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Multiplex immunohistochemistry accurately defines the immune context of metastatic melanoma.
- Source :
-
Scientific reports [Sci Rep] 2018 Jul 24; Vol. 8 (1), pp. 11158. Date of Electronic Publication: 2018 Jul 24. - Publication Year :
- 2018
-
Abstract
- A prospective study explored the heterogeneous nature of metastatic melanoma using Multiplex immunohistochemistry (IHC) and flow cytometry (FACS). Multiplex IHC data quantitated immune subset number present intra-tumoral (IT) vs the tumor stroma, plus distance of immune subsets from the tumor margin (TM). In addition, mIHC showed a close association between the presence of IT CD8 <superscript>+</superscript> T cells and PDL1 expression in melanoma, which was more prevalent on macrophages than on melanoma cells. In contrast, FACS provided more detailed information regarding the T cell subset differentiation, their activation status and expression of immune checkpoint molecules. Interestingly, mIHC detected significantly higher Treg numbers than FACS and showed preferential CD4 <superscript>+</superscript> T cell distribution in the tumor stroma. Based on the mIHC and FACS data, we provide a model which defines metastatic melanoma immune context into four categories using the presence or absence of PDL1 <superscript>+</superscript> melanoma cells and/or macrophages, and their location within the tumor or on the periphery, combined with the presence or absence of IT CD8 <superscript>+</superscript> T cells. This model interprets melanoma immune context as a spectrum of tumor escape from immune control, and provides a snapshot upon which interpretation of checkpoint blockade inhibitor (CBI) therapy responses can be built.
- Subjects :
- Adult
Aged
Aged, 80 and over
Antineoplastic Agents, Immunological immunology
Antineoplastic Agents, Immunological therapeutic use
B7-H1 Antigen metabolism
CD8-Positive T-Lymphocytes immunology
Flow Cytometry
Humans
Ipilimumab immunology
Ipilimumab therapeutic use
Lymphocyte Activation
Lymphocytes, Tumor-Infiltrating
Macrophages metabolism
Melanoma drug therapy
Metastasectomy
Middle Aged
Prospective Studies
Statistics, Nonparametric
T-Lymphocytes, Regulatory immunology
Tumor Escape
Immunohistochemistry methods
Melanoma immunology
Melanoma pathology
Subjects
Details
- Language :
- English
- ISSN :
- 2045-2322
- Volume :
- 8
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Scientific reports
- Publication Type :
- Academic Journal
- Accession number :
- 30042403
- Full Text :
- https://doi.org/10.1038/s41598-018-28944-3