Skip to main content
Erschienen in: HNO 6/2014

01.06.2014 | Leitthema

Regulatorische T-Zellen und NK-Zellen bei Krebspatienten

verfasst von: PD Dr. C. Bergmann

Erschienen in: HNO | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

Zusammenfassung

NK-Zellen stellen die effektivsten Zellen des Immunsystems zur Bekämpfung von infizierten und entarteten Zellen dar. Regulatorische T-Zellen und ihre beiden Hauptuntergruppen, die natürlich vorkommenden nTreg und die tumorassoziierten induzierten Treg (iTreg), spielen eine wichtige Rolle bei der antitumoralen Immunantwort bei Krebspatienten. In der vorliegenden Arbeit werden die interzellulären Wechselwirkungen dieser Zellgruppen bei Tumorpatienten, insbesondere mit einem Kopf-Hals-Karzinom, dargestellt. Entscheidende Wechselwirkungen zwischen diesen Zellen und den Krebszellen wurden in umfassenden experimentellen Analysen beobachtet. So ließen sich zunächst tumorassoziierte iTreg in einer speziellen humanen Kultur generieren und anschließend im autologen System verschiedene phänotypische und funktionelle Zusammenhänge zwischen diesen Zellen, nTreg, NK-Zellen und Tumorzellen überprüfen. iTreg führten zu einer Verstärkung der Aktivität von naiven NK-Zellen in der Gegenwart von Tumorzellen, wohingegen NK-Zellen, die mit Interleukin-2 aktiviert wurden, durch iTreg und nTreg deutlich in ihrer zytotoxischen Funktion gehemmt wurden. Die Arbeitsgruppe des Autors hat neue Einblicke in die komplexe Regulation der menschlichen NK-Zellen und regulatorische T-Zellen im Tumormikromilieu dokumentiert. Dies kann für ein besseres Verständnis der antitumoralen Immunantwort und für die Weiterentwicklung von immuntherapeutischen Strategien von Bedeutung sein.
Literatur
1.
Zurück zum Zitat Knudson AG Jr (1985) Hereditary cancer, oncogenes, and antioncogenes. Cancer Res 45:1437–1443PubMed Knudson AG Jr (1985) Hereditary cancer, oncogenes, and antioncogenes. Cancer Res 45:1437–1443PubMed
2.
Zurück zum Zitat Ehrlich P (1907) Experimentelle Studien an Mäusetumoren. Z Krebsforsch 5:59–81CrossRef Ehrlich P (1907) Experimentelle Studien an Mäusetumoren. Z Krebsforsch 5:59–81CrossRef
3.
Zurück zum Zitat Dunn GP, Koebel CM, Schreiber RD (2006) Interferons, immunity and cancer immunoediting. Nat Rev Immunol 6:836–848PubMedCrossRef Dunn GP, Koebel CM, Schreiber RD (2006) Interferons, immunity and cancer immunoediting. Nat Rev Immunol 6:836–848PubMedCrossRef
5.
Zurück zum Zitat Roncarolo MG, Gregori S, Battaglia M et al (2006) Interleukin-10-secreting type 1 regulatory T cells in rodents and humans. Immunol Rev 212:28–50PubMedCrossRef Roncarolo MG, Gregori S, Battaglia M et al (2006) Interleukin-10-secreting type 1 regulatory T cells in rodents and humans. Immunol Rev 212:28–50PubMedCrossRef
6.
Zurück zum Zitat Hori S, Nomura T, Sakaguchi S (2003) Control of regulatory T cell development by the transcription factor Foxp3. Science 299:1057–1061PubMedCrossRef Hori S, Nomura T, Sakaguchi S (2003) Control of regulatory T cell development by the transcription factor Foxp3. Science 299:1057–1061PubMedCrossRef
7.
Zurück zum Zitat Liu W, Putnam AL, Xu-Yu Z et al (2006) CD127 expression inversely correlates with FoxP3 and suppressive function of human CD4+ T reg cells. J Exp Med 203:1701–1711PubMedCentralPubMedCrossRef Liu W, Putnam AL, Xu-Yu Z et al (2006) CD127 expression inversely correlates with FoxP3 and suppressive function of human CD4+ T reg cells. J Exp Med 203:1701–1711PubMedCentralPubMedCrossRef
8.
Zurück zum Zitat Strauss L, Bergmann C, Szczepanski M et al (2007) A unique subset of CD4+ CD25highFoxp3+ T cells secreting interleukin-10 and transforming growth factor-beta1 mediates suppression in the tumor microenvironment. Clin Cancer Res 13:4345–4354PubMedCrossRef Strauss L, Bergmann C, Szczepanski M et al (2007) A unique subset of CD4+ CD25highFoxp3+ T cells secreting interleukin-10 and transforming growth factor-beta1 mediates suppression in the tumor microenvironment. Clin Cancer Res 13:4345–4354PubMedCrossRef
9.
Zurück zum Zitat Bergmann C, Strauss L, Zeidler R et al (2007) Expansion and characteristics of human T regulatory type 1 cells in co-cultures simulating tumor microenvironment. Cancer Immunol Immunother 56:1429–1442PubMedCrossRef Bergmann C, Strauss L, Zeidler R et al (2007) Expansion and characteristics of human T regulatory type 1 cells in co-cultures simulating tumor microenvironment. Cancer Immunol Immunother 56:1429–1442PubMedCrossRef
10.
Zurück zum Zitat Groux H (2003) Type 1 T-regulatory cells: their role in the control of immune responses. Transplantation 75:8S–12SPubMedCrossRef Groux H (2003) Type 1 T-regulatory cells: their role in the control of immune responses. Transplantation 75:8S–12SPubMedCrossRef
11.
Zurück zum Zitat Curotto de Lafaille MA, Lafaille JJ (2009) Natural and adaptive foxp3+ regulatory T cells: more of the same or a division of labor? Immunity 30:626–635CrossRef Curotto de Lafaille MA, Lafaille JJ (2009) Natural and adaptive foxp3+ regulatory T cells: more of the same or a division of labor? Immunity 30:626–635CrossRef
12.
Zurück zum Zitat Bergmann C, Strauss L, Wang Y et al (2008) T regulatory type 1 cells in squamous cell carcinoma of the head and neck: mechanisms of suppression and expansion in advanced disease. Clin Cancer Res 14:3706–3715PubMedCentralPubMedCrossRef Bergmann C, Strauss L, Wang Y et al (2008) T regulatory type 1 cells in squamous cell carcinoma of the head and neck: mechanisms of suppression and expansion in advanced disease. Clin Cancer Res 14:3706–3715PubMedCentralPubMedCrossRef
13.
Zurück zum Zitat Curiel TJ, Coukos G, Zou L et al (2004) Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival. Nat Med 10:942–949PubMedCrossRef Curiel TJ, Coukos G, Zou L et al (2004) Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival. Nat Med 10:942–949PubMedCrossRef
14.
Zurück zum Zitat Dranoff G (2005) The therapeutic implications of intratumoral regulatory T cells. Clin Cancer Res 11:8226–8229PubMedCrossRef Dranoff G (2005) The therapeutic implications of intratumoral regulatory T cells. Clin Cancer Res 11:8226–8229PubMedCrossRef
15.
Zurück zum Zitat Whiteside TL (2014) Regulatory T cell subsets in human cancer: are they regulating for or against tumor progression? Cancer Immunol Immunother 63:67–72PubMedCrossRef Whiteside TL (2014) Regulatory T cell subsets in human cancer: are they regulating for or against tumor progression? Cancer Immunol Immunother 63:67–72PubMedCrossRef
16.
Zurück zum Zitat Trinchieri G (1995) Natural killer cells wear different hats: effector cells of innate resistance and regulatory cells of adaptive immunity and of hematopoiesis. Semin Immunol 7:83–88PubMedCrossRef Trinchieri G (1995) Natural killer cells wear different hats: effector cells of innate resistance and regulatory cells of adaptive immunity and of hematopoiesis. Semin Immunol 7:83–88PubMedCrossRef
17.
Zurück zum Zitat Screpanti V, Wallin RP, Grandien A et al (2005) Impact of FASL-induced apoptosis in the elimination of tumor cells by NK cells. Mol Immunol 42:495–499PubMedCrossRef Screpanti V, Wallin RP, Grandien A et al (2005) Impact of FASL-induced apoptosis in the elimination of tumor cells by NK cells. Mol Immunol 42:495–499PubMedCrossRef
18.
Zurück zum Zitat Kärre K (1985) Role of target histocompatibility antigens in regulation of natural killer activity. a reevaluation and a hypothesis. Academic Press, Orlando/FL, USA Kärre K (1985) Role of target histocompatibility antigens in regulation of natural killer activity. a reevaluation and a hypothesis. Academic Press, Orlando/FL, USA
19.
20.
Zurück zum Zitat Biassoni R, Cantoni C, Marras D et al (2003) Human natural killer cell receptors: insights into their molecular function and structure. J Cell Mol Med 7:376–387PubMedCrossRef Biassoni R, Cantoni C, Marras D et al (2003) Human natural killer cell receptors: insights into their molecular function and structure. J Cell Mol Med 7:376–387PubMedCrossRef
21.
Zurück zum Zitat Wu JD, Higgins LM, Steinle A et al (2004) Prevalent expression of the immunostimulatory MHC class I chain-related molecule is counteracted by shedding in prostate cancer. J Clin Invest 114:560–568PubMedCentralPubMedCrossRef Wu JD, Higgins LM, Steinle A et al (2004) Prevalent expression of the immunostimulatory MHC class I chain-related molecule is counteracted by shedding in prostate cancer. J Clin Invest 114:560–568PubMedCentralPubMedCrossRef
22.
Zurück zum Zitat Whiteside TL (2009) Tricks tumors use to escape from immune control. Oral Oncol 45:e119–e123PubMedCrossRef Whiteside TL (2009) Tricks tumors use to escape from immune control. Oral Oncol 45:e119–e123PubMedCrossRef
23.
Zurück zum Zitat Wild CA, Brandau S, Lotfi R et al (2012) HMGB1 is overexpressed in tumor cells and promotes activity of regulatory T cells in patients with head and neck cancer. Oral Oncol 48:409–416PubMedCrossRef Wild CA, Brandau S, Lotfi R et al (2012) HMGB1 is overexpressed in tumor cells and promotes activity of regulatory T cells in patients with head and neck cancer. Oral Oncol 48:409–416PubMedCrossRef
24.
Zurück zum Zitat Ghiringhelli F, Menard C, Terme M et al (2005) CD4+ CD25+ regulatory T cells inhibit natural killer cell functions in a transforming growth factor-beta-dependent manner. J Exp Med 202:1075–1085PubMedCentralPubMedCrossRef Ghiringhelli F, Menard C, Terme M et al (2005) CD4+ CD25+ regulatory T cells inhibit natural killer cell functions in a transforming growth factor-beta-dependent manner. J Exp Med 202:1075–1085PubMedCentralPubMedCrossRef
25.
Zurück zum Zitat Smyth MJ, Teng MW, Swann J et al (2006) CD4+ CD25+ T regulatory cells suppress NK cell-mediated immunotherapy of cancer. J Immunol 176:1582–1587PubMedCrossRef Smyth MJ, Teng MW, Swann J et al (2006) CD4+ CD25+ T regulatory cells suppress NK cell-mediated immunotherapy of cancer. J Immunol 176:1582–1587PubMedCrossRef
26.
Zurück zum Zitat Battaglia M, Stabilini A, Migliavacca B et al (2006) Rapamycin promotes expansion of functional CD4+ CD25+ FOXP3+ regulatory T cells of both healthy subjects and type 1 diabetic patients. J Immunol 177:8338–8347PubMedCrossRef Battaglia M, Stabilini A, Migliavacca B et al (2006) Rapamycin promotes expansion of functional CD4+ CD25+ FOXP3+ regulatory T cells of both healthy subjects and type 1 diabetic patients. J Immunol 177:8338–8347PubMedCrossRef
27.
Zurück zum Zitat Groux H, O’Garra A, Bigler M et al (1997) A CD4+ T-cell subset inhibits antigen-specific T-cell responses and prevents colitis. Nature 389:737–742PubMedCrossRef Groux H, O’Garra A, Bigler M et al (1997) A CD4+ T-cell subset inhibits antigen-specific T-cell responses and prevents colitis. Nature 389:737–742PubMedCrossRef
28.
Zurück zum Zitat Astier AL, Meiffren G, Freeman S et al (2006) Alterations in CD46-mediated Tr1 regulatory T cells in patients with multiple sclerosis. J Clin Invest 116:3252–3257PubMedCentralPubMedCrossRef Astier AL, Meiffren G, Freeman S et al (2006) Alterations in CD46-mediated Tr1 regulatory T cells in patients with multiple sclerosis. J Clin Invest 116:3252–3257PubMedCentralPubMedCrossRef
29.
Zurück zum Zitat Raulet DH (2003) Roles of the NKG2D immunoreceptor and its ligands. Nat Rev Immunol 3:781–790PubMedCrossRef Raulet DH (2003) Roles of the NKG2D immunoreceptor and its ligands. Nat Rev Immunol 3:781–790PubMedCrossRef
30.
31.
Zurück zum Zitat Zhou H, Chen L, You Y et al (2010) Foxp3-transduced polyclonal regulatory T cells suppress NK cell functions in a TGF-beta dependent manner. Autoimmunity 43:299–307PubMedCrossRef Zhou H, Chen L, You Y et al (2010) Foxp3-transduced polyclonal regulatory T cells suppress NK cell functions in a TGF-beta dependent manner. Autoimmunity 43:299–307PubMedCrossRef
32.
Zurück zum Zitat Meadows SK, Eriksson M, Barber A et al (2006) Human NK cell IFN-gamma production is regulated by endogenous TGF-beta. Int Immunopharmacol 6:1020–1028PubMedCrossRef Meadows SK, Eriksson M, Barber A et al (2006) Human NK cell IFN-gamma production is regulated by endogenous TGF-beta. Int Immunopharmacol 6:1020–1028PubMedCrossRef
33.
Zurück zum Zitat Bergmann C, Strauss L, Zeidler R et al (2007) Expansion of human T regulatory type 1 cells in the microenvironment of cyclooxygenase 2 overexpressing head and neck squamous cell carcinoma. Cancer Res 67:8865–8873PubMedCrossRef Bergmann C, Strauss L, Zeidler R et al (2007) Expansion of human T regulatory type 1 cells in the microenvironment of cyclooxygenase 2 overexpressing head and neck squamous cell carcinoma. Cancer Res 67:8865–8873PubMedCrossRef
34.
Zurück zum Zitat Frimpong-Boateng K, Rooijen N van, Geiben-Lynn R (2010) Regulatory T cells suppress natural killer cells during plasmid DNA vaccination in mice, blunting the CD8+ T cell immune response by the cytokine TGFbeta. PLoS One 5:e12281PubMedCentralPubMedCrossRef Frimpong-Boateng K, Rooijen N van, Geiben-Lynn R (2010) Regulatory T cells suppress natural killer cells during plasmid DNA vaccination in mice, blunting the CD8+ T cell immune response by the cytokine TGFbeta. PLoS One 5:e12281PubMedCentralPubMedCrossRef
35.
Zurück zum Zitat Giroux M, Yurchenko E, St-Pierre J et al (2007) T regulatory cells control numbers of NK cells and CD8alpha+ immature dendritic cells in the lymph node paracortex. J Immunol 179:4492–4502PubMedCrossRef Giroux M, Yurchenko E, St-Pierre J et al (2007) T regulatory cells control numbers of NK cells and CD8alpha+ immature dendritic cells in the lymph node paracortex. J Immunol 179:4492–4502PubMedCrossRef
36.
Zurück zum Zitat Ralainirina N, Poli A, Michel T et al (2007) Control of NK cell functions by CD4+ CD25+ regulatory T cells. J Leukoc Biol 81:144–153PubMedCrossRef Ralainirina N, Poli A, Michel T et al (2007) Control of NK cell functions by CD4+ CD25+ regulatory T cells. J Leukoc Biol 81:144–153PubMedCrossRef
37.
Zurück zum Zitat Barao I, Hanash AM, Hallett W et al (2006) Suppression of natural killer cell-mediated bone marrow cell rejection by CD4+ CD25+ regulatory T cells. Proc Natl Acad Sci U S A 103:5460–5465PubMedCentralPubMedCrossRef Barao I, Hanash AM, Hallett W et al (2006) Suppression of natural killer cell-mediated bone marrow cell rejection by CD4+ CD25+ regulatory T cells. Proc Natl Acad Sci U S A 103:5460–5465PubMedCentralPubMedCrossRef
38.
Zurück zum Zitat Shimizu J, Yamazaki S, Sakaguchi S (1999) Induction of tumor immunity by removing CD25+ CD4+ T cells: a common basis between tumor immunity and autoimmunity. J Immunol 163:5211–5218PubMed Shimizu J, Yamazaki S, Sakaguchi S (1999) Induction of tumor immunity by removing CD25+ CD4+ T cells: a common basis between tumor immunity and autoimmunity. J Immunol 163:5211–5218PubMed
39.
40.
Zurück zum Zitat Badoual C, Hans S, Rodriguez J et al (2006) Prognostic value of tumor-infiltrating CD4+ T-cell subpopulations in head and neck cancers. Clin Cancer Res 12:465–472PubMedCrossRef Badoual C, Hans S, Rodriguez J et al (2006) Prognostic value of tumor-infiltrating CD4+ T-cell subpopulations in head and neck cancers. Clin Cancer Res 12:465–472PubMedCrossRef
41.
Zurück zum Zitat Carreras J, Lopez-Guillermo A, Fox BC et al (2006) High numbers of tumor-infiltrating FOXP3-positive regulatory T cells are associated with improved overall survival in follicular lymphoma. Blood 108:2957–2964PubMedCrossRef Carreras J, Lopez-Guillermo A, Fox BC et al (2006) High numbers of tumor-infiltrating FOXP3-positive regulatory T cells are associated with improved overall survival in follicular lymphoma. Blood 108:2957–2964PubMedCrossRef
42.
Zurück zum Zitat Alvaro T, Lejeune M, Salvado MT et al (2005) Outcome in Hodgkin’s lymphoma can be predicted from the presence of accompanying cytotoxic and regulatory T cells. Clin Cancer Res 11:1467–1473PubMedCrossRef Alvaro T, Lejeune M, Salvado MT et al (2005) Outcome in Hodgkin’s lymphoma can be predicted from the presence of accompanying cytotoxic and regulatory T cells. Clin Cancer Res 11:1467–1473PubMedCrossRef
43.
Zurück zum Zitat Correale P, Rotundo MS, Del Vecchio MT et al (2010) Regulatory (FoxP3+) T-cell tumor infiltration is a favorable prognostic factor in advanced colon cancer patients undergoing chemo or chemoimmunotherapy. J Immunother 33:435–441PubMedCrossRef Correale P, Rotundo MS, Del Vecchio MT et al (2010) Regulatory (FoxP3+) T-cell tumor infiltration is a favorable prognostic factor in advanced colon cancer patients undergoing chemo or chemoimmunotherapy. J Immunother 33:435–441PubMedCrossRef
44.
Zurück zum Zitat Salama P, Phillips M, Grieu F et al (2009) Tumor-infiltrating FOXP3+ T regulatory cells show strong prognostic significance in colorectal cancer. J Clin Oncol 27:186–192PubMedCrossRef Salama P, Phillips M, Grieu F et al (2009) Tumor-infiltrating FOXP3+ T regulatory cells show strong prognostic significance in colorectal cancer. J Clin Oncol 27:186–192PubMedCrossRef
45.
Zurück zum Zitat Nishikawa H, Sakaguchi S (2010) Regulatory T cells in tumor immunity. Int J Cancer 127:759–767PubMed Nishikawa H, Sakaguchi S (2010) Regulatory T cells in tumor immunity. Int J Cancer 127:759–767PubMed
46.
Zurück zum Zitat Dannull J, Su Z, Rizzieri D et al (2005) Enhancement of vaccine-mediated antitumor immunity in cancer patients after depletion of regulatory T cells. J Clin Invest 115:3623–3633PubMedCentralPubMedCrossRef Dannull J, Su Z, Rizzieri D et al (2005) Enhancement of vaccine-mediated antitumor immunity in cancer patients after depletion of regulatory T cells. J Clin Invest 115:3623–3633PubMedCentralPubMedCrossRef
47.
Zurück zum Zitat Berntsen A, Brimnes MK, thor Straten P et al (2010) Increase of circulating CD4+CD25highFoxp3+ regulatory T cells in patients with metastatic renal cell carcinoma during treatment with dendritic cell vaccination and low-dose interleukin-2. J Immunother 33:425–434PubMedCrossRef Berntsen A, Brimnes MK, thor Straten P et al (2010) Increase of circulating CD4+CD25highFoxp3+ regulatory T cells in patients with metastatic renal cell carcinoma during treatment with dendritic cell vaccination and low-dose interleukin-2. J Immunother 33:425–434PubMedCrossRef
48.
Zurück zum Zitat Jacobs JF, Punt CJ, Lesterhuis WJ et al (2010) Dendritic cell vaccination in combination with anti-CD25 monoclonal antibody treatment: a phase I/II study in metastatic melanoma patients. Clin Cancer Res 16:5067–5078PubMedCrossRef Jacobs JF, Punt CJ, Lesterhuis WJ et al (2010) Dendritic cell vaccination in combination with anti-CD25 monoclonal antibody treatment: a phase I/II study in metastatic melanoma patients. Clin Cancer Res 16:5067–5078PubMedCrossRef
49.
Zurück zum Zitat Zimmer J, Andres E, Hentges F (2008) NK cells and Treg cells: a fascinating dance cheek to cheek. Eur J Immunol 38:2942–2945PubMedCrossRef Zimmer J, Andres E, Hentges F (2008) NK cells and Treg cells: a fascinating dance cheek to cheek. Eur J Immunol 38:2942–2945PubMedCrossRef
50.
Zurück zum Zitat Bauer S, Groh V, Wu J et al (1999) Activation of NK cells and T cells by NKG2D, a receptor for stress-inducible MICA. Science 285:727–729PubMedCrossRef Bauer S, Groh V, Wu J et al (1999) Activation of NK cells and T cells by NKG2D, a receptor for stress-inducible MICA. Science 285:727–729PubMedCrossRef
51.
Zurück zum Zitat Cao X, Cai SF, Fehniger TA et al (2007) Granzyme B and perforin are important for regulatory T cell-mediated suppression of tumor clearance. Immunity 27:635–646PubMedCrossRef Cao X, Cai SF, Fehniger TA et al (2007) Granzyme B and perforin are important for regulatory T cell-mediated suppression of tumor clearance. Immunity 27:635–646PubMedCrossRef
52.
Zurück zum Zitat Vacca P, Cantoni C, Vitale M et al (2010) Crosstalk between decidual NK and CD14+ myelomonocytic cells results in induction of Tregs and immunosuppression. Proc Natl Acad Sci U S A 107:11918–11923PubMedCentralPubMedCrossRef Vacca P, Cantoni C, Vitale M et al (2010) Crosstalk between decidual NK and CD14+ myelomonocytic cells results in induction of Tregs and immunosuppression. Proc Natl Acad Sci U S A 107:11918–11923PubMedCentralPubMedCrossRef
53.
Zurück zum Zitat Bergmann C, Wild CA, Narwan M et al (2011) Human tumor-induced and naturally occurring Treg cells differentially affect NK cells activated by either IL-2 or target cells. Eur J Immunol 41:3564–3573PubMedCrossRef Bergmann C, Wild CA, Narwan M et al (2011) Human tumor-induced and naturally occurring Treg cells differentially affect NK cells activated by either IL-2 or target cells. Eur J Immunol 41:3564–3573PubMedCrossRef
Metadaten
Titel
Regulatorische T-Zellen und NK-Zellen bei Krebspatienten
verfasst von
PD Dr. C. Bergmann
Publikationsdatum
01.06.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
HNO / Ausgabe 6/2014
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI
https://doi.org/10.1007/s00106-014-2874-9

Weitere Artikel der Ausgabe 6/2014

HNO 6/2014 Zur Ausgabe

CME Zertifizierte Fortbildung

Physiologie des oberen Ösophagussphinkters

Repetitorium Facharztprüfung

Vorbereitung zur Facharztprüfung HNO

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.