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CXCL13-producing TFH cells link immune suppression and adaptive memory in human breast cancer
Chunyan Gu-Trantien, Edoardo Migliori, Laurence Buisseret, Alexandre de Wind, Sylvain Brohée, Soizic Garaud, Grégory Noël, Vu Luan Dang Chi, Jean-Nicolas Lodewyckx, Céline Naveaux, Hugues Duvillier, Stanislas Goriely, Denis Larsimont, Karen Willard-Gallo
Chunyan Gu-Trantien, Edoardo Migliori, Laurence Buisseret, Alexandre de Wind, Sylvain Brohée, Soizic Garaud, Grégory Noël, Vu Luan Dang Chi, Jean-Nicolas Lodewyckx, Céline Naveaux, Hugues Duvillier, Stanislas Goriely, Denis Larsimont, Karen Willard-Gallo
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Research Article Immunology Oncology

CXCL13-producing TFH cells link immune suppression and adaptive memory in human breast cancer

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Abstract

T follicular helper cells (TFH cells) are important regulators of antigen-specific B cell responses. The B cell chemoattractant CXCL13 has recently been linked with TFH cell infiltration and improved survival in human cancer. Although human TFH cells can produce CXCL13, their immune functions are currently unknown. This study presents data from human breast cancer, advocating a role for tumor-infiltrating CXCL13-producing (CXCR5–) TFH cells, here named TFHX13 cells, in promoting local memory B cell differentiation. TFHX13 cells potentially trigger tertiary lymphoid structure formation and thereby generate germinal center B cell responses at the tumor site. Follicular DCs are not potent CXCL13 producers in breast tumor tissues. We used the TFH cell markers PD-1 and ICOS to identify distinct effector and regulatory CD4+ T cell subpopulations in breast tumors. TFHX13 cells are an important component of the PD-1hiICOSint effector subpopulation and coexpanded with PD-1intICOShiFOXP3hi Tregs. IL2 deprivation induces CXCL13 expression in vitro with a synergistic effect from TGFβ1, providing insight into TFHX13 cell differentiation in response to Treg accumulation, similar to conventional TFH cell responses. Our data suggest that human TFHX13 cell differentiation may be a key factor in converting Treg-mediated immune suppression to de novo activation of adaptive antitumor humoral responses in the chronic inflammatory breast cancer microenvironment.

Authors

Chunyan Gu-Trantien, Edoardo Migliori, Laurence Buisseret, Alexandre de Wind, Sylvain Brohée, Soizic Garaud, Grégory Noël, Vu Luan Dang Chi, Jean-Nicolas Lodewyckx, Céline Naveaux, Hugues Duvillier, Stanislas Goriely, Denis Larsimont, Karen Willard-Gallo

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Figure 7

Spatial relationships and interaction between tumor-infiltrating lymphocyte (TIL) subpopulations in human breast cancer–associated (BC-associated) tertiary lymphoid structures (TLS).

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Spatial relationships and interaction between tumor-infiltrating lymphoc...
(A) CXCL13 gene expression in BC samples scored for intratumoral (apart from the more abundant stromal) B-TIL (% CD20+ scored on IHC-stained sections by trained pathologists). One-way ANOVA followed by Sidak’s test. (B) Kaplan-Meier analysis of disease-free survival for 51 BC patients stratified on CD20 (IHC scores defined in A) or CXCL13 gene expression (qPCR). (C–E, G) Immunofluorescence (IF) staining of BC tissue sections for: CXCL13+ TIL (red), CD20+ B-TIL (green), and a third marker (blue); the zoomed areas are defined by white boxes. In some images, the contrast was enhanced by turning down DAPI (gray) intensity. White and yellow scale bars: 100 μm and 10 μm, respectively. (C) Tumor bed localized CXCL13+ TIL and a TLS containing Ki67+ germinal center (GC) B-TIL. (D) CXCL13+ TIL contact CD20–IgA+ or CD20–IgG+ plasmablasts/plasma cells in the tumor bed. (E) Deep in the tumor bed, a few B-TIL interact with CXCL13+Ki67+ TIL. (F) IHC staining of BC tissue sections for CD3 (brown) and CD20 (red); B-TIL are concentrated in peri- and intratumoral TLS. The spherical tumor bed–localized TLS was IHC stained for CD4 (brown) and CD8 (red); black scale bars: 100 μm. (G) The spherical TLS in F was also IF stained for CXCL13 and CD20 plus CD4, CD8, Ki67, IgA, or IgG. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

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