Localisation pattern of Foxp3+ regulatory T cells is associated with clinical behaviour in gastric cancer.

Localisation pattern of Foxp3+ regulatory T cells is associated with clinical behaviour in gastric cancer.
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DOI:
10.1038/sj.bjc.6604149
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发表时间:
2008-01-15
影响因子:
8.8
通讯作者:
Fujii, H.
Fujii, H.
中科院分区:
医学1区
文献类型:
--
作者:
Mizukami, Y.;Kono, K.;Kawaguchi, Y.;Akaike, H.;Kamimura, K.;Sugai, H.;Fujii, H.

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据报道,在肿瘤宿主的肿瘤浸润淋巴细胞中,调节性T细胞(T regs)的数量增加。叉头/翼螺旋转录因子p3 (Foxp3)被认为是最可靠的T regs标记。在本研究中,我们通过免疫组织化学研究了Foxp3+细胞在胃癌(n=80)中的流行程度和定位模式,以及与胃癌患者临床预后的关系。用抗Foxp3单抗进行免疫组化染色,对Foxp3+细胞进行半定量。我们根据Foxp3+细胞群的中位数大小将所有病例分为两组:Foxp3+高组(n=40)和Foxp3+低组(n=40)。此外,根据Foxp3+细胞在肿瘤中积聚的定位模式,我们将所有病例分为三组:肿瘤周围组(n=30),弥漫性组(n=40)和滤泡组(n=10)。因此,尽管IV期Foxp3+细胞数量明显多于I期(P<0.05),但Foxp3+细胞数量高、低患者的生存期差异无统计学意义。然而,Foxp3+细胞弥漫型患者的生存率明显低于肿瘤周围型患者。综上所述,Foxp3+细胞的定位模式,而不是群体大小,与患者的生存有显著关系。
It has been reported that the population of regulatory T cells (T regs) is increased in tumour-infiltrating lymphocytes in cancer-bearing hosts. Recently, forkhead/winged helix transcription factor p3, Foxp3, is thought to be the most reliable marker of T regs. In the present study, we investigated the prevalence and localisation pattern of Foxp3+ cells in gastric cancer (n=80) by immunohistochemistry, in relation to the clinical outcome of gastric cancer patients. Immunohistochemical staining was performed with anti-Foxp3 mAb, and Foxp3+ cells were semiquantified. We divided all cases into two groups: Foxp3+-high (n=40) and Foxp3+-low (n=40) groups, by the median size of the population of Foxp3+ cells. Furthermore, in terms of the localisation pattern of accumulating Foxp3+ cells in tumours, we classified all cases into three groups: a peri-tumour group (n=30), a diffuse group (n=40), and a follicular group (n=10). As a result, although the populations of Foxp3+ cells in stage IV were significantly larger than those in stage I (P<0.05), there was no significant difference in survival between the patients with high and low population levels of Foxp3+ cells. However, survival in patients with a diffuse pattern of Foxp3+ cells was significantly poorer than in those with a peri-tumoral pattern. In conclusion, the localisation pattern, but not the population size, of Foxp3+ cells was significantly related to patient survival.
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