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Tumor-infiltrating CD39+CD8+ T cells determine poor prognosis and immune evasion in clear cell renal cell carcinoma patients

Purpose Tumor microenvironment is important in the progression of clear cell renal cell carcinoma (ccRCC), and its prognostic value is still unclear. Recent reports demonstrated tumor-infiltrating CD39 + CD8 + T cells are abundant, but their function remains obscure. We aim to assess clinical value...

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Published in:Cancer Immunology, Immunotherapy Immunotherapy, 2020-08, Vol.69 (8), p.1565-1576
Main Authors: Qi, Yu, Xia, Yu, Lin, Zhiyuan, Qu, Yang, Qi, Yangyang, Chen, Yifan, Zhou, Quan, Zeng, Han, Wang, Jiajun, Chang, Yuan, Bai, Qi, Wang, Yiwei, Zhu, Yu, Xu, Le, Chen, Lingli, Kong, Yunyi, Zhang, Weijuan, Dai, Bo, Liu, Li, Guo, Jianming, Xu, Jiejie
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cited_by cdi_FETCH-LOGICAL-c405t-8e1db57dcfc0ec432762bf8bd639ba776bf9c47c98ccdbba8daa62c2ac7464c43
cites cdi_FETCH-LOGICAL-c405t-8e1db57dcfc0ec432762bf8bd639ba776bf9c47c98ccdbba8daa62c2ac7464c43
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container_issue 8
container_start_page 1565
container_title Cancer Immunology, Immunotherapy
container_volume 69
creator Qi, Yu
Xia, Yu
Lin, Zhiyuan
Qu, Yang
Qi, Yangyang
Chen, Yifan
Zhou, Quan
Zeng, Han
Wang, Jiajun
Chang, Yuan
Bai, Qi
Wang, Yiwei
Zhu, Yu
Xu, Le
Chen, Lingli
Kong, Yunyi
Zhang, Weijuan
Dai, Bo
Liu, Li
Guo, Jianming
Xu, Jiejie
description Purpose Tumor microenvironment is important in the progression of clear cell renal cell carcinoma (ccRCC), and its prognostic value is still unclear. Recent reports demonstrated tumor-infiltrating CD39 + CD8 + T cells are abundant, but their function remains obscure. We aim to assess clinical value of CD39 + CD8 + T cells and seek a potential therapeutic target in ccRCC. Experimental design We immunohistochemically evaluated clinical value of CD39 + CD8 + T cells in a retrospective Zhongshan Hospital cohort of 243 ccRCC patients. Fresh tumor samples ( n  = 48), non-tumor tissues and peripheral blood for flow cytometry analyses were collected to analyze immune cell functions from Zhongshan Hospital. The survival benefit of tyrosine kinase inhibitors (TKIs) in this subpopulation was evaluated. Kaplan–Meier analysis and COX regression model were applied for survival analyses. Bioinformatics analysis performed in TCGA KIRC cohort and the scRNA-seq cohort. Results We found that accumulation of CD39 + CD8 + T cells indicated poor prognosis ( p 
doi_str_mv 10.1007/s00262-020-02563-2
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Recent reports demonstrated tumor-infiltrating CD39 + CD8 + T cells are abundant, but their function remains obscure. We aim to assess clinical value of CD39 + CD8 + T cells and seek a potential therapeutic target in ccRCC. Experimental design We immunohistochemically evaluated clinical value of CD39 + CD8 + T cells in a retrospective Zhongshan Hospital cohort of 243 ccRCC patients. Fresh tumor samples ( n  = 48), non-tumor tissues and peripheral blood for flow cytometry analyses were collected to analyze immune cell functions from Zhongshan Hospital. The survival benefit of tyrosine kinase inhibitors (TKIs) in this subpopulation was evaluated. Kaplan–Meier analysis and COX regression model were applied for survival analyses. Bioinformatics analysis performed in TCGA KIRC cohort and the scRNA-seq cohort. Results We found that accumulation of CD39 + CD8 + T cells indicated poor prognosis ( p  &lt; 0.0001) and indicated therapeutic benefit of TKIs therapy ( p  = 0.015). CD39 + CD8 + T cells showed decreased TNF-α and IFN-γ with elevated PD-1 and TIM-3 expression. Further analysis of tumor-infiltrating immune cell landscape in the ccRCC revealed the positive correlation between CD39 + CD8 + T cells and Tregs ( p  = 0.037) and M2-polarized macrophages ( p  &lt; 0.0001). Finally, inhibition of CD39 partially restores the anti-tumor function of CD8 + T cells. Conclusions High CD39 + CD8 + T cells indicated poor prognosis in ccRCC, due to impaired anti-tumor function of CD39 + CD8 + T cells and indicated therapeutic benefit of TKIs therapy. Graphic abstract</description><identifier>ISSN: 0340-7004</identifier><identifier>EISSN: 1432-0851</identifier><identifier>DOI: 10.1007/s00262-020-02563-2</identifier><identifier>PMID: 32306075</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Antitumor activity ; Apyrase - antagonists &amp; inhibitors ; Apyrase - metabolism ; Bioinformatics ; Biomarkers, Tumor - analysis ; Cancer Research ; Carcinoma, Renal Cell - drug therapy ; Carcinoma, Renal Cell - immunology ; Carcinoma, Renal Cell - metabolism ; Carcinoma, Renal Cell - pathology ; CD8 antigen ; CD8-Positive T-Lymphocytes - drug effects ; CD8-Positive T-Lymphocytes - immunology ; CD8-Positive T-Lymphocytes - metabolism ; Clear cell-type renal cell carcinoma ; Female ; Flow cytometry ; Follow-Up Studies ; Humans ; Immune evasion ; Immune Evasion - drug effects ; Immune Evasion - immunology ; Immunology ; Kidney cancer ; Kidney Neoplasms - drug therapy ; Kidney Neoplasms - immunology ; Kidney Neoplasms - metabolism ; Kidney Neoplasms - pathology ; Lymphocytes ; Lymphocytes T ; Lymphocytes, Tumor-Infiltrating - drug effects ; Lymphocytes, Tumor-Infiltrating - immunology ; Lymphocytes, Tumor-Infiltrating - metabolism ; Macrophages ; Male ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Original ; Original Article ; Patients ; PD-1 protein ; Peripheral blood ; Prognosis ; Protein-tyrosine kinase ; Retrospective Studies ; Survival Rate ; Therapeutic applications ; Tumor Microenvironment - drug effects ; Tumor Microenvironment - immunology ; Tumor necrosis factor-α ; Young Adult ; γ-Interferon</subject><ispartof>Cancer Immunology, Immunotherapy, 2020-08, Vol.69 (8), p.1565-1576</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-8e1db57dcfc0ec432762bf8bd639ba776bf9c47c98ccdbba8daa62c2ac7464c43</citedby><cites>FETCH-LOGICAL-c405t-8e1db57dcfc0ec432762bf8bd639ba776bf9c47c98ccdbba8daa62c2ac7464c43</cites><orcidid>0000-0001-7431-9063</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027701/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11027701/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32306075$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qi, Yu</creatorcontrib><creatorcontrib>Xia, Yu</creatorcontrib><creatorcontrib>Lin, Zhiyuan</creatorcontrib><creatorcontrib>Qu, Yang</creatorcontrib><creatorcontrib>Qi, Yangyang</creatorcontrib><creatorcontrib>Chen, Yifan</creatorcontrib><creatorcontrib>Zhou, Quan</creatorcontrib><creatorcontrib>Zeng, Han</creatorcontrib><creatorcontrib>Wang, Jiajun</creatorcontrib><creatorcontrib>Chang, Yuan</creatorcontrib><creatorcontrib>Bai, Qi</creatorcontrib><creatorcontrib>Wang, Yiwei</creatorcontrib><creatorcontrib>Zhu, Yu</creatorcontrib><creatorcontrib>Xu, Le</creatorcontrib><creatorcontrib>Chen, Lingli</creatorcontrib><creatorcontrib>Kong, Yunyi</creatorcontrib><creatorcontrib>Zhang, Weijuan</creatorcontrib><creatorcontrib>Dai, Bo</creatorcontrib><creatorcontrib>Liu, Li</creatorcontrib><creatorcontrib>Guo, Jianming</creatorcontrib><creatorcontrib>Xu, Jiejie</creatorcontrib><title>Tumor-infiltrating CD39+CD8+ T cells determine poor prognosis and immune evasion in clear cell renal cell carcinoma patients</title><title>Cancer Immunology, Immunotherapy</title><addtitle>Cancer Immunol Immunother</addtitle><addtitle>Cancer Immunol Immunother</addtitle><description>Purpose Tumor microenvironment is important in the progression of clear cell renal cell carcinoma (ccRCC), and its prognostic value is still unclear. Recent reports demonstrated tumor-infiltrating CD39 + CD8 + T cells are abundant, but their function remains obscure. We aim to assess clinical value of CD39 + CD8 + T cells and seek a potential therapeutic target in ccRCC. Experimental design We immunohistochemically evaluated clinical value of CD39 + CD8 + T cells in a retrospective Zhongshan Hospital cohort of 243 ccRCC patients. Fresh tumor samples ( n  = 48), non-tumor tissues and peripheral blood for flow cytometry analyses were collected to analyze immune cell functions from Zhongshan Hospital. The survival benefit of tyrosine kinase inhibitors (TKIs) in this subpopulation was evaluated. Kaplan–Meier analysis and COX regression model were applied for survival analyses. Bioinformatics analysis performed in TCGA KIRC cohort and the scRNA-seq cohort. Results We found that accumulation of CD39 + CD8 + T cells indicated poor prognosis ( p  &lt; 0.0001) and indicated therapeutic benefit of TKIs therapy ( p  = 0.015). CD39 + CD8 + T cells showed decreased TNF-α and IFN-γ with elevated PD-1 and TIM-3 expression. Further analysis of tumor-infiltrating immune cell landscape in the ccRCC revealed the positive correlation between CD39 + CD8 + T cells and Tregs ( p  = 0.037) and M2-polarized macrophages ( p  &lt; 0.0001). Finally, inhibition of CD39 partially restores the anti-tumor function of CD8 + T cells. Conclusions High CD39 + CD8 + T cells indicated poor prognosis in ccRCC, due to impaired anti-tumor function of CD39 + CD8 + T cells and indicated therapeutic benefit of TKIs therapy. Graphic abstract</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Antitumor activity</subject><subject>Apyrase - antagonists &amp; inhibitors</subject><subject>Apyrase - metabolism</subject><subject>Bioinformatics</subject><subject>Biomarkers, Tumor - analysis</subject><subject>Cancer Research</subject><subject>Carcinoma, Renal Cell - drug therapy</subject><subject>Carcinoma, Renal Cell - immunology</subject><subject>Carcinoma, Renal Cell - metabolism</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>CD8 antigen</subject><subject>CD8-Positive T-Lymphocytes - drug effects</subject><subject>CD8-Positive T-Lymphocytes - immunology</subject><subject>CD8-Positive T-Lymphocytes - metabolism</subject><subject>Clear cell-type renal cell carcinoma</subject><subject>Female</subject><subject>Flow cytometry</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Immune evasion</subject><subject>Immune Evasion - drug effects</subject><subject>Immune Evasion - immunology</subject><subject>Immunology</subject><subject>Kidney cancer</subject><subject>Kidney Neoplasms - drug therapy</subject><subject>Kidney Neoplasms - immunology</subject><subject>Kidney Neoplasms - metabolism</subject><subject>Kidney Neoplasms - pathology</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Lymphocytes, Tumor-Infiltrating - drug effects</subject><subject>Lymphocytes, Tumor-Infiltrating - immunology</subject><subject>Lymphocytes, Tumor-Infiltrating - metabolism</subject><subject>Macrophages</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>PD-1 protein</subject><subject>Peripheral blood</subject><subject>Prognosis</subject><subject>Protein-tyrosine kinase</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><subject>Therapeutic applications</subject><subject>Tumor Microenvironment - drug effects</subject><subject>Tumor Microenvironment - immunology</subject><subject>Tumor necrosis factor-α</subject><subject>Young Adult</subject><subject>γ-Interferon</subject><issn>0340-7004</issn><issn>1432-0851</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kUtr3TAQhUVpaG5u-we6KIJuCsHpSLIle1XCTfqAQDa3ayHL8q2CLbmSHSj0x3cSp-ljkYWQ0HxzjkaHkNcMzhiAep8BuOQFcMBVSVHwZ2TDSoFXdcWekw2IEgoFUB6Tk5xv8MChaV6QY8EFSFDVhvzcL2NMhQ-9H-ZkZh8OdHchmtPdRX1K99S6Yci0c7NLow-OTjEmOqV4CDH7TE3oqB_HBSvu1mQfA_WB2sGZdN9KkwtmWI_WJOtDHA2d0MeFOb8kR70Zsnv1sG_J14-X-93n4ur605fd-VVhS6jmonasayvV2d6Cszifkrzt67aTommNUrLtG1sq29TWdm1r6s4YyS03VpWyxIYt-bDqTks7us6idzKDnpIfTfqho_H630rw3_Qh3mrGgCsFDBXePSik-H1xedajz3dTmeDikjUXDUcvJRtE3_6H3sQl4S8gVXImBSgJSPGVsinmnFz_-BoG-i5dvaarMV19ny56bMmbv-d4bPkdJwJiBTKWwsGlP95PyP4CPOyyHQ</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Qi, Yu</creator><creator>Xia, Yu</creator><creator>Lin, Zhiyuan</creator><creator>Qu, Yang</creator><creator>Qi, Yangyang</creator><creator>Chen, Yifan</creator><creator>Zhou, Quan</creator><creator>Zeng, Han</creator><creator>Wang, Jiajun</creator><creator>Chang, Yuan</creator><creator>Bai, Qi</creator><creator>Wang, Yiwei</creator><creator>Zhu, Yu</creator><creator>Xu, Le</creator><creator>Chen, Lingli</creator><creator>Kong, Yunyi</creator><creator>Zhang, Weijuan</creator><creator>Dai, Bo</creator><creator>Liu, Li</creator><creator>Guo, Jianming</creator><creator>Xu, Jiejie</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7431-9063</orcidid></search><sort><creationdate>20200801</creationdate><title>Tumor-infiltrating CD39+CD8+ T cells determine poor prognosis and immune evasion in clear cell renal cell carcinoma patients</title><author>Qi, Yu ; Xia, Yu ; Lin, Zhiyuan ; Qu, Yang ; Qi, Yangyang ; Chen, Yifan ; Zhou, Quan ; Zeng, Han ; Wang, Jiajun ; Chang, Yuan ; Bai, Qi ; Wang, Yiwei ; Zhu, Yu ; Xu, Le ; Chen, Lingli ; Kong, Yunyi ; Zhang, Weijuan ; Dai, Bo ; Liu, Li ; Guo, Jianming ; Xu, Jiejie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-8e1db57dcfc0ec432762bf8bd639ba776bf9c47c98ccdbba8daa62c2ac7464c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Antitumor activity</topic><topic>Apyrase - antagonists &amp; inhibitors</topic><topic>Apyrase - metabolism</topic><topic>Bioinformatics</topic><topic>Biomarkers, Tumor - analysis</topic><topic>Cancer Research</topic><topic>Carcinoma, Renal Cell - drug therapy</topic><topic>Carcinoma, Renal Cell - immunology</topic><topic>Carcinoma, Renal Cell - metabolism</topic><topic>Carcinoma, Renal Cell - pathology</topic><topic>CD8 antigen</topic><topic>CD8-Positive T-Lymphocytes - drug effects</topic><topic>CD8-Positive T-Lymphocytes - immunology</topic><topic>CD8-Positive T-Lymphocytes - metabolism</topic><topic>Clear cell-type renal cell carcinoma</topic><topic>Female</topic><topic>Flow cytometry</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Immune evasion</topic><topic>Immune Evasion - drug effects</topic><topic>Immune Evasion - immunology</topic><topic>Immunology</topic><topic>Kidney cancer</topic><topic>Kidney Neoplasms - drug therapy</topic><topic>Kidney Neoplasms - immunology</topic><topic>Kidney Neoplasms - metabolism</topic><topic>Kidney Neoplasms - pathology</topic><topic>Lymphocytes</topic><topic>Lymphocytes T</topic><topic>Lymphocytes, Tumor-Infiltrating - drug effects</topic><topic>Lymphocytes, Tumor-Infiltrating - immunology</topic><topic>Lymphocytes, Tumor-Infiltrating - metabolism</topic><topic>Macrophages</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>PD-1 protein</topic><topic>Peripheral blood</topic><topic>Prognosis</topic><topic>Protein-tyrosine kinase</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><topic>Therapeutic applications</topic><topic>Tumor Microenvironment - drug effects</topic><topic>Tumor Microenvironment - immunology</topic><topic>Tumor necrosis factor-α</topic><topic>Young Adult</topic><topic>γ-Interferon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qi, Yu</creatorcontrib><creatorcontrib>Xia, Yu</creatorcontrib><creatorcontrib>Lin, Zhiyuan</creatorcontrib><creatorcontrib>Qu, Yang</creatorcontrib><creatorcontrib>Qi, Yangyang</creatorcontrib><creatorcontrib>Chen, Yifan</creatorcontrib><creatorcontrib>Zhou, Quan</creatorcontrib><creatorcontrib>Zeng, Han</creatorcontrib><creatorcontrib>Wang, Jiajun</creatorcontrib><creatorcontrib>Chang, Yuan</creatorcontrib><creatorcontrib>Bai, Qi</creatorcontrib><creatorcontrib>Wang, Yiwei</creatorcontrib><creatorcontrib>Zhu, Yu</creatorcontrib><creatorcontrib>Xu, Le</creatorcontrib><creatorcontrib>Chen, Lingli</creatorcontrib><creatorcontrib>Kong, Yunyi</creatorcontrib><creatorcontrib>Zhang, Weijuan</creatorcontrib><creatorcontrib>Dai, Bo</creatorcontrib><creatorcontrib>Liu, Li</creatorcontrib><creatorcontrib>Guo, Jianming</creatorcontrib><creatorcontrib>Xu, Jiejie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health &amp; 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Recent reports demonstrated tumor-infiltrating CD39 + CD8 + T cells are abundant, but their function remains obscure. We aim to assess clinical value of CD39 + CD8 + T cells and seek a potential therapeutic target in ccRCC. Experimental design We immunohistochemically evaluated clinical value of CD39 + CD8 + T cells in a retrospective Zhongshan Hospital cohort of 243 ccRCC patients. Fresh tumor samples ( n  = 48), non-tumor tissues and peripheral blood for flow cytometry analyses were collected to analyze immune cell functions from Zhongshan Hospital. The survival benefit of tyrosine kinase inhibitors (TKIs) in this subpopulation was evaluated. Kaplan–Meier analysis and COX regression model were applied for survival analyses. Bioinformatics analysis performed in TCGA KIRC cohort and the scRNA-seq cohort. Results We found that accumulation of CD39 + CD8 + T cells indicated poor prognosis ( p  &lt; 0.0001) and indicated therapeutic benefit of TKIs therapy ( p  = 0.015). CD39 + CD8 + T cells showed decreased TNF-α and IFN-γ with elevated PD-1 and TIM-3 expression. Further analysis of tumor-infiltrating immune cell landscape in the ccRCC revealed the positive correlation between CD39 + CD8 + T cells and Tregs ( p  = 0.037) and M2-polarized macrophages ( p  &lt; 0.0001). Finally, inhibition of CD39 partially restores the anti-tumor function of CD8 + T cells. Conclusions High CD39 + CD8 + T cells indicated poor prognosis in ccRCC, due to impaired anti-tumor function of CD39 + CD8 + T cells and indicated therapeutic benefit of TKIs therapy. Graphic abstract</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32306075</pmid><doi>10.1007/s00262-020-02563-2</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7431-9063</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0340-7004
ispartof Cancer Immunology, Immunotherapy, 2020-08, Vol.69 (8), p.1565-1576
issn 0340-7004
1432-0851
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11027701
source PubMed Central(OpenAccess); Springer Nature
subjects Adolescent
Adult
Aged
Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Antitumor activity
Apyrase - antagonists & inhibitors
Apyrase - metabolism
Bioinformatics
Biomarkers, Tumor - analysis
Cancer Research
Carcinoma, Renal Cell - drug therapy
Carcinoma, Renal Cell - immunology
Carcinoma, Renal Cell - metabolism
Carcinoma, Renal Cell - pathology
CD8 antigen
CD8-Positive T-Lymphocytes - drug effects
CD8-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - metabolism
Clear cell-type renal cell carcinoma
Female
Flow cytometry
Follow-Up Studies
Humans
Immune evasion
Immune Evasion - drug effects
Immune Evasion - immunology
Immunology
Kidney cancer
Kidney Neoplasms - drug therapy
Kidney Neoplasms - immunology
Kidney Neoplasms - metabolism
Kidney Neoplasms - pathology
Lymphocytes
Lymphocytes T
Lymphocytes, Tumor-Infiltrating - drug effects
Lymphocytes, Tumor-Infiltrating - immunology
Lymphocytes, Tumor-Infiltrating - metabolism
Macrophages
Male
Medical prognosis
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original
Original Article
Patients
PD-1 protein
Peripheral blood
Prognosis
Protein-tyrosine kinase
Retrospective Studies
Survival Rate
Therapeutic applications
Tumor Microenvironment - drug effects
Tumor Microenvironment - immunology
Tumor necrosis factor-α
Young Adult
γ-Interferon
title Tumor-infiltrating CD39+CD8+ T cells determine poor prognosis and immune evasion in clear cell renal cell carcinoma patients
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