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Role of CD28+ PD-1+ Tc cells in immune response and prognosis prediction in hepatocellular carcinoma

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机构: [1]Hebei Med Univ, Hosp 4, Dept Hepatobiliary Surg, Shijiazhuang, Peoples R China [2]Shijiazhuang First Hosp, Dept Oncol, Shijiazhuang, Peoples R China [3]Hebei Med Univ, Hosp 2, Dept Gen Surg, Shijiazhuang, Peoples R China [4]Hebei Med Univ, Hosp 4, Dept Gen Med, Shijiazhuang, Peoples R China
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关键词: hepatocellular carcinoma t cell exhaustion CD28 PD-1 single-cell RNA-seq tumor microenvironment

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Background CD28+PD-1+ Tc cells (CD8+ T cells) constitute a dysfunctional subset of T cell; however, the mechanisms underlying their dysfunction and their significance in hepatocellular carcinoma (HCC) remain unclear. We aimed to elucidate the prognostic significance and molecular characteristics of CD28+PD-1+ Tc cell infiltration in HCC.Methods We established a single-cell HCC transcriptional map, focusing on cell-cell communication and trajectory analysis of CD28+PD-1+ Tc cells. We assessed the correlation between CD28+PD-1+ Tc-cell enrichment and prognosis and investigated potential molecular mechanisms using enrichment analyses. Flow cytometry was used to compare CD28+PD-1+ Tc-cell infiltration between HCC and adjacent normal tissues and cytotoxic factors and immune checkpoint expression were evaluated.Results Overall, 25,644 T cells were identified from single-cell RNA sequencing data from 10 HCC samples and corresponding normal samples. Overall T-cell infiltration was lower in HCC tissues, with significantly higher CD28+PD-1+ Tc-cell infiltration. Bulk RNA sequencing data integration revealed a correlation between higher CD28+PD-1+ Tc-cell infiltration and significantly worse prognosis. Flow cytometry confirmed higher CD28+PD-1+ Tc-cell enrichment in HCC tissues. Additionally, cytotoxic factor expression was significantly lower in CD28+PD-1+ Tc cells than in CD28-PD-1+ Tc cells, with lower expression of TIGIT and TIM-3 immune checkpoint molecules.Conclusions Significantly high CD28+PD-1+ Tc-cell enrichment in HCC indicates potential immune dysfunction. CD28+PD-1+ Tc-cell enrichment may serve as a sensitive prognostic marker and indicator for predicting treatment responses.

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出版当年[2025]版:
大类 | 2 区 医学
小类 | 2 区 免疫学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 免疫学
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出版当年[2024]版:
Q1 IMMUNOLOGY
最新[2024]版:
Q1 IMMUNOLOGY

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第一作者机构: [1]Hebei Med Univ, Hosp 4, Dept Hepatobiliary Surg, Shijiazhuang, Peoples R China
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通讯机构: [1]Hebei Med Univ, Hosp 4, Dept Hepatobiliary Surg, Shijiazhuang, Peoples R China [4]Hebei Med Univ, Hosp 4, Dept Gen Med, Shijiazhuang, Peoples R China
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