CD4 T cells are key components of the immune system that shape the anticancer immune response in animal models and in humans. The biology of CD4 T cells is complex because na€ ve T cells can differentiate into various subpopulations with various functions. Recently, a new population called Th9 cells was described. These cells are characterized by their ability to produce IL9 and IL21. They were first described in the context of parasite infections and allergic processes. However, some reports described their presence in the tumor bed in mice and humans. Their high secretion of IL9 and IL21 in the tumor bed contributes to their anticancer functions. Indeed, these cytokines trigger the activation of dendritic cells, mast cells, natural killer cells, and CD8 T cells to mount an antitumor immune response, thus explaining the remarkable ability of Th9 cells to control tumor growth. This review summarizes the latest advances in the Th9 field in cancer and focuses on their potential role as new tool for cell therapy. Cancer Res; 75(3); 475-9. Ó2014 AACR.
The Role of CD4 T-cell Polarization in CancerSince the seminal observations of Dunn and colleagues (1) on cancer immunosurveillance, the role of the adaptive immune system in the development of cancer or tumor growth is clearly established. CD4 helper T cells are key elements of the adaptive immune response, and are known to differentiate from a na€ ve population into helper memory populations after stimulation by T-cell receptor (TCR) triggering by the cognate antigen and a particular cocktail of cytokines. The original classification of CD4 T lymphocytes by Mosmann and Colleagues (2) described two populations of effector CD4 T cells called Th1 and Th2 subsets. Th1 are IFNg-producing cells and were known as the classical antitumor cells because of the capacity of IFNg to activate the killer functions of macrophages, natural killer (NK) cells, and CD8 CTLs. Th2 cells are characterized by their production of IL4, and play a central role in the development of asthma and atopic dermatitis. The role of Th2 cells in cancer is mainly deleterious as IL4 directly favors tumor growth. In addition, Th2 cells could induce M2 polarization of tumor-infiltrating macrophages, which drive tumor immune tolerance and neoangiogenesis (3). CD4 T cells are now known to differentiate into additional new effector T-cell subsets like Th17 cells and follicular helper T cells as well as immunosuppressive cells like Foxp3 regulatory T cells. Foxp3 regulatory T cells are well-known immunosuppressive cells. These cells inhibit the anticancer immune response and induce immunosuppression in many cancer types (4). In contrast, the infiltration of tumors by follicular helper T cells seems to be associated with a coordinated antitumoral immune response and a better clinical outcome (5). The role of Th17 cells in cancer remains a matter of debate. IL17 could promote neoangiogenesis and the expression of prosurvival genes in cancer cells (6). In addition, ectonucleotidase-expressing Th17 cells co...