Differentiation of CD8(+) T cells at the
tumor site toward effector and memory stages may represent a key step for the efficacy of antitumor response developing naturally or induced through
immunotherapy. To address this issue, CD8(+) T lymphocytes from
tumor-invaded (n = 142) and
tumor-free (n = 42) lymph nodes removed from the same nodal basin of
melanoma patients were analyzed for the expression of CCR7, CD45RA,
perforin, and
granzyme B. By hierarchical cluster analysis, CD8(+) T cells from all
tumor-free lymph nodes and from 56% of the
tumor-invaded lymph node samples fell in the same cluster, characterized mainly by CCR7(+) CD45RA(+/-) cytotoxic factor(-) cells. The remaining three clusters contained only samples from
tumor-invaded lymph nodes and showed a progressive shift of the CD8(+) T cell population toward CCR7(-) CD45RA(-/+)
perforin(+) granzyme B(+) differentiation stages. Distinct CD8(+) T cell maturation stages, as defined by CCR7 vs CD45RA and by functional assays, were identified even in
melanoma- or viral Ag-specific T cells from invaded lymph nodes by HLA tetramer analysis. Culture for 7 days of CCR7(+)
perforin(-) CD8(+) T cells from
tumor-invaded lymph nodes with
IL-2 or
IL-15, but not
IL-7, promoted, mainly in CCR7(+)CD45RA(-) cells, proliferation coupled to differentiation to the CCR7(-)
perforin(+) stage and acquisition of
melanoma Ag-specific effector functions. Taken together, these results indicate that CD8(+) T cells differentiated toward CCR7(-) cytotoxic factor(+) stages are present in
tumor-invaded, but not in
tumor-free, lymph nodes of a relevant fraction of
melanoma patients and suggest that
cytokines such as
IL-2 and
IL-15 may be exploited to promote Ag-independent maturation of anti-
tumor CD8(+) T cells.