppressor cells (MDSCs) and regulatory T-cells in relation to T-cell responses to Her-2 in vitro in 75 untreated breast cancer patients 28–87 years of age at diagnosis. Patients with later stage tumors had lower levels of circulating pDCs (p = 0.008). There was a positive association between 5-year survival and higher than median levels of circulating pDCs (p = 0.03). We confirmed that 5-year survival correlated with CD8+ but not CD4+ T-cell responsiveness to Her-2 peptides in this cohort of younger and older patients (p = 0.04). Including pDCs in the analysis of previously-established parameters revealed that patients who had a CD8+ T-cell response to Her-2 together with a low ratio of MDSCs:pDCs had 100 % 5-year survival. High levels of pDCs and the presence of a CD8+ T-cell response to Her-2 were independent positive survival indicators according to multivariate Cox analysis. Our new results suggest that circulating pDCs could be a positive prognostic indicator in breast cancer patients of all ages, together with the previously established CD8+ T-cell reactivity to Her-2 antigens in older patients only. These two prognostic indicators were independent and emphasize the important role of immunity in ensuring breast cancer patient survival, even in those not undergoing immunotherapy.
datePublished:2016-05-28T00:00:00Z
dateModified:2016-05-28T00:00:00Z
pageStart:1
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license:http://creativecommons.org/publicdomain/zero/1.0/
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keywords:
Breast cancer
T-cells
Plasmacytoid dendritic cells
Myeloid derived suppressor cells
Regulatory T-cells
Her-2
Biomedicine
general
Medicine/Public Health
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headline:Prognostic impact of high levels of circulating plasmacytoid dendritic cells in breast cancer
description:Identifying immune markers in blood that are informative for breast cancer patient survival would not only be useful for prognosis but might also provide mechanistic insights into processes facilitating survival. We phenotyped circulating plasmacytoid dendritic cells (pDCs), myeloid-derived suppressor cells (MDSCs) and regulatory T-cells in relation to T-cell responses to Her-2 in vitro in 75 untreated breast cancer patients 28–87 years of age at diagnosis. Patients with later stage tumors had lower levels of circulating pDCs (p = 0.008). There was a positive association between 5-year survival and higher than median levels of circulating pDCs (p = 0.03). We confirmed that 5-year survival correlated with CD8+ but not CD4+ T-cell responsiveness to Her-2 peptides in this cohort of younger and older patients (p = 0.04). Including pDCs in the analysis of previously-established parameters revealed that patients who had a CD8+ T-cell response to Her-2 together with a low ratio of MDSCs:pDCs had 100 % 5-year survival. High levels of pDCs and the presence of a CD8+ T-cell response to Her-2 were independent positive survival indicators according to multivariate Cox analysis. Our new results suggest that circulating pDCs could be a positive prognostic indicator in breast cancer patients of all ages, together with the previously established CD8+ T-cell reactivity to Her-2 antigens in older patients only. These two prognostic indicators were independent and emphasize the important role of immunity in ensuring breast cancer patient survival, even in those not undergoing immunotherapy.
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T-cells
Plasmacytoid dendritic cells
Myeloid derived suppressor cells
Regulatory T-cells
Her-2
Biomedicine
general
Medicine/Public Health
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