Suppressive effects of gemcitabine plus cisplatin chemotherapy on regulatory T cells in nonsmall-cell lung cancer

J Int Med Res. 2015 Apr;43(2):180-7. doi: 10.1177/0300060514561504. Epub 2015 Feb 6.

Abstract

Objective: To investigate the effect of gemcitabine plus cisplatin chemotherapy on the percentage of CD4(+)CD25(+)FOXP3(+) and CD8(+)CD28(-) regulatory T cells (Tregs) in the peripheral blood of patients with nonsmall-cell lung cancer (NSCLC).

Methods: Peripheral blood was taken from patients with NCSLC (before and after chemotherapy) and control subjects with nonmalignant disease. The percentages of CD4(+)CD25(+)FOXP3(+) and CD8(+)CD28(-) Tregs were analysed using flow cytometry.

Results: Patients (n = 40) had significantly higher CD4(+)CD25(+)FOXP3(+) and CD8(+)CD28(-) percentages than control subjects (n = 24). CD4(+)CD25(+)FOXP3(+) and CD8(+)CD28(-) percentages increased with tumour progression, fell significantly after chemotherapy, but remained significantly higher than control values.

Conclusions: CD4(+)CD25(+)FOXP3(+) and CD8(+)CD28(-) Treg percentages were higher in patients with NSCLC than control subjects, and increased in line with tumour progression. Percentages of CD4(+)CD25(+)FOXP3(+) and CD8(+)CD28(-) Tregs were significantly reduced following gemcitabine plus cisplatin chemotherapy.

Keywords: CD4+CD25+FOXP3+; CD8+CD28–; NSCLC; chemotherapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / drug therapy
  • Carcinoma, Non-Small-Cell Lung / immunology*
  • Case-Control Studies
  • Cisplatin / administration & dosage
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / analogs & derivatives
  • Female
  • Gemcitabine
  • Humans
  • Immunosuppression Therapy
  • Killer Cells, Natural / drug effects
  • Killer Cells, Natural / immunology
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / immunology*
  • Male
  • Middle Aged
  • T-Lymphocytes, Regulatory / drug effects*
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Deoxycytidine
  • Cisplatin
  • Gemcitabine