2016
DOI: 10.1016/j.ejca.2016.08.012
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CD8 + T cell response to human papillomavirus 16 E7 is able to predict survival outcome in oropharyngeal cancer

Abstract: This is the first study to provide survival data in OPSCC stratified by cell-mediated immune response to HPV16 peptides. Within the HPV16+ OPSCC cohort, enhanced immunoreactivity to antigen E7 was linked to improved survival. An increase in regulatory T cell frequencies after treatment may suggest that immunosuppression can contribute to a reduced HPV-specific cell-mediated response.

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Cited by 54 publications
(52 citation statements)
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“…Therefore, the better prognosis and treatment outcomes could be attributed to other factors. Factors like immune surveillance of virus-specific tumor antigens, like high CD8þ T-cell infiltration, and lack of field cancerization may contribute to the better treatment outcome of HPV-positive OPSCC's overall survival and prognosis [36][37][38][39]. Further, one study found that HPV-positive tumors were not correlated with perineural invasion (PNI) or perivascular invasion (PVI), which have been reported as independent predictors of poor survival [40].…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, the better prognosis and treatment outcomes could be attributed to other factors. Factors like immune surveillance of virus-specific tumor antigens, like high CD8þ T-cell infiltration, and lack of field cancerization may contribute to the better treatment outcome of HPV-positive OPSCC's overall survival and prognosis [36][37][38][39]. Further, one study found that HPV-positive tumors were not correlated with perineural invasion (PNI) or perivascular invasion (PVI), which have been reported as independent predictors of poor survival [40].…”
Section: Discussionmentioning
confidence: 99%
“…As demonstrated here, immunization with adjuvanted gDE7 induced strong antitumor protection and promoted the activation of a DC population specifically involved with antigen cross-presentation and activation of CD8 þ T cells. Recent studies report that the priming of specific T-cell responses occurs in different HPV-induced cancer patients, including cervical cancer (46), head and neck (47), and oropharyngeal squamous cell carcinoma (48). Nonetheless, an effective tumor control requires adequate immunologic stimuli that could afford the concomitant activation of cytotoxic responses and control of tumor-induced immunosuppressive mechanisms.…”
Section: Discussionmentioning
confidence: 99%
“…However, these same E7‐specific cytotoxic T cells were unable to recognize an HLA‐A*201 expressing HPV+ tumor cell line and no studies have yet definitively identified the antigens within the tumor that trigger this host response. Moreover, CD8+ TIL function may have an impact on response to therapy as studies have shown improved disease‐free survival with retained or enhanced CD8+ activity in patients treated with radiotherapy +/− chemotherapy . Future interventions directed at increasing immune reactive CD8+ cytotoxic T cells may be beneficial in treatment of HPV‐associated OPSCC.…”
Section: Role Of Adaptive Immunity In Hpv‐positive Opsccmentioning
confidence: 99%