Increased PD-1 expression on CD4+ and CD8+ T cells is involved in immune evasion in gastric cancer

J Surg Oncol. 2013 Apr;107(5):517-22. doi: 10.1002/jso.23281. Epub 2012 Nov 5.

Abstract

Background: Co-signaling molecules play an important role in T cells. Programmed death-1 (PD-1) is an immunoinhibitory receptor and its overexpression on T cells appears to be involved in immune evasion in cancer patients. The present study was designed to investigate PD-1 expression on T cells and its relationship with immune evasion in gastric cancer patients.

Methods: PD-1 expression on CD4+ and CD8+ T cells obtained from peripheral blood mononuclear cells (PBMC), normal gastric mucosa, and gastric cancer tissue was evaluated by multicolor flow cytometry.

Results: PD-1 expression on CD4+ and CD8+ T cells from gastric cancer patients was significantly higher than that from normal controls. PD-1 expression on CD4+ and CD8+ T cells was related to disease progression. Furthermore, PD-1 expression on CD4+ and CD8+ T cells from gastric cancer tissue was significantly higher than that from normal gastric mucosa and PBMC. PD-1 positive CD4+ and CD8+ T cells produced significantly less IFN-gamma than PD-1 negative CD4+ and CD8+ T cells.

Conclusions: Upregulation of PD-1 on both CD4+ and CD8+ T cells may be, in part, responsible for immune evasion in gastric cancer patients.

MeSH terms

  • Aged
  • CD4-Positive T-Lymphocytes / metabolism*
  • CD8-Positive T-Lymphocytes / metabolism*
  • Case-Control Studies
  • Female
  • Flow Cytometry
  • Humans
  • Interferon-gamma / metabolism
  • Lipopolysaccharide Receptors / metabolism
  • Male
  • Monocytes / metabolism
  • Programmed Cell Death 1 Receptor / metabolism*
  • Stomach Neoplasms / immunology*
  • Stomach Neoplasms / pathology
  • Up-Regulation

Substances

  • Lipopolysaccharide Receptors
  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
  • Interferon-gamma