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2019_BulgarelliEtAl_Patient_TMA_CD8

Version 2 2019-07-23, 07:18
Version 1 2019-07-22, 06:22
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posted on 2019-07-23, 07:18 authored by Filippo PiccininiFilippo Piccinini
COLLECTION ITEM:
TMA_CD8 (*Tissue Micro Arrays* _ *staining*)

COLLECTION TITLE:
2019_BulgarelliEtAl_Patients_Figures

ARTICLE (when using these files, please, cite the following article):
Jenny Bulgarelli, Marcella Tazzari*, Anna Maria Granato, Laura Ridolfi, Serena Maiocchi, Francesco De Rosa, Massimiliano Petrini, Elena Pancisi, Giorgia Gentili, Barbara Vergani, Filippo Piccinini, Antonella Carbonaro, Biagio Eugenio Leone, Giovanni Foschi, Valentina Ancarani, Massimo Framarini, Massimo Guidoboni, "Dendritic cell vaccination in metastatic melanoma turns “non-T cell inflamed” into “T-cell inflamed” tumors". 2019.

DESCRIPTION OF THE FILES IN THE COLLECTION:
SVS files used in the above mentioned scientific work.

MAIN AFFILIATION FOR THIS WORK:
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola (FC), Italy.

MAIN CONTACT FOR THIS WORK:
Dr. Marcella Tazzari, PhD, IRST IRCCS Meldola Italy. Email: marcella.tazzari@irst.emr.it

ABSTRACT OF THE ARTICLE:
Dendritic cell (DC)-based vaccination effectively induces anti-tumor immunity although in the majority of cases this does not translate into a durable clinical response. However, DC vaccination is characterised by a robust safety profile, making this treatment a potential candidate for effective combination cancer immunotherapy. To explore this possibility, understanding changes occurring in the tumor microenvironment (TME) upon DC vaccination is required. In this line, quantitative and qualitative changes in tumor-infiltrating T lymphocytes (TILs) induced by vaccination with DC loaded with autologous tumor lysate/homogenate were investigated in a series of 16 patients with metastatic melanoma. Immunohistochemistry for CD4, CD8, Foxp3, Granzyme B (GZMB), PDL1 and HLA class I was performed in tumor biopsies collected before and after DC vaccination. The density of each marker was quantified by automated digital pathology analysis on whole slide images. Co-expression of markers defining functional phenotypes, i.e. Foxp3+ regulatory CD4+ T cells (Treg) and GZMB+ cytotoxic CD8+ T cells, was assessed with sequential IHC. A significant increase of CD8+ TILs was found in post-vaccine biopsies of patients who were not previously treated with immune-modulating cytokines or Ipilimumab. Interestingly, along with a maintained tumoral HLA class I expression, after DC vaccination we observed a significant increase of PDL1+ tumor cells, which significantly correlated with intratumoral CD8+ T cell density. This observation might explain the lack of a significant concurrent cytotoxic reactivation of CD8+ T cell, as measured by the numbers of GZMB+ T cells. Altogether these findings indicate that DC vaccination exerts an important role in sustaining or de novo inducing a T cell inflamed TME. However, the strength of the intratumoral T cell activation detected in post-DC therapy lesions is lessened by an occurring phenomenon of adaptive immune resistance, yet the concomitant PDL1 up-regulation. Overall, this study sheds light on DC immunotherapy-induced TME changes, lending the rationale for the design of smarter immune-combination therapies.

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