## Abstract ## Background. Treatment of head and neck squamous cell carcinoma (HNSCC) addresses the primary tumor and the lymphatic drainage. Modalities for the neck are neck dissection and/or radiation therapy. In most cases, the neck is treated by the modality that seems more appropriate for the
Relationships between regulatory T cells and CD8+ effector populations in patients with squamous cell carcinoma of the head and neck
β Scribed by Kazuaki Chikamatsu; Koichi Sakakura; Theresa L. Whiteside; Nobuhiko Furuya
- Publisher
- John Wiley and Sons
- Year
- 2007
- Tongue
- English
- Weight
- 323 KB
- Volume
- 29
- Category
- Article
- ISSN
- 1043-3074
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β¦ Synopsis
Abstract
Background
Homeostasis of circulating T cells is regulated in complex ways that have not yet been well defined. The balance between type 1 and type 2 Tβcell subsets in cancer patients is thought to modulate antitumor immunity. Meanwhile, CD4+CD25+ regulatory T cells (Treg), which are potent inhibitors of antitumor immune responses, also play an invaluable role in maintaining immune homeostasis.
Methods
Peripheral blood was obtained from 42 patients with squamous cell carcinoma of the head and neck (SCCHN) and 24 healthy ageβselected donors. The percentages of Tβcell subsets and their cytokine profiles expressed in response to ex vivo stimulation were studied by multicolor flow cytometry.
Results
Although patients with SCCHN had a lower percentage (p < .05) of circulating CD4+ T cells than healthy donors, CD4+CD25+ regulatory T cells (Treg) were increased in the patients (p < .01). A significant increase in Th1 and Th2 CD4+ T cells was observed in the patients after ex vivo stimulation with phorbol 12βmyristate 13βacetate /ionomycin. The percent of Treg inversely correlated with that of total CD8+ T cells (p < .05), CD8+IFNβΞ³+ (Tc1) cells (p < .05), and CD8+ILβ4+ (Tc2) cells (p < .01). There was a highly significant correlation between Tc1 and Tc2 CD8+ T cells (p < .0001) in SCCHN patients but not in controls.
Conclusions
Treg are increased in proportion in the circulation of patients with SCCHN. These cells appear to downregulate cytokine expression in both Tc1 and Tc2 subsets of CD8+ effector T cells, which may be responsible for antitumor responses. Β© 2006 Wiley Periodicals, Inc. Head Neck 2007
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