
Abstract Purpose The influence of radiotherapy on patient immune cell subsets has been established by several groups. Following a previously published analysis of immune changes during and after curative radiotherapy for prostate cancer, this analysis focused on describing correlations of changes of immune cell subsets with radiation treatment parameters. Patients and methods For 13 patients treated in a prospective trial with radiotherapy to the prostate region (primary analysis) and five patients treated with radiotherapy to prostate and pelvic nodal regions (exploratory analysis), already published immune monitoring data were correlated with clinical data as well as radiation planning parameters such as clinical target volume (CTV) and volumes receiving 20 Gy (V20) for newly contoured volumes of pelvic blood vessels and bone marrow. Results Most significant changes among immune cell subsets were observed at the end of radiotherapy. In contrast, correlations of age and CD8+ subsets (effector and memory cells) were observed early during and 3 months after radiotherapy. Ratios of T cells and T cell proliferation compared to baseline correlated with CTV. Early changes in regulatory T cells (Treg cells) and CD8+ effector T cells correlated with V20 of blood vessels and bone volumes. Conclusions Patient age as well as radiotherapy planning parameters correlated with immune changes during radiotherapy. Larger irradiated volumes seem to correlate with early suppression of anti-cancer immunity. For immune cell analysis during normofractionated radiotherapy and correlations with treatment planning parameters, different time points should be looked at in future projects. Trial registration number: NCT01376674, 20.06.2011
Age Factors [MeSH] ; Immune System/radiation effects [MeSH] ; DVH ; Immune status ; Prostatic Neoplasms/pathology [MeSH] ; Leukocyte Count [MeSH] ; Prostatic Neoplasms/immunology [MeSH] ; Prostatic Neoplasms/radiotherapy [MeSH] ; Original Article ; Neoplasm Staging [MeSH] ; Male [MeSH] ; Immunophenotyping [MeSH] ; Radiotherapy, Image-Guided [MeSH] ; Lymphocyte Subsets/metabolism [MeSH] ; T cells ; Prostate cancer ; Radiotherapy Planning, Computer-Assisted [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Middle Aged [MeSH] ; IMRT ; Young Adult [MeSH] ; Lymphocyte Subsets/radiation effects [MeSH] ; Localized ; Radiotherapy Dosage [MeSH] ; Biomarkers [MeSH], Adult, Male, Radiotherapy Planning, Computer-Assisted, Age Factors, Prostatic Neoplasms, Radiotherapy Dosage, Middle Aged, Lymphocyte Subsets, Immunophenotyping, Leukocyte Count, Young Adult, Immune System, Humans, Original Article, Biomarkers, Neoplasm Staging, Radiotherapy, Image-Guided
Age Factors [MeSH] ; Immune System/radiation effects [MeSH] ; DVH ; Immune status ; Prostatic Neoplasms/pathology [MeSH] ; Leukocyte Count [MeSH] ; Prostatic Neoplasms/immunology [MeSH] ; Prostatic Neoplasms/radiotherapy [MeSH] ; Original Article ; Neoplasm Staging [MeSH] ; Male [MeSH] ; Immunophenotyping [MeSH] ; Radiotherapy, Image-Guided [MeSH] ; Lymphocyte Subsets/metabolism [MeSH] ; T cells ; Prostate cancer ; Radiotherapy Planning, Computer-Assisted [MeSH] ; Adult [MeSH] ; Humans [MeSH] ; Middle Aged [MeSH] ; IMRT ; Young Adult [MeSH] ; Lymphocyte Subsets/radiation effects [MeSH] ; Localized ; Radiotherapy Dosage [MeSH] ; Biomarkers [MeSH], Adult, Male, Radiotherapy Planning, Computer-Assisted, Age Factors, Prostatic Neoplasms, Radiotherapy Dosage, Middle Aged, Lymphocyte Subsets, Immunophenotyping, Leukocyte Count, Young Adult, Immune System, Humans, Original Article, Biomarkers, Neoplasm Staging, Radiotherapy, Image-Guided
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