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Published on: February 28, 2018
T lymphocyte subsets in cancer immunity: Friends or foes
Dounia Chraa1,2, Asmaa Naim1,3, Daniel Olive2
1Cellular and Molecular Pathology Laboratory, Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Casablanca, Morocco.
Abstract:
Although immune-based therapy is proving to be a success in several cancer types, only a set of patients appear to respond to immune checkpoint blockade including PD-1 and CTLA-4. A better understanding of the crucial components of cancer immunity is therefore necessary. T lymphocytes, a key element, are found within the tumor microenvironment and seem to be critical in determining the efficacy of immune surveillance. In this review, we will depict the pro- and antitumor roles of major T cell subsets in distinct cancer tissues. The central role of the mainly antitumor subsets, cytotoxic T cells and Th1 cells, will be delineated. Subsequently, we will indicate how other subsets including Th2, Th17, and T regulatory cells exhibit ambivalent roles. We will also describe the emerging and favorable role of Th9 cells in cancer immunity. In parallel, we will go through main mechanisms by which these cells operate, and will pinpoint pathways, which could be used as potential therapeutic targets in order to positively impact the immune response and ameliorate patients' clinical outcome.
Insights
Understanding T cell roles in cancer immunity is crucial for improving therapies. This review details how different T cell subsets, like cytotoxic T cells and Th1 cells, fight tumors, while others have mixed effects, offering new therapeutic targets.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- Immune checkpoint blockade (ICB) shows success in some cancers, but patient response varies.
- T lymphocytes within the tumor microenvironment are critical for immune surveillance and therapy efficacy.
- A deeper understanding of T cell subsets' roles is needed to enhance cancer immunity.
Purpose of the Study:
- To review the diverse roles of T cell subsets in various cancer types.
- To highlight the antitumor functions of cytotoxic T cells and Th1 cells.
- To explore the ambivalent roles of Th2, Th17, and T regulatory cells, and the emerging role of Th9 cells in cancer immunity.
Main Methods:
- Literature review of T cell subsets in cancer immunity.
- Analysis of pro- and antitumor functions of major T cell populations.
- Identification of mechanisms and therapeutic targets within T cell-mediated cancer immunity.
Main Results:
- Cytotoxic T cells and Th1 cells are key antitumor effectors.
- Th2, Th17, and T regulatory cells exhibit context-dependent, often ambivalent, roles.
- Th9 cells show a favorable and emerging role in cancer immunity.
- Mechanisms of T cell action and potential therapeutic targets are identified.
Conclusions:
- T cell subsets play complex roles in cancer immunity, influencing therapeutic outcomes.
- Targeting specific T cell subsets and their pathways can potentially improve immune response and patient prognosis.
- Further research into T cell functions offers promising avenues for novel cancer immunotherapies.
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