Analysis of tumor-infiltrating lymphocytes in cutaneous squamous cell carcinoma

A C Haeffner1, K Zepter, C A Elmets

  • 1Department of Dermatology, Case Western Reserve University, Cleveland, Ohio, USA.

Insights

Tumor-infiltrating lymphocytes (TILs) in skin cancer lesions include cytotoxic T cells. These cells show activity against tumor cells, indicating a potential role in anti-cancer immunity.

Area of Science:

  • Immunology
  • Dermatology
  • Oncology

Background:

  • Cutaneous squamous cell carcinoma (SCC) is a common skin cancer.
  • Understanding the immune microenvironment is crucial for SCC treatment.

Purpose of the Study:

  • To characterize tumor-infiltrating lymphocytes (TILs) in cutaneous SCC and related lesions.
  • To investigate the phenotype and function of TILs in SCC.

Main Methods:

  • Case series analysis of 21 patients with actinic keratoses, SCC in situ, and invasive SCC.
  • Immunohistochemistry and molecular biological analyses (T-cell clonality, cytotoxicity assays).

Main Results:

  • CD8+ TILs were identified in SCC and actinic keratosis lesions.
  • TILs exhibited a cytotoxic T lymphocyte phenotype (CD3+, TIA1+, HLA-DR+) and were polyclonal.
  • TILs from SCC lesions demonstrated cytotoxicity against autologous tumor cells in vitro.

Conclusions:

  • Cutaneous SCC lesions harbor a subpopulation of tumor-infiltrating lymphocytes.
  • These TILs include polyclonal, MHC-restricted cytotoxic T lymphocytes expressing the TCR-alpha beta heterodimer.
  • These findings suggest a role for TILs in the immune response against cutaneous SCC.
Abstract

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