RATIONALE: T cells persisting in the microenvironments of primary human non-small cell lung tumors, synovial fluid of rheumatic joints and nasal polyps demonstrate similar phenotypes identifying effector memory T cells yet these cells remain unresponsive to the increasing tissue pathology.METHODS: Effector memory T cells were isolated from the primary, human, non-small cell lung tumors, nasal polyps and synovial fluid of rheumatic joints and evaluated for their response to TCR stimulation via CD3+CD28 cross-linking by nuclear translocation of NF-κB and NFAT under confocal microscopy. Response to pulsation with cytokines including TNF-α and IL-12, and low pH elution of surface proteins was examined to delineate the nature of the TCR anergy.RESULTS: Effector memory T cells from these chronic inflammatory microenvironments were found to persist in a TGF-β1 -mediated anergic state. Using IL-12, effector memory T cell anergy can be reversed both in vitro and in vivo resulting in the activation, proliferation and T cell mediated eradication of tumor cells from the xenografts.CONCLUSIONS: Effector memory T cells persist in chronic inflammatory microenvironments of malignant and non-malignant tissues by a reversible, regulatory mechanism mediated by TGF-β1. RATIONALE: T cells persisting in the microenvironments of primary human non-small cell lung tumors, synovial fluid of rheumatic joints and nasal polyps demonstrate similar phenotypes identifying effector memory T cells yet these cells remain unresponsive to the increasing tissue pathology. METHODS: Effector memory T cells were isolated from the primary, human, non-small cell lung tumors, nasal polyps and synovial fluid of rheumatic joints and evaluated for their response to TCR stimulation via CD3+CD28 cross-linking by nuclear translocation of NF-κB and NFAT under confocal microscopy. Response to pulsation with cytokines including TNF-α and IL-12, and low pH elution of surface proteins was examined to delineate the nature of the TCR anergy. RESULTS: Effector memory T cells from these chronic inflammatory microenvironments were found to persist in a TGF-β1 -mediated anergic state. Using IL-12, effector memory T cell anergy can be reversed both in vitro and in vivo resulting in the activation, proliferation and T cell mediated eradication of tumor cells from the xenografts. CONCLUSIONS: Effector memory T cells persist in chronic inflammatory microenvironments of malignant and non-malignant tissues by a reversible, regulatory mechanism mediated by TGF-β1.
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