RT Journal Article SR Electronic T1 Gut microbiota modulate T cell trafficking into human colorectal cancer JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 1984 OP 1994 DO 10.1136/gutjnl-2016-313498 VO 67 IS 11 A1 Cremonesi, Eleonora A1 Governa, Valeria A1 Garzon, Jesus Francisco Glaus A1 Mele, Valentina A1 Amicarella, Francesca A1 Muraro, Manuele Giuseppe A1 Trella, Emanuele A1 Galati-Fournier, Virginie A1 Oertli, Daniel A1 Däster, Silvio Raffael A1 Droeser, Raoul A A1 Weixler, Benjamin A1 Bolli, Martin A1 Rosso, Raffaele A1 Nitsche, Ulrich A1 Khanna, Nina A1 Egli, Adrian A1 Keck, Simone A1 Slotta-Huspenina, Julia A1 Terracciano, Luigi M A1 Zajac, Paul A1 Spagnoli, Giulio Cesare A1 Eppenberger-Castori, Serenella A1 Janssen, Klaus-Peter A1 Borsig, Lubor A1 Iezzi, Giandomenica YR 2018 UL http://gut.bmj.com/content/67/11/1984.abstract AB Objective Tumour-infiltrating lymphocytes (TILs) favour survival in human colorectal cancer (CRC). Chemotactic factors underlying their recruitment remain undefined. We investigated chemokines attracting T cells into human CRCs, their cellular sources and microenvironmental triggers.Design Expression of genes encoding immune cell markers, chemokines and bacterial 16S ribosomal RNA (16SrRNA) was assessed by quantitative reverse transcription-PCR in fresh CRC samples and corresponding tumour-free tissues. Chemokine receptor expression on TILs was evaluated by flow cytometry on cell suspensions from digested tissues. Chemokine production by CRC cells was evaluated in vitro and in vivo, on generation of intraperitoneal or intracecal tumour xenografts in immune-deficient mice. T cell trafficking was assessed on adoptive transfer of human TILs into tumour-bearing mice. Gut flora composition was analysed by 16SrRNA sequencing.Results CRC infiltration by distinct T cell subsets was associated with defined chemokine gene signatures, including CCL5, CXCL9 and CXCL10 for cytotoxic T lymphocytes and T-helper (Th)1 cells; CCL17, CCL22 and CXCL12 for Th1 and regulatory T cells; CXCL13 for follicular Th cells; and CCL20 and CCL17 for interleukin (IL)-17-producing Th cells. These chemokines were expressed by tumour cells on exposure to gut bacteria in vitro and in vivo. Their expression was significantly higher in intracecal than in intraperitoneal xenografts and was dramatically reduced by antibiotic treatment of tumour-bearing mice. In clinical samples, abundance of defined bacteria correlated with high chemokine expression, enhanced T cell infiltration and improved survival.Conclusions Gut microbiota stimulate chemokine production by CRC cells, thus favouring recruitment of beneficial T cells into tumour tissues.