Identification of T-cell subsets associated with muscle strength in people with cancer: A pilot study

Abstract

Abstract Background Immune deficiency and muscle wasting are both associated with poor prognosis in people with cancer. Survival and quality of life can be improved by attenuating either the immune response or muscle mass, suggesting a relationship between them. Previous data show that mice injected with precursor CD4 T cells maintain muscle mass by restoring immune homeostasis. These data are consistent with the hypothesis that robust anti-cancer T cell immunity leads to improved muscle health. As a first step, this study aims to determine if circulating T cell subsets correlate with muscle strength in people with cancer. Methods The frequency(freq) of T cell subsets was quantified in 11 men with gastrointestinal cancer, and 9 men without cancer, using flow cytometry. Total PBMC protein and gene expression was analyzed using qPCR and Western blots. Clinical measures were assessed using: DEXA scan (body composition); Hand-grip (HGS) test and Knee extension test (Muscle Strength); Stair Climb test (Performance) and Karnofsky and ECOG scales (functional impairment). Data was analyzed using Spearman’s correlation and ANOVA. Results Our data show significant correlations between i) higher freq of CD8 naïve and EM T cells, and lower freq of CD8 CM T cells with stronger HGS, ii) lower freq of Tregs with greater lean mass index, iii) lower freq of CD8 cells expressing CD95 with greater Stair Climb Power, iv) higher freq of CD197+CD45RA+ T cells and greater knee extension strength, and iv) higher expression of CD4 in whole blood with greater functional impairment in people with cancer. Conclusions We have identified significant correlations between levels of T cell populations and muscle strength, performance, and body composition in people with cancer.