1. Immune profile and immunosurveillance in treatment-naive and neoadjuvantly treated esophageal adenocarcinoma
- Author
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Florian Gebauer, Reinhard Buettner, Thomas Zander, Max Kraemer, Sabine Merkelbach-Bruse, Christiane Bruns, Svenja Wagener-Ryczek, Hakan Alakus, Alexander Quaas, Max Schoemmel, Heike Loeser, Martin Thelen, Hans A. Schlößer, and Wolfgang Schroeder
- Subjects
Male ,Cancer Research ,B7 Antigens ,LAG3 ,Esophageal Neoplasms ,T-Lymphocytes ,medicine.medical_treatment ,Immunology ,Adenocarcinoma ,CD38 ,Metastasis ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Monitoring, Immunologic ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,Immunology and Allergy ,CTLA-4 Antigen ,Nanostring ,B cell ,030304 developmental biology ,0303 health sciences ,business.industry ,Gene Expression Profiling ,RNA expression ,Chemoradiotherapy ,Immunotherapy ,Middle Aged ,medicine.disease ,Neoadjuvant Therapy ,Esophagectomy ,Gene Expression Regulation, Neoplastic ,Immune profile ,Immunosurveillance ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Cancer research ,CXCL9 ,Female ,Original Article ,Esophageal adenocarcinoma ,business - Abstract
The outcome in esophageal adenocarcinoma (EAC) is still poor with only 20% of patients in Western populations surviving for more than 5 years. Almost nothing is known about the precise composition of immune cells and their gene expression profiles in primary resected EACs and also nothing compared to neoadjuvant treated EACs. This study analyzes and compares immune profiles of primary resected and neoadjuvant treated esophageal adenocarcinoma and unravels possible targets for immunotherapy. We analyzed 47 EAC in total considering a set of 30 primary treatment-naive EACs and 17 neoadjuvant pretreated (12 × CROSS, 5 × FLOT) using the Nanostring's panel-based gene expression platform including 770 genes being important in malignant tumors and their immune micromileu. Most of the significantly altered genes are involved in the regulation of immune responses, T-and B cell functions as well as antigen processing. Chemokine-receptor axes like the CXCL9, -10,-11/CXCR3- are prominent in esophageal adenocarcinoma with a fold change of up to 9.5 promoting cancer cell proliferation and metastasis. ARG1, as a regulator of T-cell fate is sixfold down-regulated in untreated primary esophageal tumors. The influence of the currently used neoadjuvant treatment revealed a down-regulation of nearly all important checkpoint markers and inflammatory related genes in the local microenvironment. We found a higher expression of checkpoint markers like LAG3, TIM3, CTLA4 and CD276 in comparison to PD-L1/PD-1 supporting clinical trials analyzing the efficacy of a combination of different checkpoint inhibitors in EACs. We found an up-regulation of CD38 or LILRB1 as examples of additional immune escape mechanism. Electronic supplementary material The online version of this article (10.1007/s00262-019-02475-w) contains supplementary material, which is available to authorized users.
- Published
- 2020