Histology | Stage | No of patients | Method | Impact | Note | Ref. | |
T lymphocytes | |||||||
Primary lesion | |||||||
CD3+ T cell | EOC* | III, IV | 174 | IHC, IF | Beneficial | High density of intratumoral TILs correlated with improved survival | 40 |
HGSOC | All | 199 | IHC | Beneficial | High density of CD3+ T cells correlated with improved disease outcome | 3 | |
CD8+ T cell | EOC | All | 270 | IHC | Beneficial | High density of CD8+ T cells correlated with favorable disease outcome | 29 |
EOC | All | 117 | IHC | Beneficial | High density of CD8+ T cells correlated with favorable prognosis | 30 | |
EOC | All | 500 | IHC | Beneficial | High density of CD8+ T cells associated with low BRCA1 expression | 41 | |
EOC | All | 1815 | Meta-analyses | Beneficial | High density of CD3+ and CD8+ T cells correlated with improved disease outcome | 28 | |
EOC | All | 497 | IHC, IF | Beneficial | High density of CD103+CD8+ T cells correlated with improved survival | 33 | |
EOC | II, III, IV | 203 | IHC, RT-PCR | Beneficial | High density of CD8+ T cells correlated with favorable disease outcome | 34 | |
EOC | All | 70 | IHC | Beneficial | CD8+ T cells negatively correlated with PD-L1 expression in tumor | 35 | |
EOC | All | 199 | IHC | Beneficial | High density of CD8+ T cells correlated with improved disease outcome | 3 | |
HGSOC, EnOC, OCCC | All | 135 | IHC | Beneficial | High density of CD103+CD8+ T cells correlated with improved disease outcome | 22 | |
EOC | All | 7377 | IHC | Beneficial | High density of CD8+ T cells correlated with prolonged OS | 44 | |
EOC | All | 210 | IHC | Beneficial | High density of intratumoral CD8+ CTLs correlated with favorable disease outcome | 37 | |
HGSOC | III | 100 | IHC | Beneficial | High density and clonal selection of TILs correlated with improved disease survival | 31 | |
HGSOC | All | 178 | IHC | Beneficial | CD8+ T cells were shown to abolish clinically relevant chemoresistance by altering glutathione and cystine metabolism in malignant cells | 32 | |
HGSOC | All | 147 | IHC | Beneficial | High density of CD8+ T cells correlated with improved disease outcome | 21 | |
HGSOC | All | 232 | IHC | Beneficial | High density of CD8+ T cells correlated with improved disease outcome | 38 | |
HGSOC | All | 283 | IHC | Beneficial | High density of CD8+ T cells correlated with favorable prognosis | 39 | |
HGSOC | All | 80 | IF | Detrimental | High density of PD-1+TIM-3+CD8+ T cells correlated with poor disease outcome | 45 | |
CD45RO+ T cell | EOC | All | 270 | IHC | Beneficial | High density of CD45RO+ memory T cells correlated with increased disease specific survival | 29 |
EOC | All | 33 | IHC | Beneficial | High density of CD45RO+ T cells correlated with higher survival rate | 42 | |
TREG cell | EOC | All | 270 | IHC | Beneficial | High density of TREG cells correlated with favorable disease outcome | 29 |
EOC | All | 92 | IHC, FC | Detrimental | High density of CD8+ TREG cells, induced by TGFB1, correlated with poor disease outcome | 66 | |
EOC | All | 232 | IHC | Detrimental | High density of TREG cells associated with advanced stage of disease and suboptimal debulking | 38 | |
EOC | III,IV | 26 | IHC,FC | Detrimental | High density of ICOS+ TREG cells, dependent on ICOS-L stimulation by pDC, correlated with poor disease outcome | 17 | |
EOC | All | 103 | IF | Detrimental | High density of TREG cells, inducing the expression of B7-H4 on TAMs, correlated with poor disease outcome | 56 | |
EOC | All | 70 | IF | Detrimental | High density of TREG cells in tumor and malignant ascites was associated with increased production of CCL22 by cancer cells and TAMs | 54 | |
EOC | All | 869 | Meta-analyses | Detrimental | High density of TREG cells correlated with poor disease outcome | 55 | |
EOC | All | 210 | IHC | Detrimental | High density of TREG cells in lymphoid aggregates correlated with reduced survival time | 37 | |
HGSOC | All | 199 | IHC | Beneficial | High density of TREG cells correlated with improved disease outcome | 3 | |
HGSOC, MOC, Other | All | 99 | IHC, RT-PCR | Detrimental | High density of TREG cells correlated with poor OS and PFS | 53 | |
HGSOC, MOC, OCCC | All | 25 | FC,RNAseq, Cytof | Detrimental | High density of TREG cells, suppressing CD8+ T cells proliferation, correlated with poor disease outcome | 62 | |
CD8/TREG | EOC | All | 270 | IHC | Beneficial | High ratio of CD8+ T cells/TREG cells correlated with improved disease outcome | 29 |
EOC | All | 117 | IHC | Beneficial | High CD8+ T cells/TREG cells ratio correlated with favorable prognosis | 30 | |
EOC | All | 400 | IHC,IF | Beneficial | High CD8+ T cells/TREG cells ratio correlated with favorable prognosis | 57 | |
TREG/TH17 | EOC | III, IV | 124 | IF | Detrimental | High TREG cells/TH17+ cells ratio, derived by TAMs, associated with disease progression and metastasis | 60 |
Metastatic lesion | |||||||
CD8+ T cell | EOC | III, IV | 147 | IHC | Beneficial | High density of CD8+ CTLs in omental metastasis correlated with improved disease specific survival | 29 |
HGSOC | III, IV | 80 | IHC | None | High density of CD8+ T cells in peritoneal metastasis were not shown to associate with disease outcome | 20 | |
CD45RO+ cell | EOC | III, IV | 147 | IHC | Beneficial | High density of CD45RO+T cells in omental metastasis correlated with improved disease specific survival | 29 |
HGSOC | III, IV | 77 | FC | Beneficial | High density of CD45RA-CCR7-CD8+ T cells in peritoneal ascites correlated with improved RFS | 43 | |
TREG cell | EOC | III, IV | 147 | IHC | Detrimental | High density of TREG cells in omental ascites, mediated by CCL22 produced by cancer cells and TAMs, correlated with poor disease outcome | 29 |
CD8/TREG | EOC | III, IV | 147 | IHC | Detrimental | High CD8+ T cells/TREG cells ratio in omental metastasis correlated with poor disease specific survival | 29 |
DCs | |||||||
Primary lesion | |||||||
mDC | *EOC | All | 33 | IHC | Beneficial | High density of CD1a+ DCs correlated with improved OS | 42 |
n.a. | n.a. | n.a. | FC, IHC | Benefical | High level of CXCL17 correlated with increased density of B7-H4+ DCs and favorable disease outcome | 74 | |
n.a. | n.a. | n.a. | FC, IHC | Beneficial | High density of CD103+ DCs, as potent stimulators of CTLs, correlated with favorable disease outcome | 72 | |
HGSOC | All | 147 | IHC | Benefical | High density of mature DC-LAMP+ DCs correlated with increased frequency of CTLs and improved disease outcome | 21 | |
pDC | n.a. | All | 44 | FC | Detrimental | High density of CD4+CD123+BDCA2+ pDC correlated with poor disease outcome | 77 |
EOC | All | 60 | IHC, FC | Detrimental | High expression of IDO correlated with reduced density of CD8+ T cells, tumor progression and poor disease outcome | 78 | |
n.a. | n.a. | n.a. | IHC, FC | Detrimental | SDF-1 was shown to induce chemotaxis and protection of pDCs from TAM-mediated apoptosis | 79 | |
EOC | III, IV | 26 | IHC, FC | Detrimental | High density of HLA-DR+CD123+ pDC mediated stimulation of ICOS+ TREG cells associated with poor disease outcome | 17 | |
Metastatic lesion | |||||||
mDC | HGSOC | III, IV | 80 | IHC | Beneficial | High density of mature DC-LAMP+ DCs in peritoneal metastasis correlated with improved disease outcome | 20 |
pDC | n.a. | All | 44 | FC | Detrimental | High density of CD4+CD123+BDCA2+ pDCs in malignant ascites correlated with poor disease outcome | 77 |
TLSs and B cells | |||||||
Primary lesion | |||||||
B cell | *EOC | All | 135 | IHC | Beneficial | High density of CD20+ B cells correlated with improved disease outcome | 36 |
EOC | All | 266 | RNAseq | Beneficial | High BCR segments correlated with improved prognosis | 82 | |
EOC | All | 154 | IHC | Detrimental | High density of CD138+ plasma cells correlated with poor disease outcome | 85 | |
HGSOC, EnOC | All | 224 | RNAseq | Beneficial | High expression of CD38 correlated with favorable prognosis | 84 | |
HGSOC | All | 194 | IHC | Beneficial | High density of CD27-CD20+ memory B cells correlated with cytolytic immune response and favorable prognosis | 81 | |
HGSOC | All | 147 | IHC | Beneficial | High density of CD20+ B cells correlated with CTLs response and improved RFS and OS | 21 | |
HGSOC | All | 199 | IHC | Beneficial | High density of CD20+ B cells correlated with favorable disease outcome | 3 | |
HGSOC | All | 155 | IHC | Beneficial | High density of CD20-CD38+CD138+CD79a+ plasma cells correlated with CTLs response and improved disease outcome | 83 | |
TLS | HGSOC | All | 147 | IHC | None | The presence of TLSs was not associated with disease outcome | 21 |
HGSOC | All | 155 | IHC | Beneficial | TLSs were shown to facilitate the development of antitumor immunity associated with favorable disease outcome | 83 | |
Metastatic lesion | |||||||
B cell | HGSOC | III, IV | 80 | IHC | None | High density of CD20+ B cells in peritoneal metastasis was not associated with disease outcome | 20 |
HGSOC | III, IV | 41 | IHC | Beneficial | High density of memory 20+ B cells in omental metastasis correlated with cytolytic immune response and favorable disease outcome | 89 |
*Encompassing all EOC histological subtypes.
CTL, cytotoxic T lymphocyte; CXCL9, C-X-C motif chemokine ligand 9; EnOC, endometroid ovarian cancer; EOC, epithelial ovarian carcinoma; FC, flow cytometry; HGSOC, high-grade serous ovarian carcinoma; ICOS, inducible T cell costimulator; IDO, indoleamine 2,3-dioxygenase; IF, immunofluorescence; IHC, immunohistochemistry; LAMP, lysosomal-associated membrane protein; mDC, myeloid DC; MOC, mucinous ovarian cancer; n.a., not available; OCCC, clear cell ovarian cancer; OS, overall survival; PD-1, programmed cell death 1; pDC, plasmacytoid DC; PFS, progression-free survival; RFS, relapse-free survival; RNAseq, RNA-sequencing; TAM, tumor-associated macrophage; TGFB1, transforming growth factor beta 1; TIL, tumor-infiltrating lymphocyte; TREG, regulatory T cell.