Abstract

Testicular germ cell cancer (TGCC) is the most common type of cancer in young men. Seminomas account for around half of them and are characterized by a pronounced infiltration of immune cells. So far, the impact of the tumor microenvironment (TME) on disease progression, especially the interaction of individual immune cell subtypes with the tumor cells, remains unclear. To address this question, we used an in vitro TME model involving the seminoma-derived cell line Tcam-2 and immune cell subsets purified from human peripheral blood. T cells and monocytes were strongly activated when individually cocultured with Tcam-2 cells as revealed by increased expression of activation markers and pro-inflammatory cytokines both on the mRNA and protein level. Importantly, the interaction between tumor and immune cells was mutual. Gene expression of pluripotency markers as well as markers of proliferation and cell cycle activity were upregulated in Tcam-2 cells in cocultures with T cells, whereas gene expression of SOX17, a marker for seminomas, was unaltered. Interestingly, the impact of monocytes on gene expression of Tcam-2 cells was less pronounced, indicating that the effects of individual immune cell subsets on tumor cells in the TME are highly specific. Collectively, our data indicate that seminoma cells induce immune cell activation and thereby generate a strong pro-inflammatory milieu, whereas T cells conversely increase the proliferation, metastatic potential, and stemness of tumor cells. Although the employed model does not fully mimic the physiological situation found in TGCC in vivo, it provides new insights potentially explaining the connection between inflammatory infiltrates in seminomas and their tendency to burn out and metastasize.

Highlights

  • IntroductionTesticular germ cell cancer (TGCC) is the most common malignancy in young men [1]

  • Testicular germ cell cancer (TGCC) is the most common malignancy in young men [1].Based on its histopathology, TGCC can be subdivided into seminomas and the more heterogeneous group of non-seminomas, both types with quite similar incidences but significant differences in treatment and prognosis [2–5]

  • It has been found found that immune cells that in contact with tumor cells become activated initiate that immune cells that get in get contact with tumor cells become activated and and initiate an an inflammatory response

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Summary

Introduction

Testicular germ cell cancer (TGCC) is the most common malignancy in young men [1]. TGCC can be subdivided into seminomas and the more heterogeneous group of non-seminomas, both types with quite similar incidences but significant differences in treatment and prognosis [2–5]. TGCC show extremely high cure rates as a consequence of primary surgery and a combination with effective platin-based chemotherapy in advanced stages of cancer. Seminomas are especially characterized by a pronounced inflammatory infiltrate consisting of lymphocytes and monocytes/macrophages [6–10]. The role of these tumor-infiltrating immune cells (TIICs) and the question of whether they contribute to the excellent overall survival (OS) of the patients 4.0/). It is believed that the tumor microenvironment (TME), which is composed of various immune cell types, fibroblasts, and endothelial cells is responsible for the “burned-out” phenotype of seminomas or at least influences the clinical outcome [11,12]

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