Skip to main content
Log in

Increased Frequency of CD4+CD25highFoxP3+ Regulatory T Cells in Patients with Hepatocellular Carcinoma

  • ORIGINAL ARTICLE
  • Published:
Archivum Immunologiae et Therapiae Experimentalis Aims and scope

Abstract

Accumulating evidence suggests regulatory T cells (Tregs) are associated with impaired antitumor responses. However, the relationship between the CD4+CD25highFoxP3+ Treg and hepatocellular carcinoma (HCC) has not been well investigated. Levels of CD4+CD25highFoxP3+ Tregs in peripheral blood mononuclear cells (PBMCs) from HCC patients and healthy donors, tumor infiltrating lymphocytes (TILs) extracted from HCC, and hepatic lymphocytes extracted from resected liver were measured by flow cytometry, and their effects on T-cell proliferation was determined by 3H-thymidine incorporation. Serum levels of interleukin (IL)-10 and transforming growth factor (TGF)-β1 were measured by enzyme linked immunosorbent assay. The frequency of Tregs in PBMCs from HCC patients was higher than that from healthy donors. Similarly, the frequency of Tregs in TILs was higher than that of hepatic lymphocytes. On the other hand, the 3H-thymidine uptake by TILs and PBMCs from HCC patients was decreased drastically when compared to the counterparts from normal controls. Furthermore, serum IL-10 and TGF-β1 levels increased significantly in HCC patients when compared to the healthy donors. This study identified an increased frequency of CD4+CD25highFoxP3+ Tregs in patients with HCC. The elevated serum IL-10, TGF-β1 levels also correlated with impaired antitumor responses in these patients. Further effort is needed to establish new immunotherapeutic strategies designed to modulate Tregs to promote a competent antitumor response.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

Abbreviations

Treg:

Regulatory T cell

HCC:

Hepatocellular carcinoma

TIL:

Tumor infiltrating lymphocyte

PBMC:

Peripheral blood mononuclear cell

PHA:

Phytohaemagglutinin

TGF:

Transforming growth factor

IL:

Interleukin

References

  • Baecher-Allan C, Brown JA, Freeman GJ et al (2001) CD4+CD25high regulatory cells in human peripheral blood. J Immunol 167:1245–1253

    PubMed  CAS  Google Scholar 

  • Banham AH, Powrie FM, Suri-Payer E (2006) FOXP3+regulatory T cells: current controversies and future perspectives. Eur J Immunol 36:2832–2836

    Article  PubMed  CAS  Google Scholar 

  • Barrat FJ, Cua DJ, Boonstra A et al (2002) In vitro generation of interleukin 10-producing regulatory CD4(+) T cells is induced by immunosuppressive drugs and inhibited by T helper type 1 (Th1)- and Th2-inducing cytokines. J Exp Med 195:603–616

    Article  PubMed  CAS  Google Scholar 

  • Cesana GC, DeRaffele G, Cohen S et al (2006) Characterization of CD4+ CD25+ regulatory T cells in patients treated with high-dose interleukin-2 for metastatic melanoma or renal cell carcinoma. J Clin Oncol 24:1169–1177

    Article  PubMed  CAS  Google Scholar 

  • Dieckmann D, Plottner H, Berchold S et al (2001) Ex vivo isolation and characterization of CD4+CD25+ T cells with regulatory properties from human blood. J Exp Med 193:1303–1310

    Article  PubMed  CAS  Google Scholar 

  • Dieckmann D, Bruett C, Ploettner H et al (2002) Human CD4+CD25+ regulatory, contact-dependent T cells induce interleukin 10-producing, contact-independent type 1-like regulatory T cells. J Exp Med 196:247–253

    Article  PubMed  CAS  Google Scholar 

  • Ghiringhelli F, Menard C, Terme M et al (2005) CD4+CD25+ regulatory T cells inhibit natural killer cell functions in a transforming growth factor-beta-dependent manner. J Exp Med 202:1075–1085

    Article  PubMed  CAS  Google Scholar 

  • Grossman W, Verbsky J, Berchet W et al (2004) Human T regulatory cells can use the perforin pathway to cause autologous target cell death. Immunity 21:589–601

    Article  PubMed  CAS  Google Scholar 

  • Harada N, Shimada M, Okano S et al (2004) IL-12 gene therapy is an effective therapeutic strategy for hepatocellular carcinoma in immunosuppressed mice. J Immunol 173:6635–6644

    PubMed  CAS  Google Scholar 

  • Hoffmann P, Eder R, Kunz-Schughart LA et al (2004) Large-scale in vitro expansion of polyclonal human CD4+CD25 high regulatory T cells. Blood 104:895–903

    Article  PubMed  CAS  Google Scholar 

  • Hori S, Takahashi T, Sakaguchi S (2003) Control of autoimmunity by naturally arising regulatory CD4+ T cells. Adv Immunol 81:331–371

    Article  PubMed  CAS  Google Scholar 

  • Houot R, Perrot I, Garcia E et al (2006) Human CD4+CD25 high regulatory T cells modulate myeloid but not plasmacytoid dendritic cells activation. J Immunol 176:5293–5298

    PubMed  CAS  Google Scholar 

  • Ichihara F, Kono K, Takahashi A et al (2003) Increased populations of regulatory T cells in peripheral blood and tumor-infiltrating lymphocytes in patients with gastric and esophageal cancers. Clin Cancer Res 9:4404–4408

    PubMed  Google Scholar 

  • Javia LR, Rosenberg SA (2003) CD4+CD25+ suppressor lymphocytes in the circulation of patients immunized against melanoma antigens. J Immunother 26:85–93

    Article  PubMed  CAS  Google Scholar 

  • Jonuleit H, Schmitt E, Kakirman H et al (2002) Infectious tolerance: human CD25+ regulatory T cells convey suppressor activity to conventional CD4+ T helper cells. J Exp Med 196:255–260

    Article  PubMed  CAS  Google Scholar 

  • Knutson KL, Disis ML, Salazar LG (2007) CD4 regulatory T cells in human cancer pathogenesis. Cancer Immunol Immunother 56:271–285

    Article  PubMed  Google Scholar 

  • Levings M, Sangregorio R, Roncarolo MG (2001) Human CD25+CD4+ T regulatory cells suppress naive and memory T cell proliferation and can be expanded in vitro without loss of function. J Exp Med 193:1295–1302

    Article  PubMed  CAS  Google Scholar 

  • Llovet JM, Burroughs A, Bruix J (2003) Hepatocellular carcinoma. Lancet 362:1907–1917

    Article  PubMed  Google Scholar 

  • McHugh RS, Shevach EM (2002) The role of suppressor T cells in regulation of immune responses. J Allergy Clin Immunol 110:693–702

    Article  PubMed  CAS  Google Scholar 

  • Nakamura K, Kitani A, Strober W (2001) Cell contact-dependent immunosuppression by CD4+CD25+ regulatory T cells is mediated by cell surface-bound transforming growth factor beta. J Exp Med 194:629–644

    Article  PubMed  CAS  Google Scholar 

  • Ormandy LA, Hillemann T, Wedemeyer H et al (2005) Increased populations of regulatory T cells in peripheral blood of patients with hepatocellular carcinoma. Cancer Res 65:2457–2464

    Article  PubMed  CAS  Google Scholar 

  • Piccirillo CA, Thornton AM (2004) Cornerstone of peripheral tolerance: naturally occurring CD4+CD25+ regulatory T cells. Trends Immunol 25:374–380

    Article  PubMed  CAS  Google Scholar 

  • Powrie F, Read S, Mottet C et al (2003) Control of immune pathology by regulatory T cells. Novartis Found Symp 252:92–98 [discussion 98–105, 106–114]

    Article  PubMed  CAS  Google Scholar 

  • Sakaguchi S, Sakaguchi N, Asano M et al (1995) Immunologic self-tolerance maintained by activated T cells expressing IL-2 receptor alpha-chains (CD25): breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. J Immunol 155:1151–1164

    PubMed  CAS  Google Scholar 

  • Sasada T, Kimura M, Yoshida Y et al (2003) CD4 + CD25 + regulatory T cells in patients with gastrointestinal malignancies: possible involvement of regulatory T cells in disease progression. Cancer 98:1089–1099

    Article  PubMed  Google Scholar 

  • Schaefer C, Kim GG, Albers A et al (2005) Characteristics of CD4+CD25+ regulatory T cells in the peripheral circulation of patients with head and neck cancer. Br J Cancer 92:913–920

    Article  PubMed  CAS  Google Scholar 

  • Shabtai M, Ye H, Kono K et al (2003) Immune inhibitory effects of renal cell carcinoma extract on lectin and alloantigen-induced peripheral blood and tumor infiltrating lymphocyte blastogenesis. Urol Oncol 21:27–32

    Article  PubMed  CAS  Google Scholar 

  • Shevach EM (2002) CD4+CD25+ suppressor T cells: more questions than answers. Nat Rev Immunol 2:389–400

    PubMed  CAS  Google Scholar 

  • Strauss L, Bergmann C, Szczepanski M et al (2007) A unique subset of CD4 + CD25highFoxp3 + T cells secreting interleukin-10 and transforming growth factor-beta1 mediates suppression in the tumor microenvironment. Clin Cancer Res 13(15 Pt 1):4345–4354

    Article  PubMed  CAS  Google Scholar 

  • Sundstedt A, O’Neill EJ, Nicolson KS et al (2003) Role for IL-10 in suppression mediated by peptide-induced regulatory T cells in vivo. J Immunol 170:1240–1248

    PubMed  CAS  Google Scholar 

  • Takagi S, Chen K, Schwarz R et al (1989) Functional and phenotypic analysis of tumor-infiltrating. Lymphocytes isolated from human primary and metastatic: liver tumors and cultured in recombinant interleukin-2. Cancer 63:102–111

    Article  PubMed  CAS  Google Scholar 

  • Toda A, Piccirillo CA (2006) Development and function of naturally occurring CD4+CD25+ regulatory T cells. J Leukoc Biol 80:458–470

    Article  PubMed  CAS  Google Scholar 

  • Woo EY, Chu CS, Goletz TJ et al (2001) Regulatory CD4+CD25+ T cells in tumors from patients with early-stage non-small cell lung cancer and late-stage ovarian cancer. Cancer Res 61:4766–4772

    PubMed  CAS  Google Scholar 

  • Yang XH, Yamagiwa S, Ichida T et al (2006) Increase of CD4+CD25+ regulatory T-cells in the liver of patients with hepatocellular carcinoma. J Hepatol 45:254–262

    Article  PubMed  CAS  Google Scholar 

  • Yokokawa J, Cereda V, Remondo C et al (2008) Enhanced functionality of CD4+CD25(high)FoxP3+ regulatory T cells in the peripheral blood of patients with prostate cancer. Clin Cancer Res 14:1032–1040

    Article  PubMed  CAS  Google Scholar 

  • Zhang X, Izikson L, Liu L et al (2001) Activation of CD25+CD4+ regulatory T cells by oral antigen administration. J Immunol 167:4245–4253

    PubMed  CAS  Google Scholar 

  • Zhang J, Dong Z, Zhou R et al (2005) Isolation of lymphocytes and their innate immune characterizations from liver, intestine, lung and uterus. Cell Mol Immunol 2:271–280

    PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by grant from the Science and Technology Department of Sichuan Province, People’s Republic of China.

Conflict of interest

All the authors who have taken part in this study declared they have nothing to disclose regarding competing interests or funding from industry with respect to this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hui Ye.

About this article

Cite this article

Feng, X., Li, B., Ye, H. et al. Increased Frequency of CD4+CD25highFoxP3+ Regulatory T Cells in Patients with Hepatocellular Carcinoma. Arch. Immunol. Ther. Exp. 59, 309–314 (2011). https://doi.org/10.1007/s00005-011-0127-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00005-011-0127-0

Keywords

Navigation