Assays for detecting t cell immune subsets and methods of use thereof
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example 1
Inverse Correlation Between T-Cell Subsets and Cancer Stage
[0416]Increased numbers of OX40+ T cells in the tumor microenvironment of colorectal cancer (CRC) patients have been associated with improved outcome (Petty, J. K., et al. (2002) Am. J. Surg. 183(5):512-8). However, the OX40+ T cell population is heterogeneous and includes, among others, CD4+Foxp3+ regulatory T cells (Tregs) as well as CD4+Foxp3− effector T cells (Teff).
[0417]To study the functional significance of these T cell subsets, a multiplex immunofluorescence assay was developed to evaluate the expression of OX40 in certain CD4+ T cell subsets. This assay was utilized to determine whether OX40+ cell subsets and clinical outcome are associated in colorectal cancer (CRC) patients.
[0418]Materials and Methods
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[0419]Formalin-fixed paraffin-embedded (FFPE) CRC specimens including primary site (n=48) and matched metastases (n=19) were included from a collection annotated with treatment histories and survival ou...
example 2
Presence of Increased OX40+ Lymphocytes is Associated with Improved Survival
[0434]Because of the observed correlations between OX40+ T cell subsets and cancer stage described above, the presence of these T cell subsets was next analyzed with respect to prognosis.
[0435]The prevalence of T cell subsets in the tumor samples described above was analyzed to determine potential association with patient prognosis (e.g., overall survival). FIGS. 7A-8D show the results of these correlation analyses, with the T cell subsets selected for study provided as follows: CD4+ (FIG. 7A), Foxp3+ (FIG. 7B), OX40+ (FIG. 7C), OX40+ CD4+ (FIG. 8A), OX40+ CD4− (FIG. 8B), OX40+ CD4+ Foxp3+ (FIG. 8C), and OX40+ CD4+ Foxp3− (FIG. 8D). Overall survival was plotted for patients whose samples showed expression of the labeled marker(s) above or below the median of all samples, as indicated in each plot.
[0436]These analyses indicated that increased prevalence of CD4+ (p=0.019), total OX40+ (p=0.046), and OX40+ Treg...
example 3
Correlation Between OX40+ Status of Immune Infiltrates of Primary Tumors and Metastases
[0439]Given the correlations observed between OX40+ cells found in tumor samples and tumor stage and patient survival, OX40+ T cell subsets were next analyzed in paired primary and metastatic tumor samples.
[0440]FIGS. 9A-10D show the results of these correlation analyses, with the T cell subsets selected for study provided as follows: CD4+ (FIG. 9A), Foxp3+ (FIG. 9B), OX40+ (FIG. 9C), OX40+ CD4+ (FIG. 10A), OX40+ CD4− (FIG. 10B), OX40+ CD4+ Foxp3+ (FIG. 10C), and OX40+ CD4+ Foxp3− (FIG. 10D).
[0441]Analysis of paired primary and metastatic samples (n=19) showed strong correlations between positive cell counts for CD4 (r=0.75), total OX40+ (r=0.84), OX40+ Treg (0.52), and OX40+ Teff (r=0.85) subsets in primary and metastatic samples. These associations remained strong when counts were normalized to total cells. These results show that the OX40+ status of immune infiltrates of primary tumors and meta...
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