CD8+ tumor-infiltrating lymphocytes (TILs) correlate with relapse-free survival (RFS) in most cancer types, including breast cancer. However, subset composition, functional status, and spatial location of CD8+ TILs in relation to RFS in human breast tumors remain unclear. Spatial tissue analysis via quantitative immunofluorescence showed that infiltration of CD8+ T cells into cancer islands is more significantly associated with RFS than CD8+ T cell infiltration into either tumor stroma or total tumor. Localization into cancer islands within tumors is mediated by expression of the integrin CD103, which is a marker for tissue resident memory T cells (TRMs). Analysis of fresh tumor samples revealed that CD8+ TRMs are functionally similar to other CD8+ TILs, suggesting that the basis of their protective effect is their spatial distribution rather than functional differences. Indeed, CD103+ TRMs, as compared to CD103- CD8+ TILs, are enriched within cancer islands and CD8+ TRM proximity to cancer cells drives the association of CD8+ TIL densities with RFS. Together, these findings reveal the importance of cancer island localized CD8+ TRMs in surveillance of the breast tumor microenvironment and as a critical determinant of RFS in breast cancer patients.
Resident memory CD8+ T cells within cancer islands mediate survival in breast cancer patients.
C. Egelston,Christian Avalos,T. Tu,Anthony Rosario,Roger R. Wang,Shawn Solomon,G. Srinivasan,Michael S. Nelson,Yinghui Huang,M. Lim,D. Simons,Ting-Fang He,J. Yim,L. Kruper,J. Mortimer,S. Yost,Weihua Guo,C. Ruel,P. Frankel,Yuan Yuan,Peter P. Lee
Published 2019 in JCI Insight
ABSTRACT
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- Publication year
2019
- Venue
JCI Insight
- Publication date
2019-10-03
- Fields of study
Biology, Medicine
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- Source metadata
Semantic Scholar, PubMed
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