VISTA+/CD8+ status correlates with favorable prognosis in Epithelial ovarian cancer

Aida Jlassi1,2, Maroua Manai1,3,4, Maram Morjen5

  • 1Department of Biology, Mycology, Pathologies and Biomarkers Laboratory (LR16ES05), Faculty of Sciences of Tunis, University of Tunis El Manar, Ariana, Tunisia.

Plos One
|March 23, 2023
PubMed

Insights

V-domain Ig suppressor of T cell activation (VISTA) is expressed in ovarian cancer and associated with CD8+ T cells. The VISTA+/CD8+ subtype indicates prolonged overall survival, suggesting VISTA as a potential immunotherapy target.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Research

Background:

  • Immunotherapy targeting immune checkpoint regulators is a promising cancer treatment.
  • V-domain Ig suppressor of T cell activation (VISTA) is a novel checkpoint regulator identified in ovarian cancer.

Purpose of the Study:

  • To investigate the role of VISTA in Epithelial ovarian cancer (EOC).
  • To analyze the relationship between VISTA, tumor-infiltrating lymphocytes (TILs), and prognostic value in EOC.

Main Methods:

  • Assessed VISTA, CD3, CD8, CD4, FOXP3, and CD56 expression in 168 EOC tissue microarrays (TMA) using immunohistochemistry (IHC).
  • Evaluated VISTA expression in IGRov1 cells and peripheral blood mononuclear cells (PBMC) of EOC patients via western blot.
  • Analyzed associations between VISTA, TILs, clinicopathological variables, and overall survival (OS).

Main Results:

  • VISTA was detected in 64.28% of EOC tissues, with expression in tumor cells (42.3%) and immune cells (47.9%).
  • VISTA expression in immune cells correlated significantly with high densities of CD3+, CD4+, and CD8+ TILs.
  • The VISTA+/CD8+ immune subtype was significantly associated with prolonged OS, while VISTA+/CD8- correlated with the worst OS.

Conclusions:

  • VISTA is highly expressed in EOC and associated with CD8+ TILs.
  • The dual positive VISTA+/CD8+ subtype is linked to improved overall survival in EOC patients.
  • VISTA represents a potential immunotherapeutic target for Epithelial ovarian cancer.

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