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@ARTICLE{Reissfelder:127364,
author = {C. Reissfelder and S. Stamova and C. Gossmann and M. Braun
and A. Bonertz and U. Walliczek and M. Grimm and N. N.
Rahbari and M. Koch and M. Saadati$^*$ and A. Benner$^*$ and
M. W. Büchler and D. Jäger and N. Halama and K. Khazaie
and J. Weitz and P. Beckhove$^*$},
title = {{T}umor-specific cytotoxic {T} lymphocyte activity
determines colorectal cancer patient prognosis.},
journal = {The journal of clinical investigation},
volume = {125},
number = {2},
issn = {0021-9738},
address = {Ann Arbor, Mich.},
publisher = {ASCJ},
reportid = {DKFZ-2017-03389},
pages = {739 - 751},
year = {2015},
abstract = {The composition of tumor-targeted T cell infiltrates is a
major prognostic factor in colorectal cancer (CRC) outcome;
however, the functional role of these populations in
prolonging patient survival remains unclear. Here, we
evaluated 190 patients with CRC for the presence of
functionally active tumor-infiltrating lymphocytes (TILs),
the tumor specificity of these TILs, and the correlation
between patient TILs and long-term survival. Using
intracytoplasmic cytokine staining in conjunction with HLA
multimers loaded with tumor peptide and antigen-specific
cytokine secretion assays, we determined that TNF-α
expression delineates a population of tumor antigen-specific
(TA-specific) cytotoxic T lymphocytes (CTLs) present within
tumors from patients with CRC. Upregulation of TNF-α
expression in TILs strongly correlated with an increase in
the total amount of intratumoral TNF-α, which is indicative
of tumor-specific CTL activity. Moreover, a retrospective
multivariate analysis of 102 patients with CRC, which had
multiple immune parameters evaluated, revealed that
increased TNF-α concentration was an independent prognostic
factor. Together, these results indicate that the prognostic
impact of T cell infiltrates for CRC maybe largely based on
subpopulations of active TA-specific T cells within the
tumor, suggesting causal implication for these cells in
patient survival. Additionally, these results support the
use of intratumoral TNF-α, which is indicative of T cell
function, as a prognostic parameter for CRC.},
keywords = {Neoplasm Proteins (NLM Chemicals) / TNF protein, human (NLM
Chemicals) / Tumor Necrosis Factor-alpha (NLM Chemicals)},
cin = {D015 / C060},
ddc = {610},
cid = {I:(DE-He78)D015-20160331 / I:(DE-He78)C060-20160331},
pnm = {314 - Tumor immunology (POF3-314)},
pid = {G:(DE-HGF)POF3-314},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:25562322},
pmc = {pmc:PMC4319435},
doi = {10.1172/JCI74894},
url = {https://inrepo02.dkfz.de/record/127364},
}