Increased Tc17 infiltration associates with shorter survival in PDAC. (A) Double immunostaining of PDAC tissue sections using antibodies against CD8α (green) and RORγt (brown), scale bar 100 µm. (B) Kaplan-Meier curve of overall survival (survival %) of patients with surgically resected PDAC showing≤6/mm2 vs >6/mm2 CD8+ RORγt+ cell infiltation (n=71, p values determined by log-rank test). (C) CD8+ RORγt+ cell frequency per mm2 in T1/2 vs T3/T4 tumours (n=105), in tumours ≤4 cm vs >4 cm (n=105), No vs n+tumours (n=109) and UICC stage I/II vs III/IV (n=106). Box-plots depict the lower and upper adjacent values (whiskers) and the upper and lower quartiles (top and bottom edges of the box). Horizontal lines inside boxes indicate median, p values determined by Mann-Whitney U test. Each dot represents one individual. (D) Triple immunostaining of PDAC tissue for CD8α, IL-17A, and alpha−smooth muscle actin (αSMA). Left, PDAC tissue areas are denoted with single-positive IL-17A+ cells (brown), single-positive CD8+ cells (magenta), double-positive CD8+IL-17A+ (magenta-brown) and single-positive αSMA+ cells (green), scale bar 200 µm. Right, image magnification of cells highlighted in the left panel, scale bar 20 µm. (E) Kaplan-Meier curve of overall survival (survival %) of patients with surgically resected PDAC showing ≤5/mm2 vs >5/mm2 CD8+ IL-17A+ cell infiltration (n=71, p values determined by log-rank test). (F) Linear regression analysis of CD8+RORγt+ vs CD8+IL-17A+ cell frequencies in PDAC tissue. Linear regression line, Spearman’s correlation coefficient rho, and respective p value is shown in the plot (n=111). (G–I) Kaplan-Meier curves of overall survival (survival %) of patients with surgically resected PDAC showing ≤38/mm2 vs >38/mm2 single-positive CD8+ cell infiltration (G), intratumoural CD8+IL-17A+/CD8 ratios + ≤0.13 vs >0.13 (H) and intratumoural CD8+RORγt +/CD8+ ratios ≤0.15 vs >0.15 (I) (n=71, p values determined by log-rank test). PDAC, pancreatic ductal adenocarcinoma.