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The Journal of Immunology, 2002, 169: 2756-2761.
Copyright © 2002 by The American Association of Immunologists

Prevalence of Regulatory T Cells Is Increased in Peripheral Blood and Tumor Microenvironment of Patients with Pancreas or Breast Adenocarcinoma1

Udaya K. Liyanage, Todd T. Moore, Hong-Gu Joo, Yoshiyuki Tanaka, Virginia Herrmann, Gerard Doherty, Jeffrey A. Drebin, Steven M. Strasberg, Timothy J. Eberlein, Peter S. Goedegebuure and David C. Linehan2

Alvin J. Siteman Cancer Center, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110

Regulatory T cells (Treg) that prevent autoimmune diseases by suppression of self-reactive T cells may also suppress the immune response against cancer. In mice, depletion of Treg by Ab therapy leads to more efficient tumor rejection. Treg-mediated suppression of antitumor immune responses may partly explain the poor clinical response to vaccine-based immunotherapy for human cancer. In this study, we measured the prevalence of Treg that coexpress CD4 and CD25 in the PBLs, tumor-infiltrating lymphocytes, and regional lymph node lymphocytes from 65 patients with either pancreas or breast cancer. In breast cancer patients (n = 35), pancreas cancer patients (n = 30), and normal donors (n = 35), the prevalence of Treg were 16.6% (SE 1.22), 13.2% (SE 1.13), and 8.6% (SE 0.71) of the total CD4+ cells, respectively. The prevalence of Treg were significantly higher in breast cancer patients (p < 0.01) and pancreas cancer patients (p < 0.01) when compared with normal donors. In tumor-infiltrating lymphocytes and lymph node lymphocytes, the Treg prevalence were 20.2% (SE 3.93) and 20.1% (SE 4.3), respectively. Treg constitutively coexpressed CTLA-4 and CD45RO markers, and secreted TGF-{beta} and IL-10 but did not secrete IFN-{gamma}. When cocultured with activated CD8+ cells or CD4+25- cells, Treg potently suppressed their proliferation and secretion of IFN-{gamma}. We conclude that the prevalence of Treg is increased in the peripheral blood as well as in the tumor microenvironment of patients with invasive breast or pancreas cancers. These Treg may mitigate the immune response against cancer, and may partly explain the poor immune response against tumor Ags.




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Cancer Res.Home page
A. Chen, S. Liu, D. Park, Y. Kang, and G. Zheng
Depleting Intratumoral CD4+CD25+ Regulatory T Cells via FasL Protein Transfer Enhances the Therapeutic Efficacy of Adoptive T Cell Transfer
Cancer Res., February 1, 2007; 67(3): 1291 - 1298.
[Abstract] [Full Text] [PDF]


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haematolHome page
C. Fozza, E. Nadal, M. Longinotti, and F. Dazzi
T-cell receptor repertoire usage after allografting differs between CD4+CD25+ regulatory T cells and their CD4+CD25 counterpart
Haematologica, February 1, 2007; 92(2): 206 - 214.
[Abstract] [Full Text] [PDF]


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Int ImmunolHome page
Y. Zhang, D. Wakita, K. Chamoto, Y. Narita, N. Matsubara, H. Kitamura, and T. Nishimura
Th1 cell adjuvant therapy combined with tumor vaccination: a novel strategy for promoting CTL responses while avoiding the accumulation of Tregs
Int. Immunol., February 1, 2007; 19(2): 151 - 161.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
N. Kobayashi, N. Hiraoka, W. Yamagami, H. Ojima, Y. Kanai, T. Kosuge, A. Nakajima, and S. Hirohashi
FOXP3+ Regulatory T Cells Affect the Development and Progression of Hepatocarcinogenesis
Clin. Cancer Res., February 1, 2007; 13(3): 902 - 911.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
M. Kurooka and Y. Kaneda
Inactivated Sendai Virus Particles Eradicate Tumors by Inducing Immune Responses through Blocking Regulatory T Cells
Cancer Res., January 1, 2007; 67(1): 227 - 236.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
L. Strauss, T. L. Whiteside, A. Knights, C. Bergmann, A. Knuth, and A. Zippelius
Selective Survival of Naturally Occurring Human CD4+CD25+Foxp3+ Regulatory T Cells Cultured with Rapamycin
J. Immunol., January 1, 2007; 178(1): 320 - 329.
[Abstract] [Full Text] [PDF]


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JCOHome page
G. J. Bates, S. B. Fox, C. Han, R. D. Leek, J. F. Garcia, A. L. Harris, and A. H. Banham
Quantification of Regulatory T Cells Enables the Identification of High-Risk Breast Cancer Patients and Those at Risk of Late Relapse
J. Clin. Oncol., December 1, 2006; 24(34): 5373 - 5380.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
A. M. Miller, K. Lundberg, V. Ozenci, A. H. Banham, M. Hellstrom, L. Egevad, and P. Pisa
CD4+CD25high T Cells Are Enriched in the Tumor and Peripheral Blood of Prostate Cancer Patients
J. Immunol., November 15, 2006; 177(10): 7398 - 7405.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
D. J. Powell Jr., M. E. Dudley, K. A. Hogan, J. R. Wunderlich, and S. A. Rosenberg
Adoptive Transfer of Vaccine-Induced Peripheral Blood Mononuclear Cells to Patients with Metastatic Melanoma following Lymphodepletion
J. Immunol., November 1, 2006; 177(9): 6527 - 6539.
[Abstract] [Full Text] [PDF]


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BloodHome page
J. Carreras, A. Lopez-Guillermo, B. C. Fox, L. Colomo, A. Martinez, G. Roncador, E. Montserrat, E. Campo, and A. H. Banham
High numbers of tumor-infiltrating FOXP3-positive regulatory T cells are associated with improved overall survival in follicular lymphoma
Blood, November 1, 2006; 108(9): 2957 - 2964.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
N. Hiraoka, K. Onozato, T. Kosuge, and S. Hirohashi
Prevalence of FOXP3+ Regulatory T Cells Increases During the Progression of Pancreatic Ductal Adenocarcinoma and Its Premalignant Lesions.
Clin. Cancer Res., September 15, 2006; 12(18): 5423 - 5434.
[Abstract] [Full Text] [PDF]


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JCOHome page
K. L. Knutson, C. J. Krco, C. L. Erskine, K. Goodman, L. E. Kelemen, P. J. Wettstein, P. S. Low, L. C. Hartmann, and K. R. Kalli
T-Cell Immunity to the Folate Receptor Alpha Is Prevalent in Women With Breast or Ovarian Cancer
J. Clin. Oncol., September 10, 2006; 24(26): 4254 - 4261.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
G. Lizee, L. G. Radvanyi, W. W. Overwijk, and P. Hwu
Improving Antitumor Immune Responses by Circumventing Immunoregulatory Cells and Mechanisms.
Clin. Cancer Res., August 15, 2006; 12(16): 4794 - 4803.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Beyer and J. L. Schultze
Regulatory T cells in cancer
Blood, August 1, 2006; 108(3): 804 - 811.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
J. D. Bui, R. Uppaluri, C.-S. Hsieh, and R. D. Schreiber
Comparative Analysis of Regulatory and Effector T Cells in Progressively Growing versus Rejecting Tumors of Similar Origins.
Cancer Res., July 15, 2006; 66(14): 7301 - 7309.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
P. E. Fecci, A. E. Sweeney, P. M. Grossi, S. K. Nair, C. A. Learn, D. A. Mitchell, X. Cui, T. J. Cummings, D. D. Bigner, E. Gilboa, et al.
Systemic Anti-CD25 Monoclonal Antibody Administration Safely Enhances Immunity in Murine Glioma without Eliminating Regulatory T Cells.
Clin. Cancer Res., July 15, 2006; 12(14): 4294 - 4305.
[Abstract] [Full Text] [PDF]


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BloodHome page
S. Wei, I. Kryczek, and W. Zou
Regulatory T-cell compartmentalization and trafficking
Blood, July 15, 2006; 108(2): 426 - 431.
[Abstract] [Full Text] [PDF]


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Neuro Oncol DukeHome page
A. E. Andaloussi and M. S. Lesniak
An increase in CD4+CD25+FOXP3+ regulatory T cells in tumor-infiltrating lymphocytes of human glioblastoma multiforme
Neuro-oncol, July 1, 2006; 8(3): 234 - 243.
[Abstract] [Full Text] [PDF]


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Neuro Oncol DukeHome page
S. F. Hussain, D. Yang, D. Suki, K. Aldape, E. Grimm, and A. B. Heimberger
The role of human glioma-infiltrating microglia/macrophages in mediating antitumor immune responses
Neuro-oncol, July 1, 2006; 8(3): 261 - 279.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
G. Zheng, S. Liu, P. Wang, Y. Xu, and A. Chen
Arming Tumor-Reactive T Cells with Costimulator B7-1 Enhances Therapeutic Efficacy of the T Cells.
Cancer Res., July 1, 2006; 66(13): 6793 - 6799.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
K. L. Knutson, Y. Dang, H. Lu, J. Lukas, B. Almand, E. Gad, E. Azeke, and M. L. Disis
IL-2 Immunotoxin Therapy Modulates Tumor-Associated Regulatory T Cells and Leads to Lasting Immune-Mediated Rejection of Breast Cancers in neu-Transgenic Mice
J. Immunol., July 1, 2006; 177(1): 84 - 91.
[Abstract] [Full Text] [PDF]


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BloodHome page
R. Zeiser, V. H. Nguyen, A. Beilhack, M. Buess, S. Schulz, J. Baker, C. H. Contag, and R. S. Negrin
Inhibition of CD4+CD25+ regulatory T-cell function by calcineurin-dependent interleukin-2 production
Blood, July 1, 2006; 108(1): 390 - 399.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
R. Kim, M. Emi, K. Tanabe, and K. Arihiro
Tumor-Driven Evolution of Immunosuppressive Networks during Malignant Progression
Cancer Res., June 1, 2006; 66(11): 5527 - 5536.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
L. Sfondrini, A. Rossini, D. Besusso, A. Merlo, E. Tagliabue, S. Menard, and A. Balsari
Antitumor Activity of the TLR-5 Ligand Flagellin in Mouse Models of Cancer.
J. Immunol., June 1, 2006; 176(11): 6624 - 6630.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
R.-F. Wang
Regulatory T cells and toll-like receptors in cancer therapy.
Cancer Res., May 15, 2006; 66(10): 4987 - 4990.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Beyer, M. Kochanek, T. Giese, E. Endl, M. R. Weihrauch, P. A. Knolle, S. Classen, and J. L. Schultze
In vivo peripheral expansion of naive CD4+CD25high FoxP3+ regulatory T cells in patients with multiple myeloma
Blood, May 15, 2006; 107(10): 3940 - 3949.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
A. Berhanu, J. Huang, S. M. Alber, S. C. Watkins, and W. J. Storkus
Combinational FLt3 Ligand and Granulocyte Macrophage Colony-Stimulating Factor Treatment Promotes Enhanced Tumor Infiltration by Dendritic Cells and Antitumor CD8+ T-Cell Cross-priming but Is Ineffective as a Therapy.
Cancer Res., May 1, 2006; 66(9): 4895 - 4903.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
R. Houot, I. Perrot, E. Garcia, I. Durand, and S. Lebecque
Human CD4+CD25high Regulatory T Cells Modulate Myeloid but Not Plasmacytoid Dendritic Cells Activation
J. Immunol., May 1, 2006; 176(9): 5293 - 5298.
[Abstract] [Full Text] [PDF]


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BloodHome page
Z.-Z. Yang, A. J. Novak, M. J. Stenson, T. E. Witzig, and S. M. Ansell
Intratumoral CD4+CD25+ regulatory T-cell-mediated suppression of infiltrating CD4+ T cells in B-cell non-Hodgkin lymphoma
Blood, May 1, 2006; 107(9): 3639 - 3646.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
B. Valzasina, S. Piconese, C. Guiducci, and M. P. Colombo
Tumor-Induced Expansion of Regulatory T Cells by Conversion of CD4+CD25- Lymphocytes Is Thymus and Proliferation Independent.
Cancer Res., April 15, 2006; 66(8): 4488 - 4495.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
P. E. Fecci, D. A. Mitchell, J. F. Whitesides, W. Xie, A. H. Friedman, G. E. Archer, J. E. Herndon II, D. D. Bigner, G. Dranoff, and J. H. Sampson
Increased regulatory T-cell fraction amidst a diminished CD4 compartment explains cellular immune defects in patients with malignant glioma.
Cancer Res., March 15, 2006; 66(6): 3294 - 3302.
[Abstract] [Full Text] [PDF]


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JCOHome page
G. C. Cesana, G. DeRaffele, S. Cohen, D. Moroziewicz, J. Mitcham, J. Stoutenburg, K. Cheung, C. Hesdorffer, S. Kim-Schulze, and H. L. Kaufman
Characterization of CD4+CD25+ Regulatory T Cells in Patients Treated With High-Dose Interleukin-2 for Metastatic Melanoma or Renal Cell Carcinoma
J. Clin. Oncol., March 1, 2006; 24(7): 1169 - 1177.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
S. Chattopadhyay, S. Mehrotra, A. Chhabra, U. Hegde, B. Mukherji, and N. G. Chakraborty
Effect of CD4+CD25+ and CD4+CD25- T Regulatory Cells on the Generation of Cytolytic T Cell Response to a Self but Human Tumor-Associated Epitope In Vitro
J. Immunol., January 15, 2006; 176(2): 984 - 990.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
C. Badoual, S. Hans, J. Rodriguez, S. Peyrard, C. Klein, N. E. H. Agueznay, V. Mosseri, O. Laccourreye, P. Bruneval, W. H. Fridman, et al.
Prognostic Value of Tumor-Infiltrating CD4+ T-Cell Subpopulations in Head and Neck Cancers
Clin. Cancer Res., January 15, 2006; 12(2): 465 - 472.
[Abstract] [Full Text] [PDF]


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BloodHome page
G. Zhou, C. G. Drake, and H. I. Levitsky
Amplification of tumor-specific regulatory T cells following therapeutic cancer vaccines
Blood, January 15, 2006; 107(2): 628 - 636.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
A. N. Saul, T. M. Oberyszyn, C. Daugherty, D. Kusewitt, S. Jones, S. Jewell, W. B. Malarkey, A. Lehman, S. Lemeshow, and F. S. Dhabhar
Chronic Stress and Susceptibility to Skin Cancer
J Natl Cancer Inst, December 7, 2005; 97(23): 1760 - 1767.
[Abstract] [Full Text] [PDF]


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Am. J. Respir. Crit. Care Med.Home page
Y.-Q. Chen, H.-Z. Shi, X.-J. Qin, W.-N. Mo, X.-D. Liang, Z.-X. Huang, H.-B. Yang, and C. Wu
CD4+CD25+ Regulatory T Lymphocytes in Malignant Pleural Effusion
Am. J. Respir. Crit. Care Med., December 1, 2005; 172(11): 1434 - 1439.
[Abstract] [Full Text] [PDF]


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BloodHome page
C. A. Wysocki, Q. Jiang, A. Panoskaltsis-Mortari, P. A. Taylor, K. P. McKinnon, L. Su, B. R. Blazar, and J. S. Serody
Critical role for CCR5 in the function of donor CD4+CD25+ regulatory T cells during acute graft-versus-host disease
Blood, November 1, 2005; 106(9): 3300 - 3307.
[Abstract] [Full Text] [PDF]


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JEMHome page
F. Ghiringhelli, C. Menard, M. Terme, C. Flament, J. Taieb, N. Chaput, P. E. Puig, S. Novault, B. Escudier, E. Vivier, et al.
CD4+CD25+ regulatory T cells inhibit natural killer cell functions in a transforming growth factor-{beta}-dependent manner
J. Exp. Med., October 17, 2005; 202(8): 1075 - 1085.
[Abstract] [Full Text] [PDF]




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