An interferon-gamma ELISPOT and immunohistochemical investigation of cytotoxic T lymphocyte-mediated tumour immunity in patients with paraneoplastic cerebellar degeneration and anti-Yo antibodies

J Neuroimmunol. 2004 May;150(1-2):98-106. doi: 10.1016/j.jneuroim.2003.12.026.

Abstract

Eight patients with paraneoplastic cerebellar degeneration (PCD) and anti-Yo antibodies were investigated to determine whether there is any association between cytotoxic T lymphocyte (CTL) responses reactive with two previously defined Yo-derived, HLA-A2.1 restricted epitopes (cdr2-1 and cdr2-2) and the presence of tumour-infiltrating CD8+ CTLs. cdr2-1 and cdr2-2-specific CTL responses could not be detected in 5 HLA-A2.1(+) patients in an ex vivo interferon-gamma ELISPOT assay and only 2/9 tumour sections contained CD8(+) intratumoural lymphocytes suggesting a very limited role for CTL-mediated tumour immunity in this patient group, all of whom had evidence of widespread malignancy at the time of diagnosis and/or death.

MeSH terms

  • Antibodies, Neoplasm / blood*
  • Breast Neoplasms / immunology
  • Cerebellar Neoplasms / immunology
  • Cytotoxicity Tests, Immunologic
  • DNA-Binding Proteins / immunology*
  • Enzyme-Linked Immunosorbent Assay / methods
  • Epitopes, T-Lymphocyte / immunology
  • Female
  • HLA-A2 Antigen / immunology
  • Humans
  • Immunohistochemistry
  • Interferon-gamma / analysis*
  • Interferon-gamma / metabolism
  • Lymphocyte Count
  • Lymphocytes, Tumor-Infiltrating / chemistry
  • Lymphocytes, Tumor-Infiltrating / immunology
  • Lymphocytes, Tumor-Infiltrating / pathology
  • Neoplasm Proteins / immunology*
  • Nerve Tissue Proteins / immunology
  • Ovarian Neoplasms / immunology
  • Paraneoplastic Cerebellar Degeneration / diagnosis
  • Paraneoplastic Cerebellar Degeneration / immunology*
  • Paraneoplastic Cerebellar Degeneration / pathology
  • Protein Isoforms / immunology
  • Staining and Labeling
  • T-Lymphocytes, Cytotoxic / immunology*
  • T-Lymphocytes, Cytotoxic / pathology

Substances

  • Antibodies, Neoplasm
  • CDR2 protein, human
  • DNA-Binding Proteins
  • Epitopes, T-Lymphocyte
  • HLA-A2 Antigen
  • Neoplasm Proteins
  • Nerve Tissue Proteins
  • Protein Isoforms
  • Interferon-gamma