Review Article

T Cells and Adoptive Immunotherapy: Recent Developments and Future Prospects in Gastrointestinal Oncology

Table 1

Studies correlating colorectal cancer patient survival with TIL subsets.

N° of eventsHigh density of T-cells (versus low density)References
Sample sizeOSCSDisease stageT-cell subset analysed5-year CS, OS, or DFS, long-rank valueCS, OS, or DFS univariate HR (95% Cl)*, valueCS, OS, or DFS multivariate HR (95% Cl)*, value

131Dukes’ A–DCD8+ (OS)0.61 (0.41–0,89)[139]; 58: 3491–3494

CD3+ (OS) (OS)
0.40 (0.19–0.85) (OS)
10937II-IIICD8+ (OS)0.33 (0.15–0.73) (OS)[140]; 159: 297–304
GZMB+ (OS)0.23 (0.10–0.50) (OS)

CD8+77% (versus 38%)
(CS)
935947Dukes’ CCD45RO+66% (versus 33%)
(CS)
[141]; 17: 25–29
CD68+60% (versus 37%)
(CS)

72I–IVCD134+ (CS)[142]; 183: 512–518

4125Dukes’ A–DCD4+/CD8+ ratio22% (versus 61%) (OS) (OS)[143]; 52: 423–428

97CD8+ (OS)[144]; 10: 309–313.

152IIICD8+ (CS)[145]; 35:808–816

93II-IIICD8+ (DFS)0.56 (0.32–0.99) (DFS)[146]; 84: 493–501

37174I–IVCD8+ (CS)0.43 (0.23–0.83) (CS)[147]; 91: 1711–1717

336158Dukes’ A–DCD45RO+65% (versus 35%)
(OS)
72% (versus 50%)
(DFS)
(OS)[148]; 353: 2654–2666

CD3+ (CS)
117Dukes’ A–DCD8+ (CS)[149]; 4: 1351–1357
CD16+ (CS)

CD3+73% (versus 40%)
(OS)
81% (versus 54%)
(DFS)
0.53 (0.40–0.70) (OS)
0.42 (0.29–0.60) (DFS)
CD8+72% (versus 50%)
(OS)
406I–IIICD45RO+82% (versus 56%)
(DFS) 68% (versus 33%)
(OS)
[150]; 313: 1960–1964
GZMB+77% (versus 37%)
(DFS)
72% (versus 61%)
(OS)
CD3+, CD45RO+84% (versus 68%)
(DFS)
(DFS)

587I-II (MSS only)CD8+0.47 (0.33 0.68) (CS)0.47 (0.30–0.73) (CS)[151]; 112: 495–502

392226I-II (Rectum only)CD8+0.55 (0.41–0.74) (CS)0.63 (0.45–0.88) (CS)[152]; 99: 1712–1717

101II-IIICD3+/FOXP3+ ratio71% (versus 62%) (OS)
67% (versus 46%) (DFS)
0.57 (0.30–1.09) (OS) 0.46 (0.24–0.90) (DFS)0.47 (0.24–0.94) (DFS)[153]; 137: 1270–1279

Node-negative
(CS)
286136II-IIICD3+Node-positive
(CS)
[154]; 10: 877–884
Node-negative
(DFS)
Node-positive
(DFS)

MSS group 162% (versus 46%)
(CS)
0.73 (0.60–0.90) (CS)
1232I-IIIFOXP3+MSS group 2 (CS) 60% (versus 44%)
(CS)
0.70 (0.60–0.90) (CS)[155]; 126: 2635–2643
MSI group (CS)
75%? (versus 63%?)
(CS)
0.63 (0.3–1.2) (CS)

CD8+0.74 (0.67–0.82)
(CS)
NS (CS)
445II-IIICD45RO+0.74 (0.65–0.84)
(CS)
NS (CS)[156]; 27: 186–192
FOXP3+0.78 (0.70–0.87)
(CS)
0.54 (0.38–0.77)
(CS)

CD8+ (OS and DFS)
411I-IICD45RO+ (OS and DFS)[157]; 27: 5944–5951
CD8+ plus CD45RO+ (OS and DFS) (CS, OS and DFS)

CD3+ (OS)0.54 (0.18–1.59) (OS)
209100100I–IVCD8+ (OS)2.06 (0.67–6.39) (OS)[158]; 11: 19
GZMB+1.18 (0.45–3.13) (OS)

94I–IVCD8+/FOXP3+ ratio (OS)0.35 (0.15–0.81) (OS)0.40 (0.17–0.94) (OS)[159]; 59: 653–661

57FOXP3+ (DFS) (OS)[160]; 33: 435–441

CD3+ 0.010 (DFS)
0.061 (OS)
0.003 (DFS)
0.039 (OS)
0.20 (0.02–2.60)
0.22 (DFS)
87IICD25+ 0.013 (DFS)
0.15 (OS)
0.002 (DFS)
0.017 (OS)
0.22 (0.02–2.35)
0.21 (DFS)
[161]; 116:5188–5199
CD45RO+ 0.049 (DFS)
0.16 (OS)
0.014 (DFS)
0.037 (OS)
0.24 (0.02–1.10)
0.014 (DFS)
FOXP3+ 0.009 (DFS)
0.027 (OS)
0.005 (DFS)
0.040 (OS)
0.14 (0.07–0.85)
0.027 (DFS)

CD3+79% (versus 75%)
Q4 (versus Q1)
0.19 (CS)
0.73 (0.49–1.08) Q4 (versus Q1)
0.070 (CS)
1.30 (0.81–2.07) Q4 (versus Q1)
0.16 (CS)
768366229I-IVCD8+78% (versus 66%)
Q4 (versus Q1)
0.026 (CS)
0.61 (0.42–0.88) Q4 (versus Q1)
0.007 (CS)
0.81 (0.52–1.27) Q4 (versus Q1)
0.34 (CS)
[162]; 222: 350–366
CD45RO+83% (versus 68%)
Q4 (versus Q1)
0.0001 (CS)
0.40 (0.26–0.60) Q4 (versus Q1)
0.0001 (CS)
0.51 (0.32–0.80) Q4 (versus Q1)
(CS)
FOXP3+80% (versus 64%)
Q4 (versus Q1)
0.0001 (CS)
0.48 (0.32–0.70) Q4 (versus Q1)
0.0001 (CS)
0.89 (0.59–1.34) Q4 (versus Q1)
(CS)

*HR is based on comparing high versus low score of a given T-cell subset. Quartile of density (Q1-4, first to fourth quartile). P for trend. Cl: confidence interval; CS: colorectal cancer-specific survival; DFS: disease-free survival; HR: hazard ratio; MSI: microsatellite instability; NS: not significant; OS: overall survival.