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Th17 cells in melanoma microenvironment

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Th17  cells  in  melanoma  microenvironment  

A.  Weatherspoon1,  S.  Multon1,  V.  Defaweux1  &  Quatresooz1  .  

1  Laboratory  of  Human  Histology,  Faculty  of  Medecine,  University  of  Liege,  Belgium.  

An  inflammatory  infiltrate,  consisting  mainly  of  lymphoid  cells,  plays  a  key-­‐role  in  the  prognosis  of   melanoma   as   well   as   in   immunotherapy   efficiency.   The   inflammatory   tumor   microenvironment   is   notably  composed  of  T  helper  17  (Th17)  cells,  a  subtype  of  CD4+  T  lymphocytes.  Clinical  data  on  their   involvement  in  melanoma  are  lacking.  In  this  work,  we  characterized  the  Th17  infiltration  related  to   different  stages  of  melanoma.  

Immunohistochemistry   on   human   cutaneous   biopsies   using   an   anti-­‐interleukin   (IL)-­‐17   antibody   allowed  the  location  of  IL-­‐17+  cells  closed  to  vessels,  in  the  papillary  dermis  and  in  the  uppermost   part   of   the   reticular   dermis   whatever   the   melanoma   stage.   Furthermore,   a   preliminary   semi   quantitative   analysis   based   on   the   scoring   of   cell   density   within   “hotspots”   on   patient   biopsies   highlights   an   increase   of   IL-­‐17+   cells   according   to   the   stage   of   melanoma.   This   increase   reaches   a   significant  level  (p<0.05)  between  advanced  stages  (n=11)  of  melanoma  and  nevi  (used  as  negative   control)  (n=19).    

In   order   to   characterize   cells   producing   IL-­‐17,   double   immunolabellings   IL-­‐17/CD4   and   IL-­‐17/CD8   using  confocal  microscopy  have  been  performed.  Indeed,  other  cells  than  CD4+  like  γδ  T  cells,  CD8+  T   cells   and   macrophages   could   express   this   cytokine.   Our   results   show   that   most   of   IL-­‐17+   cells   are   Th17  cells  and  express  CD4,  only  a  small  proportion  of  IL-­‐17+  cells  express  the  CD8.    

In  conclusion,  our  results  show  a  more  important  infiltration  of  IL-­‐17+  cells,  mainly  Th17  cells,  in  the   microenvironment  of  advanced  stage  melanoma.  These  data  suggest  that  Th17  cells  could  be  a  good   factor   which   determines   the   outcome   of   the   disease   and   the   orientation   of   immunotherapy.   Therefore,  the  study  of  their  controversial  protumor  or  antitumor  function  is  planned  by  our  team.    

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