Association of cervical cancer with the presence of CD4+ regulatory T cells specific for human papillomavirus antigens

Proc Natl Acad Sci U S A. 2007 Jul 17;104(29):12087-92. doi: 10.1073/pnas.0704672104. Epub 2007 Jul 5.

Abstract

Because of their important role in the maintenance of self-tolerance, CD4(+) regulatory T cells prevent autoimmune diseases but also curtail the efficacy of T cell immune responses against cancers. We now show that this suppressive action of CD4(+) regulatory T cells is not limited to cancers displaying tumor-associated self antigens, such as melanomas, but also extends to human papillomavirus (HPV)-positive cervical cancers that express foreign tumor antigens. HPV-specific CD4(+) T cells isolated from lymph node biopsies of cervical cancer patients were found to suppress proliferation and cytokine (IFN-gamma, IL-2) production by responder T cells. The capacity of HPV-specific CD4(+) T cells to exert this suppressive effect depended on their activation by cognate HPV antigen and on close-range interactions with responder T cells. HPV-specific CD4(+) regulatory T cells were also retrieved from cervical cancer biopsies, suggesting that they interfere with the anti-tumor immune response at both the induction and effector levels. Our findings offer a plausible explanation for the observed failure of the tumor-specific immune response in patients with cervical carcinoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alphapapillomavirus / chemistry*
  • Alphapapillomavirus / immunology*
  • Antigens, Viral / immunology*
  • Biopsy
  • Cell Separation
  • Clone Cells
  • Female
  • Humans
  • Interleukin-2 / biosynthesis
  • Lymph Nodes / cytology
  • Lymphocytes, Tumor-Infiltrating / immunology
  • Phenotype
  • Skin Tests
  • T-Cell Antigen Receptor Specificity / immunology*
  • T-Lymphocytes, Regulatory / immunology*
  • Uterine Cervical Neoplasms / immunology*
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / virology*

Substances

  • Antigens, Viral
  • Interleukin-2