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- W1774672014 abstract "Objectives Tangible clinical benefit is achieved in only a relatively small proportion of extensive-stage small cell lung cancer (SCLC) patients receiving current treatment strategies. Therefore, a more personalized use of current and novel treatment approaches is of critical importance. Individualized therapy relies on the identification of specific biomarkers predictive of response to a particular type of cancer treatment. Immune-related parameters emerge as powerful biomarkers among a variety of predictors of clinical response to various types of cancer treatment. Patients and methods Using multicolor flow cytometry, we evaluated a predictive value of CD8highCD57+ T-cell population and its immunosuppressive (FOXP3+, NKG2A+) and cytotoxic (Perforin+) subsets in the peripheral blood of extensive-stage SCLC patients (n = 82) treated with either chemotherapy-alone (n = 24), or chemoradiation therapy (n = 42), or receiving best supportive care (n = 16). Results The low level (<20%) of CD8highCD57+ T cells within the peripheral blood CD8+ T-cell population and the low level (<3%) of the immunosuppressive FOXP3-positive subset within the CD8highCD57+ T-cell population were independent predictors of a better response to treatment with chemoradiation therapy, but not with chemotherapy alone or best supportive care. Importantly there was no significant survival difference between SCLC patients who were: (i) treated with chemoradiation, but had an unfavourable immune profile (≥20% of CD8highCD57+ T cells and ≥3% of its FOXP3-positive subset), (ii) treated with chemotherapy alone, or (iii) received best supportive care. Conclusions We show that only a combination of chemotherapy with radiation therapy offered a considerable survival benefit that was confined to a subset of extensive-stage SCLC patients with a favourable predictive immune profile in the peripheral blood." @default.
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- W1774672014 date "2015-11-01" @default.
- W1774672014 modified "2023-10-17" @default.
- W1774672014 title "CD8highCD57+ T-cell population as an independent predictor of response to chemoradiation therapy in extensive-stage small cell lung cancer" @default.
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- W1774672014 doi "https://doi.org/10.1016/j.lungcan.2015.08.001" @default.
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