Prognostic value of tumor-infiltrating FoxP3+ regulatory T cells in cancers: a systematic review and meta-analysis

被引:820
作者
Shang, Bin [1 ]
Liu, Yao [2 ]
Jiang, Shu-juan [2 ]
Liu, Yi [2 ]
机构
[1] Shandong Univ, Prov Hosp, Dept Thorac Surg, Jinan 250021, Shandong, Peoples R China
[2] Shandong Univ, Prov Hosp, Dept Resp Med, Jinan 250021, Shandong, Peoples R China
基金
中国国家自然科学基金;
关键词
PREDICT POOR SURVIVAL; ADVERSE PROGNOSIS; LYMPHOCYTES; EXPRESSION; CARCINOMA; RECRUITMENT; RECURRENCE; RECEPTOR; NUMBERS; CHAIN;
D O I
10.1038/srep15179
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
The prognostic value of FoxP3(+) regulatory T cells (Tregs) in cancer remains controversial. We did a meta-analysis to assess the prognostic effect of FoxP3(+) Treg across different types of cancer and to investigate factors associated with variations in this effect. PubMed, Embase, Cochrane CENTRAL, and Scopus were searched to identify eligible studies. In total, we analyzed 76 articles encompassing 17 types of cancer, and including 15,512 cancer cases. The overall pooled analysis including all types of cancer suggested FoxP3+ Tregs had a significant negative effect on overall survival (OS) (OR 1.46, P < 0.001), but the prognostic effect varied greatly according to tumor site. High FoxP3(+) Tregs infiltration was significantly associated with shorter OS in the majority of solid tumors studied, including cervical, renal, melanomas, and breast cancers, et al; whereas, FoxP3(+) Tregs were associated with improved survival in colorectal, head and neck, and oesophageal cancers. The stratified analysis suggested the molecular subtype and tumor stage significantly influenced the prognostic value of FoxP3(+) Tregs in certain types of cancer. In conclusion, our meta-analysis suggests that the prognostic role of FoxP3(+) Tregs was highly influenced by tumor site, and was also correlated with the molecular subtype and tumor stage.
引用
收藏
页数:9
相关论文
共 46 条
[1]
Intraepithelial T Cells and Tumor Proliferation [J].
Adams, Sarah F. ;
Levine, Douglas A. ;
Cadungog, Mark G. ;
Hammond, Rachel ;
Facciabene, Andrea ;
Olvera, Narciso ;
Rubin, Stephen C. ;
Boyd, Jeff ;
Gimotty, Phyllis A. ;
Coukos, George .
CANCER, 2009, 115 (13) :2891-2902
[2]
Outcome in Hodgkin's lymphoma can be predicted from the presence of accompanying cytotoxic and regulatory T cells [J].
Alvaro, T ;
Lejeune, M ;
Salvadó, MT ;
Bosch, R ;
García, JF ;
Jaén, J ;
Banham, AH ;
Roncador, G ;
Montalbán, C ;
Piris, MA .
CLINICAL CANCER RESEARCH, 2005, 11 (04) :1467-1473
[3]
Prognostic value of tumor-infiltrating CD4+ T-cell subpopulations in head and neck cancers [J].
Badoual, C ;
Hans, S ;
Rodriguez, J ;
Peyrard, S ;
Klein, C ;
Agueznay, NE ;
Mosseri, V ;
Laccourreye, O ;
Bruneval, P ;
Fridman, WH ;
Brasnu, DF ;
Tartour, E .
CLINICAL CANCER RESEARCH, 2006, 12 (02) :465-472
[4]
The soluble α chain of interleukin-15 receptor:: A proinflammatory molecule associated with tumor progression in head and neck cancer [J].
Badoual, Cecile ;
Bouchaud, Gregory ;
Agueznay, Nour El Houda ;
Mortier, Erwan ;
Hans, Stephane ;
Gey, Alain ;
Fernani, Fahima ;
Peyrard, Severine ;
Laurent-Puig, Pierre ;
Bruneval, Patrick ;
Sastre, Xavier ;
Plet, Ariane ;
Garrigue-Antar, Laure ;
Quintin-Colonna, Francoise ;
Fridman, Wolf H. ;
Brasnu, Daniel ;
Jacques, Yannick ;
Tartour, Eric .
CANCER RESEARCH, 2008, 68 (10) :3907-3914
[5]
Quantification of regulatory T cells enables the identification of high-risk breast cancer patients and those at risk of late relapse [J].
Bates, Gaynor J. ;
Fox, Stephen B. ;
Han, Cheng ;
Leek, Russell D. ;
Garcia, Jose F. ;
Harris, Adrian L. ;
Banham, Alison H. .
JOURNAL OF CLINICAL ONCOLOGY, 2006, 24 (34) :5373-5380
[6]
High numbers of tumor-infiltrating FOXP3-positive regulatory T cells are associated with improved overall survival in follicular lymphoma [J].
Carreras, Joaquim ;
Lopez-Guillermo, Armando ;
Fox, Bridget C. ;
Colomo, Lluis ;
Martinez, Antonio ;
Roncador, Giovanna ;
Montserrat, Emili ;
Campo, Elias ;
Banham, Alison H. .
BLOOD, 2006, 108 (09) :2957-2964
[7]
Intraepithelial CD8+ T-cell-count becomes a prognostic factor after a longer follow-up period in human colorectal carcinoma:: possible association with suppression of micrometastasis [J].
Chiba, T ;
Ohtani, H ;
Mizoi, T ;
Naito, Y ;
Sato, E ;
Nagura, H ;
Ohuchi, A ;
Ohuchi, K ;
Shiiba, K ;
Kurokawa, Y ;
Satomi, S .
BRITISH JOURNAL OF CANCER, 2004, 91 (09) :1711-1717
[8]
Specific recruitment of regulatory T cells in ovarian carcinoma fosters immune privilege and predicts reduced survival [J].
Curiel, TJ ;
Coukos, G ;
Zou, LH ;
Alvarez, X ;
Cheng, P ;
Mottram, P ;
Evdemon-Hogan, M ;
Conejo-Garcia, JR ;
Zhang, L ;
Burow, M ;
Zhu, Y ;
Wei, S ;
Kryczek, I ;
Daniel, B ;
Gordon, A ;
Myers, L ;
Lackner, A ;
Disis, ML ;
Knutson, KL ;
Chen, LP ;
Zou, WP .
NATURE MEDICINE, 2004, 10 (09) :942-949
[9]
The Prognostic Value of FoxP3+ Tumor-Infiltrating Lymphocytes in Cancer: A Critical Review of the Literature [J].
deLeeuw, Ronald J. ;
Kost, Sara E. ;
Kakal, Juzer A. ;
Nelson, Brad H. .
CLINICAL CANCER RESEARCH, 2012, 18 (11) :3022-3029
[10]
Predictive and prognostic factors in locally advanced breast cancer: effect of intratumoral FOXP3+ Tregs [J].
Demir, Lutfiye ;
Yigit, Seyran ;
Ellidokuz, Hulya ;
Erten, Cigdem ;
Somali, Isil ;
Kucukzeybek, Yuksel ;
Alacacioglu, Ahmet ;
Cokmert, Suna ;
Can, Alper ;
Akyol, Murat ;
Dirican, Ahmet ;
Bayoglu, Vedat ;
Sari, Aysegul Akder ;
Tarhan, Mustafa Oktay .
CLINICAL & EXPERIMENTAL METASTASIS, 2013, 30 (08) :1047-1062