Urine-derived lymphocytes as a non-invasive measure of the bladder tumor immune microenvironment.
J Exp Med
; 215(11): 2748-2759, 2018 11 05.
Article
en En
| MEDLINE
| ID: mdl-30257862
Despite the advances in cancer immunotherapy, only a fraction of patients with bladder cancer exhibit responses to checkpoint blockade, highlighting a need to better understand drug resistance and identify rational immunotherapy combinations. However, accessibility to the tumor prior and during therapy is a major limitation in understanding the immune tumor microenvironment (TME). Herein, we identified urine-derived lymphocytes (UDLs) as a readily accessible source of T cells in 32 patients with muscle invasive bladder cancer (MIBC). We observed that effector CD8+ and CD4+ cells and regulatory T cells within the urine accurately map the immune checkpoint landscape and T cell receptor repertoire of the TME. Finally, an increased UDL count, specifically high expression of PD-1 (PD-1hi) on CD8+ at the time of cystectomy, was associated with a shorter recurrence-free survival. UDL analysis represents a dynamic liquid biopsy that is representative of the bladder immune TME that may be used to identify actionable immuno-oncology (IO) targets with potential prognostic value in MIBC.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Orina
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Neoplasias de la Vejiga Urinaria
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Linfocitos T CD4-Positivos
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Linfocitos T CD8-positivos
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Microambiente Tumoral
Límite:
Female
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Humans
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Male
Idioma:
En
Revista:
J Exp Med
Año:
2018
Tipo del documento:
Article
Pais de publicación:
Estados Unidos