PMID- 30325558 OWN - NLM STAT- MEDLINE DCOM- 20190102 LR - 20210109 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 109 IP - 12 DP - 2018 Dec TI - Functionally impaired follicular helper T cells induce regulatory B cells and CD14(+) human leukocyte antigen-DR(-) cell differentiation in non-small cell lung cancer. PG - 3751-3761 LID - 10.1111/cas.13836 [doi] AB - Non-small cell lung cancer (NSCLC) represents one of the most common and aggressive cancers worldwide, as it typically displays irreversible progression and poor prognosis. Interaction between programmed death 1 (PD-1) and its ligand, PD-L1, plays important roles in tumor immunology. Follicular helper T (Tfh) cells have characteristically high PD-1 expression; thus, in the present study, we investigated the role of circulating Tfh cells and their correlation with disease-free survival after tumor resection in NSCLC. We found significantly higher number of Tfh cells but lower serum interleukin (IL)-21 levels in NSCLC patients, especially in those with advanced stage (III and IV), indicating that the function of Tfh cells to produce IL-21 was impaired. Further analysis showed that the increase in Tfh cells was attributable to an expansion of the PD-1(+) -Tfh2 and PD-1(+) -Tfh17 subtypes. Functional analysis showed that Tfh cells from NSCLC patients induced the differentiation of regulatory B cells and CD14(+) human leukocyte antigen (HLA)-DR(-) cells. Interestingly, the number of Tfh1 subtypes in NSCLC patients was negatively correlated with disease-free survival after tumor resection. In short, the high number and abnormal function of Tfh cells could cause further immunosuppression and lead to tumor development in NSCLC. Rescuing Tfh functions therefore represents a potential therapeutic strategy in NSCLC. CI - (c) 2018 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Qiu, Liannv AU - Qiu L AUID- ORCID: 0000-0001-9853-8391 AD - Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China. FAU - Yu, Qinhua AU - Yu Q AD - Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China. FAU - Zhou, Yonglie AU - Zhou Y AD - Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China. FAU - Zheng, Sujie AU - Zheng S AD - Department of Clinical Laboratory, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China. FAU - Tao, Jiaojiao AU - Tao J AD - School of Laboratory Medicine and Life Science, Wenzhou Medical University, Wenzhou, China. FAU - Jiang, Qian AU - Jiang Q AD - College of Medical Technology, Zhejiang Chinese Medical University, Hangzhou, China. FAU - Yuan, Guorong AU - Yuan G AD - Department of Oncology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China. LA - eng GR - No: Y18H200014/Zhejiang Provincial Natural Science Fund/ GR - No: 2012/Zhejiang Provincial Program for the Cultivation of High-level Innovative Health Talents/ PT - Journal Article DEP - 20181114 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (HLA-DR Antigens) RN - 0 (Interleukins) RN - 0 (Lipopolysaccharide Receptors) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) RN - MKM3CA6LT1 (interleukin-21) SB - IM EIN - Cancer Sci. 2019 Feb;110(2):834-835. PMID: 30716196 MH - Adult MH - Aged MH - Aged, 80 and over MH - B-Lymphocytes, Regulatory/*cytology/immunology MH - Carcinoma, Non-Small-Cell Lung/blood/immunology/pathology/*surgery MH - Cell Differentiation MH - Cell Proliferation MH - Disease-Free Survival MH - Female MH - HLA-DR Antigens/*metabolism MH - Humans MH - Interleukins/blood MH - Lipopolysaccharide Receptors/blood/*metabolism MH - Lung Neoplasms/blood/immunology/pathology/*surgery MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Programmed Cell Death 1 Receptor/metabolism MH - T-Lymphocytes, Helper-Inducer/*cytology/immunology MH - Treatment Outcome PMC - PMC6272090 OTO - NOTNLM OT - CD14+ HLA-DR- OT - Follicular helper T cell OT - interleukin-21 OT - non-small cell lung cancer OT - regulatory B cell EDAT- 2018/10/17 06:00 MHDA- 2019/01/03 06:00 PMCR- 2018/12/01 CRDT- 2018/10/17 06:00 PHST- 2018/05/07 00:00 [received] PHST- 2018/10/08 00:00 [revised] PHST- 2018/10/09 00:00 [accepted] PHST- 2018/10/17 06:00 [pubmed] PHST- 2019/01/03 06:00 [medline] PHST- 2018/10/17 06:00 [entrez] PHST- 2018/12/01 00:00 [pmc-release] AID - CAS13836 [pii] AID - 10.1111/cas.13836 [doi] PST - ppublish SO - Cancer Sci. 2018 Dec;109(12):3751-3761. doi: 10.1111/cas.13836. Epub 2018 Nov 14.