In situ T-cell responses in a primary regressive melanoma and subsequent metastases: a comparative analysis

Int J Cancer. 1997 Jul 17;72(2):241-7. doi: 10.1002/(sici)1097-0215(19970717)72:2<241::aid-ijc7>3.0.co;2-r.

Abstract

In an earlier study of the immune response in a patient with a cutaneous primary regressive melanoma, a T-cell-receptor diversity analysis demonstrated in situ amplification of certain lymphocytes. Two of them could be cloned and characterized as CD8+ HLA-class-l-restricted CTL with strong selective anti-tumor activity. Following a disease-free period of 3 years, the patient developed a gastric metastasis and subsequently (after an additional year) a metastasis in one axillary lymph node. Melanoma cell lines derived from the 2 secondary lesions have been established here. It was found that these metastatic cells have maintained expression of both HLA-class-I molecules and the peptidic antigen(s) recognized by the 2 clones amplified at the primary site. However, the corresponding T lymphocytes were either undetectable or poorly represented both in the gastric and in the axillary lesions. These results suggest that substantial alterations in the quality of T-cell infiltrates occurred during melanoma progression, despite an apparent stability in presentation of tumor-associated antigen(s) which initially triggered a positive rejection response.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antigen Presentation
  • Antigens, Neoplasm / immunology
  • CD8-Positive T-Lymphocytes / immunology*
  • Cytotoxicity, Immunologic*
  • Female
  • Histocompatibility Antigens Class I / immunology
  • Humans
  • Lymphatic Metastasis / immunology*
  • Lymphocytes, Tumor-Infiltrating / immunology
  • Melanoma / immunology*
  • Melanoma / pathology
  • Neoplasm Regression, Spontaneous / immunology
  • Skin Neoplasms / immunology*
  • Skin Neoplasms / pathology
  • Stomach Neoplasms / immunology*
  • Stomach Neoplasms / secondary

Substances

  • Antigens, Neoplasm
  • Histocompatibility Antigens Class I