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Increased lymphocyte infiltration in patients with head and neck cancer treated with the IRX-2 immunotherapy regimen
Twenty-seven subjects with squamous cell cancer of the head and neck received the neoadjuvant IRX-2 immunotherapy regimen prior to surgery in a Phase 2 trial. Pretreatment tumor biopsies were compared with the primary tumor surgical specimens for lymphocyte infiltration, necrosis and fibrosis, using...
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Published in: | Cancer Immunology, Immunotherapy Immunotherapy, 2012-06, Vol.61 (6), p.771-782 |
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container_title | Cancer Immunology, Immunotherapy |
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creator | Berinstein, Neil L. Wolf, Gregory T. Naylor, Paul H. Baltzer, Lorraine Egan, James E. Brandwein, Harvey J. Whiteside, Theresa L. Goldstein, Lynn C. El-Naggar, Adel Badoual, Cecile Fridman, Wolf-Herve White, J. Michael Hadden, John W. |
description | Twenty-seven subjects with squamous cell cancer of the head and neck received the neoadjuvant IRX-2 immunotherapy regimen prior to surgery in a Phase 2 trial. Pretreatment tumor biopsies were compared with the primary tumor surgical specimens for lymphocyte infiltration, necrosis and fibrosis, using hematoxylin and eosin stain and immunohistochemistry in 25 subjects. Sections were examined by three pathologists. Relative to pretreatment biopsies, increases in lymphocyte infiltration (LI) were seen using H and E or immunohistochemistry. CD3+ CD4+ T cells and CD20+ B cells were primarily found in the peritumoral stroma and CD3+ CD8+ T cells and CD68+ macrophages were mainly intratumoral. LI in the surgical specimens were associated with reductions in the primary tumor size. Improved survival at 5 years was correlated with high overall LI in the tumor specimens. Neoadjuvant IRX-2 immunotherapy regimen may restore immune responsiveness presumably by mobilizing tumor infiltrating effector lymphocytes and macrophages into the tumor. |
doi_str_mv | 10.1007/s00262-011-1134-z |
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Michael ; Hadden, John W.</creator><creatorcontrib>Berinstein, Neil L. ; Wolf, Gregory T. ; Naylor, Paul H. ; Baltzer, Lorraine ; Egan, James E. ; Brandwein, Harvey J. ; Whiteside, Theresa L. ; Goldstein, Lynn C. ; El-Naggar, Adel ; Badoual, Cecile ; Fridman, Wolf-Herve ; White, J. Michael ; Hadden, John W.</creatorcontrib><description>Twenty-seven subjects with squamous cell cancer of the head and neck received the neoadjuvant IRX-2 immunotherapy regimen prior to surgery in a Phase 2 trial. Pretreatment tumor biopsies were compared with the primary tumor surgical specimens for lymphocyte infiltration, necrosis and fibrosis, using hematoxylin and eosin stain and immunohistochemistry in 25 subjects. Sections were examined by three pathologists. Relative to pretreatment biopsies, increases in lymphocyte infiltration (LI) were seen using H and E or immunohistochemistry. CD3+ CD4+ T cells and CD20+ B cells were primarily found in the peritumoral stroma and CD3+ CD8+ T cells and CD68+ macrophages were mainly intratumoral. LI in the surgical specimens were associated with reductions in the primary tumor size. Improved survival at 5 years was correlated with high overall LI in the tumor specimens. Neoadjuvant IRX-2 immunotherapy regimen may restore immune responsiveness presumably by mobilizing tumor infiltrating effector lymphocytes and macrophages into the tumor.</description><identifier>ISSN: 0340-7004</identifier><identifier>EISSN: 1432-0851</identifier><identifier>DOI: 10.1007/s00262-011-1134-z</identifier><identifier>PMID: 22057678</identifier><identifier>CODEN: CIIMDN</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Antigens ; Antineoplastic agents ; Biological and medical sciences ; Biopsy ; Cancer ; Cancer Research ; CD3 antigen ; CD4 antigen ; CD8 antigen ; Clinical trials ; Cytokines ; Cytokines - administration & dosage ; Cytokines - immunology ; Female ; Fibrosis ; Head & neck cancer ; Head and neck cancer ; Head and Neck Neoplasms - immunology ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - therapy ; Human papillomavirus ; Humans ; Immunohistochemistry ; Immunology ; Immunotherapy ; Laboratories ; Lymphocytes ; Lymphocytes B ; Lymphocytes T ; Lymphocytes, Tumor-Infiltrating - immunology ; Macrophages ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Metastases ; Middle Aged ; Necrosis ; Oncology ; Original Article ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; Pharmacology. 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Michael</creatorcontrib><creatorcontrib>Hadden, John W.</creatorcontrib><title>Increased lymphocyte infiltration in patients with head and neck cancer treated with the IRX-2 immunotherapy regimen</title><title>Cancer Immunology, Immunotherapy</title><addtitle>Cancer Immunol Immunother</addtitle><addtitle>Cancer Immunol Immunother</addtitle><description>Twenty-seven subjects with squamous cell cancer of the head and neck received the neoadjuvant IRX-2 immunotherapy regimen prior to surgery in a Phase 2 trial. Pretreatment tumor biopsies were compared with the primary tumor surgical specimens for lymphocyte infiltration, necrosis and fibrosis, using hematoxylin and eosin stain and immunohistochemistry in 25 subjects. Sections were examined by three pathologists. Relative to pretreatment biopsies, increases in lymphocyte infiltration (LI) were seen using H and E or immunohistochemistry. CD3+ CD4+ T cells and CD20+ B cells were primarily found in the peritumoral stroma and CD3+ CD8+ T cells and CD68+ macrophages were mainly intratumoral. LI in the surgical specimens were associated with reductions in the primary tumor size. Improved survival at 5 years was correlated with high overall LI in the tumor specimens. Neoadjuvant IRX-2 immunotherapy regimen may restore immune responsiveness presumably by mobilizing tumor infiltrating effector lymphocytes and macrophages into the tumor.</description><subject>Adult</subject><subject>Aged</subject><subject>Antigens</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>CD3 antigen</subject><subject>CD4 antigen</subject><subject>CD8 antigen</subject><subject>Clinical trials</subject><subject>Cytokines</subject><subject>Cytokines - administration & dosage</subject><subject>Cytokines - immunology</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Head & neck cancer</subject><subject>Head and neck cancer</subject><subject>Head and Neck Neoplasms - immunology</subject><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - therapy</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Immunology</subject><subject>Immunotherapy</subject><subject>Laboratories</subject><subject>Lymphocytes</subject><subject>Lymphocytes B</subject><subject>Lymphocytes T</subject><subject>Lymphocytes, Tumor-Infiltrating - immunology</subject><subject>Macrophages</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metastases</subject><subject>Middle Aged</subject><subject>Necrosis</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pharmacology. Drug treatments</subject><subject>Regression Analysis</subject><subject>Squamous cells</subject><subject>Stains</subject><subject>Stroma</subject><subject>Surgery</subject><subject>Survival Analysis</subject><subject>Tumors</subject><issn>0340-7004</issn><issn>1432-0851</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkd-L1DAQx4so3nr6B_giARF8qU5-temLIMepCweCKPgW0nS6zdmma5Iqe3_9ZW_X8xQEH0IyyWe-M5NvUTyl8IoC1K8jAKtYCZSWlHJRXt0rVlTwfKMkvV-sgAsoawBxUjyK8TIfGDTNw-KEMZB1VatVkdbeBjQROzLupu0w211C4nzvxhRMcrPPAdnmE_oUyU-XBjKg6YjxHfFovxFrvMVAUlZJWeWGSAOS9aevJSNumhY_5ziY7Y4E3LgJ_ePiQW_GiE-O-2nx5d3557MP5cXH9-uztxellZynUtUVZUJwKhtKlciLctVRA5y3XSuMtIi0RyV4C6JiwspOyF4aXjW2rVvDT4s3B93t0k7Y2TxCMKPeBjeZsNOzcfrPF-8GvZl_aMkBQIos8PIoEObvC8akJxctjqPxOC9RU2CQy6sa_gOldaNAVXVGn_-FXs5L8PknbqgKFG1YpuiBsmGOMWB_2zcFvbdfH-zX2X69t19f5Zxndwe-zfjldwZeHAETrRn7kM1z8Tcnm6oRsOfYgYv5yW8w3G3xX9WvAfFzyHc</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Berinstein, Neil L.</creator><creator>Wolf, Gregory T.</creator><creator>Naylor, Paul H.</creator><creator>Baltzer, Lorraine</creator><creator>Egan, James E.</creator><creator>Brandwein, Harvey J.</creator><creator>Whiteside, Theresa L.</creator><creator>Goldstein, Lynn C.</creator><creator>El-Naggar, Adel</creator><creator>Badoual, Cecile</creator><creator>Fridman, Wolf-Herve</creator><creator>White, J. Michael</creator><creator>Hadden, John W.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><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>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120601</creationdate><title>Increased lymphocyte infiltration in patients with head and neck cancer treated with the IRX-2 immunotherapy regimen</title><author>Berinstein, Neil L. ; Wolf, Gregory T. ; Naylor, Paul H. ; Baltzer, Lorraine ; Egan, James E. ; Brandwein, Harvey J. ; Whiteside, Theresa L. ; Goldstein, Lynn C. ; El-Naggar, Adel ; Badoual, Cecile ; Fridman, Wolf-Herve ; White, J. Michael ; Hadden, John W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-876124431591184118138d1a033bdb4a5cee1fe843b04624c5d45f5a369cb7ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antigens</topic><topic>Antineoplastic agents</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>CD3 antigen</topic><topic>CD4 antigen</topic><topic>CD8 antigen</topic><topic>Clinical trials</topic><topic>Cytokines</topic><topic>Cytokines - administration & dosage</topic><topic>Cytokines - immunology</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Head & neck cancer</topic><topic>Head and neck cancer</topic><topic>Head and Neck Neoplasms - immunology</topic><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - therapy</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Immunology</topic><topic>Immunotherapy</topic><topic>Laboratories</topic><topic>Lymphocytes</topic><topic>Lymphocytes B</topic><topic>Lymphocytes T</topic><topic>Lymphocytes, Tumor-Infiltrating - immunology</topic><topic>Macrophages</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metastases</topic><topic>Middle Aged</topic><topic>Necrosis</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pharmacology. Drug treatments</topic><topic>Regression Analysis</topic><topic>Squamous cells</topic><topic>Stains</topic><topic>Stroma</topic><topic>Surgery</topic><topic>Survival Analysis</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Berinstein, Neil L.</creatorcontrib><creatorcontrib>Wolf, Gregory T.</creatorcontrib><creatorcontrib>Naylor, Paul H.</creatorcontrib><creatorcontrib>Baltzer, Lorraine</creatorcontrib><creatorcontrib>Egan, James E.</creatorcontrib><creatorcontrib>Brandwein, Harvey J.</creatorcontrib><creatorcontrib>Whiteside, Theresa L.</creatorcontrib><creatorcontrib>Goldstein, Lynn C.</creatorcontrib><creatorcontrib>El-Naggar, Adel</creatorcontrib><creatorcontrib>Badoual, Cecile</creatorcontrib><creatorcontrib>Fridman, Wolf-Herve</creatorcontrib><creatorcontrib>White, J. 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Michael</au><au>Hadden, John W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased lymphocyte infiltration in patients with head and neck cancer treated with the IRX-2 immunotherapy regimen</atitle><jtitle>Cancer Immunology, Immunotherapy</jtitle><stitle>Cancer Immunol Immunother</stitle><addtitle>Cancer Immunol Immunother</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>61</volume><issue>6</issue><spage>771</spage><epage>782</epage><pages>771-782</pages><issn>0340-7004</issn><eissn>1432-0851</eissn><coden>CIIMDN</coden><abstract>Twenty-seven subjects with squamous cell cancer of the head and neck received the neoadjuvant IRX-2 immunotherapy regimen prior to surgery in a Phase 2 trial. Pretreatment tumor biopsies were compared with the primary tumor surgical specimens for lymphocyte infiltration, necrosis and fibrosis, using hematoxylin and eosin stain and immunohistochemistry in 25 subjects. Sections were examined by three pathologists. Relative to pretreatment biopsies, increases in lymphocyte infiltration (LI) were seen using H and E or immunohistochemistry. CD3+ CD4+ T cells and CD20+ B cells were primarily found in the peritumoral stroma and CD3+ CD8+ T cells and CD68+ macrophages were mainly intratumoral. LI in the surgical specimens were associated with reductions in the primary tumor size. Improved survival at 5 years was correlated with high overall LI in the tumor specimens. Neoadjuvant IRX-2 immunotherapy regimen may restore immune responsiveness presumably by mobilizing tumor infiltrating effector lymphocytes and macrophages into the tumor.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22057678</pmid><doi>10.1007/s00262-011-1134-z</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Antigens Antineoplastic agents Biological and medical sciences Biopsy Cancer Cancer Research CD3 antigen CD4 antigen CD8 antigen Clinical trials Cytokines Cytokines - administration & dosage Cytokines - immunology Female Fibrosis Head & neck cancer Head and neck cancer Head and Neck Neoplasms - immunology Head and Neck Neoplasms - pathology Head and Neck Neoplasms - therapy Human papillomavirus Humans Immunohistochemistry Immunology Immunotherapy Laboratories Lymphocytes Lymphocytes B Lymphocytes T Lymphocytes, Tumor-Infiltrating - immunology Macrophages Male Medical sciences Medicine Medicine & Public Health Metastases Middle Aged Necrosis Oncology Original Article Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Pharmacology. Drug treatments Regression Analysis Squamous cells Stains Stroma Surgery Survival Analysis Tumors |
title | Increased lymphocyte infiltration in patients with head and neck cancer treated with the IRX-2 immunotherapy regimen |
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