Patterns of human tumor-infiltrating lymphocytes in 120 human cancers
C. M. Balch, L. B. Riley, Y. J. Bae, M. A. Salmeron, C. D. Platsoucas, A. von Eschenbach and K. Itoh
Department of General Surgery, University of Texas M.D. Anderson Cancer Center, Houston 77030.
Tumor-infiltrating lymphocytes from 120 samples of human cancers, including
melanoma, renal cell carcinoma, breast cancer, sarcoma, and colon cancer,
were examined. The percentage of lymphocytes recovered from the cancer
varied widely; that of renal cell carcinoma was higher than that of breast
or colon cancer (65% vs 45%), which was higher than that of melanomas or
sarcomas (30% to 35%). The types of lymphocytes before and after
interleukin 2 activation showed specific patterns. CD4+ helper T cells
predominated in all tumors except melanomas, which had more CD8+ cytotoxic
T cells. CD16+ natural killer cells were recovered in renal cell carcinoma
and sarcomas. Three different cytotoxic lymphocytes were identified among
interleukin 2-activated tumor-infiltrating lymphocytes: (1) CD3+ CD16-
cytotoxic T lymphocytes with cytotoxicity restricted to autologous tumor
cells in melanomas, (2) CD3-CD16+ natural killer cells with vigorous major
histocompatibility complex-nonrestricted cytotoxicity in renal cell
carcinoma, and (3) CD3+ CD16- T cells with modest levels of major
histocompatibility complex-nonstricted cytotoxicity in all cancers except
melanomas. Thus, there was considerable diversity of tumor-infiltrating
lymphocytes among these histologically distinct tumors with respect to
magnitude of lymphocyte infiltration, phenotypic expression, and functional
capacity.
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