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      IL4 from T Follicular Helper Cells Downregulates Antitumor Immunity

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          Abstract

          Immune cells constitute a large fraction of the tumor microenvironment and modulate tumor progression. Clinical data indicate that chronic inflammation is present at tumor sites and that IL4 in particular is upregulated. Here, we demonstrate that T follicular helper (Tfh) cells arise in tumor-draining lymph nodes where they produce an abundance of IL4. Deletion of IL4-expressing Tfh cells improves antitumor immunity, delays tumor growth, and reduces the generation of immunosuppressive myeloid cells in the lymph nodes. These findings suggest that IL4 from Tfh cells affects antitumor immunity and constitutes an attractive therapeutic target to reduce immunosuppression in the tumor microenvironment, and thus enhance the efficacy of cancer immunotherapy.

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          Most cited references12

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          Homing and cellular traffic in lymph nodes.

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            Is Open Access

            Plasticity of Human CD4 T Cell Subsets

            Human beings are exposed to a variety of different pathogens, which induce tailored immune responses and consequently generate highly diverse populations of pathogen-specific T cells. CD4+ T cells have a central role in adaptive immunity, since they provide essential help for both cytotoxic T cell- and antibody-mediated responses. In addition, CD4+ regulatory T cells are required to maintain self-tolerance and to inhibit immune responses that could damage the host. Initially, two subsets of CD4+ helper T cells were identified that secrete characteristic effector cytokines and mediate responses against different types of pathogens, i.e., IFN-γ secreting Th1 cells that fight intracellular pathogens, and IL-4 producing Th2 cells that target extracellular parasites. It is now well established that this dichotomy is insufficient to describe the complexity of CD4+ T cell differentiation, and in particular the human CD4 compartment contains a myriad of T cell subsets with characteristic capacities to produce cytokines and to home to involved tissues. Moreover, it has become increasingly clear that these T cell subsets are not all terminally differentiated cells, but that the majority is plastic and that in particular central memory T cells can acquire different properties and functions in secondary immune responses. In addition, there is compelling evidence that helper T cells can acquire regulatory functions upon chronic stimulation in inflamed tissues. The plasticity of antigen-experienced human T cell subsets is highly relevant for translational medicine, since it opens new perspectives for immune-modulatory therapies for chronic infections, autoimmune diseases, and cancer.
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              The lymph node microenvironment and its role in the progression of metastatic cancer.

              Lymph nodes are initial sites for cancer metastasis in many solid tumors. However, their role in cancer progression is still not completely understood. Emerging evidence suggests that the lymph node microenvironment provides hospitable soil for the seeding and proliferation of cancer cells. Resident immune and stromal cells in the lymph node express and secrete molecules that may facilitate the survival of cancer cells in this organ. More comprehensive studies are warranted to fully understand the importance of the lymph node in tumor progression. Here, we will review the current knowledge of the role of the lymph node microenvironment in metastatic progression.
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                Author and article information

                Journal
                101614637
                41946
                Cancer Immunol Res
                Cancer Immunol Res
                Cancer immunology research
                2326-6066
                2326-6074
                14 February 2019
                05 December 2016
                January 2017
                22 February 2019
                : 5
                : 1
                : 61-71
                Affiliations
                [1 ]Department of Clinical Oncology, Tohoku University Hospital, Sendai, Japan.
                [2 ]Cancer and Inflammation Program, National Cancer Institute, Frederick, Maryland.
                [3 ]Department of Informative Clinical Medicine, Gifu University Graduate School of Medicine, Gifu, Japan.
                [4 ]Division of Molecular Pathology, Research Institute for Biological Science, Tokyo University of Science, Chiba, Japan.
                Author notes

                Authors’ Contributions

                Conception and design: H. Shirota, M. Kubo

                Development of methodology: H. Shirota

                Acquisition of data (provided animals, acquired and managed patients, provided facilities, etc.): H. Shirota, S. Ito, H. Ito

                Analysis and interpretation of data (e.g., statistical analysis, biostatistics, computational analysis): H. Shirota, S. Ito

                Writing, review, and/or revision of the manuscript: H. Shirota

                Administrative, technical, or material support (i.e., reporting or organizing data, constructing databases): H. Shirota, D.M. Klinman, C. Ishioka

                Study supervision: D.M. Klinman, C. Ishioka

                Corresponding Author: Hidekazu Shirota, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. Phone: 812-2717-8543; Fax: 812-2-717-8547; hidekazu.shirota.e1@ 123456tohoku.ac.jp
                Article
                PMC6385600 PMC6385600 6385600 nihpa1005544
                10.1158/2326-6066.CIR-16-0113
                6385600
                27920023
                b51fb866-8135-43cc-8ee2-9101164d463e
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