ORIGINAL RESEARCH

The role of immunological memory in establishing antitumor immunity in patients with ovarian cancer undergoing neoadjuvant therapy

Zlatnik EYu1, Nerodo GA2, Ardzha AYu2, Seliutina ON1, Bondarenko ES1
About authors

1 Laboratory for Immunophenotyping of Tumors,
Rostov Research Institute of Oncology, Rostov-on-Don, Russia

2 Department of Gynecologic Oncology,
Rostov Research Institute of Oncology, Rostov-on-Don, Russia

Correspondence should be addressed: Elena Zlatnik
14-ya liniya, d. 63, Rostov-on-Don, Russia, 344037; ur.liam@kintalz-anele

About paper

Contribution of the authors to this work: Zlatnik EYu — processing and analysis of results of immunological tests, drafting of a manuscript, correspondence with editors; Nerodo GA — research planning, medical supervision, surgical operations and treatment of the patients, data analysis and interpretation; Ardzha AYu — analysis of literature, data collection and analysis, medical supervision; Seliutina ON, Bondarenko ES — immunological tests.

Received: 2017-09-22 Accepted: 2017-09-30 Published online: 2018-01-14
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Understanding the role of immunological memory mediated by T-lymphocytes in patients with malignant tumors is a pressing issue. This study aimed to assess the contribution of memory T-cells to antitumor immunity in patients with ovarian cancer undergoing neoadjuvant chemoimmunotherapy with recombinant interferon-gamma (rIFNγ). Quantification of central (Tсm) and effector (Tеm) memory T-cells (Тm), as well as naive T-lymphocytes (Th0), was done using flow cytometry. Compared to healthy females, untreated cancer patients were found to have more Tm and less Th0 cells in their blood CD4+ and CD8+ T-cell subpopulations. In cancer patients, Tm cells accumulated in the ascitic fluid, exceeding 7.7 times the number of CD4+ Th0 cells and 6.5 times the number of CD8+ Th0 cells, with Tem prevailing over Tcm. After chemotherapy with rIFNγ, blood Th0 decreased in cancer patients, while Tcm dominated the CD8+ Tm subpopulation both in the blood and ascitic fluid. Tem cells were a prevalent cell type in patients who received chemotherapy without interferon-gamma. Decreased Th0 and Tcm prevalence were a positive sign accompanied by a good response to treatment, including lower relapse rates (46.7 % vs. 80 % in controls) and a longer relapse-free period (17.5 ± 1.6 vs. 11.3 ± 1.5 months in controls). Therefore, we conclude that chemoimmunotherapy alters proportions of T-cell subpopulations in the blood and ascitic fluid of patients with ovarian cancer, with Tcm cells prevailing over Tem, which may be one of the mechanisms of rIFNγ (Ingaron) action.

Keywords: ovarian cancer, blood, ascitic fluid, flow cytometry, lympocytes, memory T-cells, Tсm, Tеm, Th0, interferon-gamma

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