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Immune profile of patients with peritoneal carcinomatosis selected for CRS-HIPEC therapy
Kleber, Julia, Yang Zhou, Jordi, Weber, Florian
, Bitterer, Florian
, Hauer, Patricia, Kupke, Paul
, Kronenberg, Katharina, Geissler, Edward K.
, Schlitt, Hans J.
, Hornung, Matthias
, Hutchinson, James A.
and Werner, Jens M.
(2023)
Immune profile of patients with peritoneal carcinomatosis selected for CRS-HIPEC therapy.
Cancer Immunology, Immunotherapy 72, pp. 3867-3873.
Date of publication of this fulltext: 17 Aug 2023 05:28
Article
DOI to cite this document: 10.5283/epub.54585
Abstract
Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is a treatment option for peritoneal carcinomatosis (PC) from colorectal cancer (CRC), which is otherwise a terminal stage of disease. Nevertheless, survival outcomes are only marginally superior to other treatments. This fact highlights the need for better strategies to control intra-abdominal disease ...
Cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) is a treatment option for peritoneal carcinomatosis (PC) from colorectal cancer (CRC), which is otherwise a terminal stage of disease. Nevertheless, survival outcomes are only marginally superior to other treatments. This fact highlights the need for better strategies to control intra-abdominal disease recurrence after CRS-HIPEC, including the complementary use of immunotherapies. The aim of this study was therefore to investigate the immune phenotype of T cells in patients with PC. Fifty three patients with CRC (34 patients with PC and 19 patients without PC) were enrolled in a prospective study (clinicaltrials.gov: NCT04108936). Peripheral blood and omental fat were collected to isolate peripheral blood mononuclear cells (PBMCs) and adipose tissue mononuclear cells (ATMCs). These cells were analysed by flow cytometry using a panel focused upon T cell memory differentiation and exhaustion markers. We found a more naive profile for CD8(+)T cells in peripheral blood and intra-abdominal fat of PC patients compared to comparator group (CG) patients. Furthermore, there was an over-representation of CD4(+)T cells expressing inhibitory receptors in adipose tissue of PC patients, but not in blood. Our description of intraperitoneal T cell subsets gives us a better understanding of how peritoneal carcinomatosis shapes local immune responses.
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| Item type | Article | ||||
| Journal or Publication Title | Cancer Immunology, Immunotherapy | ||||
| Publisher: | SPRINGER | ||||
|---|---|---|---|---|---|
| Place of Publication: | NEW YORK | ||||
| Volume: | 72 | ||||
| Page Range: | pp. 3867-3873 | ||||
| Date | 14 August 2023 | ||||
| Institutions | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Pathologie Leibniz Institute for Immunotherapy (LIT) | ||||
| Identification Number |
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| Keywords | HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY; CYTOREDUCTIVE SURGERY; ANTIBODY CATUMAXOMAB; OPEN-LABEL; MULTICENTER; Peritoneal carcinomatosis; Colorectal cancer; CRS; HIPEC; Immunotherapy; Memory T cells | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-545850 | ||||
| Item ID | 54585 |
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