Spatial computation of intratumoral T cells correlates with survival of patients with pancreatic cancer
Open accessAbstract
Abstract The exact nature and dynamics of pancreatic ductal adenocarcinoma (PDAC) immune composition remains largely unknown. Desmoplasia is suggested to polarize PDAC immunity. Therefore, a comprehensive evaluation of the composition and distribution of desmoplastic elements and T-cell infiltration is necessary to delineate their roles. Here we develop a novel computational imaging technology for the simultaneous evaluation of eight distinct markers, allowing for spatial analysis of distinct populations within the same section. We report a heterogeneous population of infiltrating T lymphocytes. Spatial distribution of cytotoxic T cells in proximity to cancer cells correlates with increased overall patient survival. Collagen-I and αSMA + fibroblasts do not correlate with paucity in T-cell accumulation, suggesting that PDAC desmoplasia may not be a simple physical barrier. Further exploration of this technology may improve our understanding of how specific stromal composition could impact T-cell activity, with potential impact on the optimization of immune-modulatory therapies.
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Previous studies demonstrated that the amount of active T-cells is positively correlated with the success of immune checkpoint blockade therapy.
“Previous studies have demonstrated that the amount of active T-cells is positively correlated with the success of immune checkpoint blockade therapy36,37”
From Inhibition of PCSK9 potentiates immune checkpoint therapy for cancer (2020) · cites this paper as [37]
The Abstract links endogenous antitumour T cells to the efficacy of therapies combined with checkpoint blockade. But it does not report a positive correlation between the amount of active T cells and checkpoint-blockade success. The Discussion states that T-cell functional status was not measured; page numbers are unavailable in our copy. (LLM, conf=0.86)
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Cites
PD-1 blockade induces responses by inhibiting adaptive immune resistance
Tumeh, P. C., Harview, C. L., Yearley, J. H., Shintaku, I. P., Taylor, E. J. M., Robert, L., Chmielowski, B., Spasic, M., Henry, G., Ciobanu, V., et al. (2014) · Nature · doi:10.1038/nature13954 · Cited by 6,609 · see citing works
Feig, C., Jones, J. O., Kraman, M., Wells, R. J. B., Deonarine, A., Chan, D. S., Connell, C. M., Roberts, E. W., Zhao, Q., Caballero, O. L., et al. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1320318110 · Cited by 2,100 · see citing works
Winograd, R., Byrne, K. T., Evans, R. A., Odorizzi, P. M., Meyer, A. R. L., Bajor, D. L., Clendenin, C., Stanger, B. Z., Furth, E. E., Wherry, E. J., et al. (2015) · Cancer Immunology Research · doi:10.1158/2326-6066.cir-14-0215 · Cited by 459 · see citing works
Flagged first, then by citations
Research works printed but not linked: 30
- Vonderheide R. H. & Bayne L. J. Inflammatory networks and immune surveillance of pancreatic carcinoma. Curr. Opin. Immunol. 25, 200– 205 (2013). 23422836 PMC3647365
- Schmitz-Winnenthal F. H.. High frequencies of functional tumour-reactive T cells in bone marrow and blood of pancreatic cancer patients. Cancer Res. 65, 10079– 10087 (2005). 16267034
- Shibuya K. C.. Pancreatic ductal adenocarcinoma contains an effector and regulatory immune cell infiltrate that is altered by multimodal neoadjuvant treatment. PLoS ONE 9, e96565 (2014). 24794217 PMC4008589
- Fukunaga A.. CD8+ tumour-infiltrating lymphocytes together with CD4+ tumour-infiltrating lymphocytes and dendritic cells improve the prognosis of patients with pancreatic adenocarcinoma. Pancreas 28, e26-31 (2004). 14707745
- Ene-Obong A.. Activated pancreatic stellate cells sequester CD8+ T cells to reduce their infiltration of the juxtatumoral compartment of pancreatic ductal adenocarcinoma. Gastroenterology 145, 1121– 1132 (2013). 23891972 PMC3896919
- Ino Y.. Immune cell infiltration as an indicator of the immune microenvironment of pancreatic cancer. Br. J. Cancer 108, 914– 923 (2013). 23385730 PMC3590668
- Clark C. E.. Dynamics of the immune reaction to pancreatic cancer from inception to invasion. Cancer Res. 67, 9518– 9527 (2007). 17909062
- Alrifai D., Sarker D. & Maher J. Prospects for adoptive immunotherapy of pancreatic cancer using chimeric antigen receptor-engineered T-cells. Immunopharmacol. Immunotoxicol. 38, 50– 60 (2016). 26473647
- Jiang H.. Targeting focal adhesion kinase renders pancreatic cancers responsive to checkpoint immunotherapy. Nat. Med. 22, 851– 860 (2016). 27376576 PMC4935930
- Hiraoka N., Onozato K., Kosuge T. & Hirohashi S. Prevalence of FOXP3+ regulatory T cells increases during the progression of pancreatic ductal adenocarcinoma and its premalignant lesions. Clin. Cancer Res. 12, 5423– 5434 (2006). 17000676
- Tassi E.. Carcinoembryonic antigen-specific but not antiviral CD4+ T cell immunity is impaired in pancreatic carcinoma patients. J. Immunol. 181, 6595– 6603 (2008). 18941250
- De Monte L.. Intratumor T helper type 2 cell infiltrate correlates with cancer-associated fibroblast thymic stromal lymphopoietin production and reduced survival in pancreatic cancer. J. Exp. Med. 208, 469– 478 (2011). 21339327 PMC3058573
- Ozdemir B. C.. Depletion of carcinoma-associated fibroblasts and fibrosis induces immunosuppression and accelerates pancreas cancer with reduced survival. Cancer Cell 25, 719– 734 (2014). 24856586 PMC4180632
- Soares K. C.. TGF-beta blockade depletes T regulatory cells from metastatic pancreatic tumours in a vaccine dependent manner. Oncotarget 6, 43005– 43015 (2015). 26515728 PMC4767487
- Soares K. C.. PD-1/PD-L1 blockade together with vaccine therapy facilitates effector T-cell infiltration into pancreatic tumours. J. Immunother. 38, 1– 11 (2015). 25415283 PMC4258151
- Beatty G. L.. Exclusion of T cells from pancreatic carcinomas in mice is regulated by Ly6Clow F4/80+ extratumoral macrophages. Gastroenterology 149, 201– 210 (2015). 25888329 PMC4478138
- Schueneman A. J.. Low total lymphocyte count is associated with poor survival in patients with resected pancreatic adenocarcinoma receiving a GM-CSF secreting pancreatic tumour vaccine. Ann. Surg. Oncol. 20, S725– S730 (2013). 24046118 PMC3978599
- Heindl A., Nawaz S. & Yuan Y. Mapping spatial heterogeneity in the tumour microenvironment: a new era for digital pathology. Lab. Invest. 95, 377– 384 (2015). 25599534
- Yuan Y.. Quantitative image analysis of cellular heterogeneity in breast tumours complements genomic profiling. Sci. Transl. Med. 4, 157ra143 (2012). 23100629
- Wartenberg M.. Accumulation of FOXP3+T-cells in the tumour microenvironment is associated with an epithelial-mesenchymal-transition-type tumour budding phenotype and is an independent prognostic factor in surgically resected pancreatic ductal adenocarcinoma. Oncotarget 6, 4190– 4201 (2015). 25669968 PMC4414182
- Hinz S.. Foxp3 expression in pancreatic carcinoma cells as a novel mechanism of immune evasion in cancer. Cancer Res. 67, 8344– 8350 (2007). 17804750
- Lutz E. R.. Immunotherapy converts nonimmunogenic pancreatic tumours into immunogenic foci of immune regulation. Cancer Immunol. Res. 2, 616– 631 (2014). 24942756 PMC4082460
- Feng Z.. Multispectral imaging of formalin-fixed tissue predicts ability to generate tumour-infiltrating lymphocytes from melanoma. J. Immunother. Cancer 3, 1– 11 (2015). 26500776 PMC4617712
- Royal R. E.. Phase 2 trial of single agent Ipilimumab (anti-CTLA-4) for locally advanced or metastatic pancreatic adenocarcinoma. J. Immunother. 33, 828– 833 (2010). 20842054 PMC7322622
- Redman J. M., Gibney G. T. & Atkins M. B. Advances in immunotherapy for melanoma. BMC Med. 14, 20 (2016). 26850630 PMC4744430
- Haanen J. B. Immunotherapy of melanoma. EJC Suppl. 11, 97– 105 (2013). 26217118 PMC4041176
- Galon J.. Cancer classification using the Immunoscore: a worldwide task force. J. Transl. Med. 10, 205 (2012). 23034130 PMC3554496
- Wang H., Wang H., Zhang W. & Fuller G. N. Tissue microarrays: applications in neuropathology research, diagnosis, and education. Brain Pathol. 12, 95– 107 (2002). 11770905 PMC8095954
- Wang O. H.. Prognostic and functional significance of MAP4K5 in pancreatic cancer. PLoS ONE 11, e0152300 (2016). 27023625 PMC4811546
- Baddeley A., Rubak E. & Turner R. Spatial Point Patterns: Methodology and Applications with R CRC Press (2015).
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Self-citationDey, P., Li, J., Zhang, J., Chaurasiya, S., Strom, A., Wang, H., Liao, W.-T., Cavallaro, F., Denz, P., Bernard, V., et al. (2020) · Cancer Discovery · doi:10.1158/2159-8290.cd-19-0297 · Cited by 213 · see citing works
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Reddy, S. M., Reuben, A., Barua, S., Jiang, H., Zhang, S., Wang, L., Gopalakrishnan, V., Hudgens, C. W., Tetzlaff, M. T., Reuben, J. M., et al. (2019) · Cancer Immunology Research · doi:10.1158/2326-6066.cir-18-0619 · Cited by 106 · see citing works
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Vance, K., Alitinok, A., Winfree, S., Jensen-Smith, H., Swanson, B. J., Grandgenett, P. M., Klute, K. A., Crichton, D. J., & Hollingsworth, M. A. (2022) · Cancer Biomarkers · doi:10.3233/cbm-210308 · Cited by 14 · see citing works
Brunel, A., Samain, R., Neuzillet, C., & Bousquet, C. (2018) · Translational Cancer Research · doi:10.21037/tcr.2018.06.09 · Cited by 5 · see citing works
- Authors
- Carstens, J. L., Correa de Sampaio, P., Yang, D., Barua, S., Wang, H., Rao, A., Allison, J. P., LeBleu, V. S., & Kalluri, R.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Kalluri, Raghu
- ORCID
- Venue
- Nature Communications
- Published
- 2017-04-27
- Volume
- 8
- Issue
- 1
- Pages
- 15095-15095
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC5414182
- OpenAlex
- W2609921003
- Cited by
- 633
- References
- 3
- Citations by year
- 2026: 40 · 2025: 68 · 2024: 82 · 2023: 102 · 2022: 74 · 2021: 89 · 2020: 65 · 2019: 53 · 2018: 43 · 2017: 10 · 2015: 1
- FWCI
- 20.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Cancer Prevention and Research Institute of Texas (RP-110532, P30CA016672, CA016672)
- Lustgarten Foundation
- Nvidia
- National Institutes of Health (CA- 016672, RSG-16-005-01, / NCI P 30 CA016672)
- University of Texas MD Anderson Cancer Center (NCI P30CA016672, (CA016672), P30-CA-016672, grant CA016672)
- National Cancer Institute (Grant CA016672, CA 016672, NCI P30CA016672, CA196403, CA117969, U01CA196403, P30CA016672, P01CA117969, P50CA127001)
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Single-cell and spatial transcriptomics
- Keywords
- pancreatic ductal adenocarcinoma, intratumoral T cells, desmoplasia, T cell infiltration, spatial imaging, cytotoxic T lymphocytes, patient survival, type I collagen, alpha-smooth muscle actin, cancer-associated fibroblasts, tumor microenvironment, immunomodulatory therapy
- MeSH terms
- Actins, Adult, Aged, Aged, 80 and over, Animals, Female, Fibroblasts, Humans, Immunohistochemistry, Male, Middle Aged, Pancreatic Neoplasms, Prognosis, Spectrum Analysis, T-Lymphocytes, T-Lymphocytes, Cytotoxic, Survival Rate, Lymphocytes, Tumor-Infiltrating, Carcinoma, Pancreatic Ductal, Collagen Type I, Tissue Array Analysis, Mice, Spatial Analysis
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