Clinical significance of tumor-infiltrating lymphocytes in neoplastic progression and lymph node metastasis of human breast cancer

被引:52
作者
Sheu, Bor-Ching [1 ]
Kuo, Wen-Hung [2 ]
Chen, Ruey-Jien [1 ]
Huang, Su-Cheng [1 ]
Chang, King-Jen [2 ]
Chow, Song-Nan [1 ,3 ]
机构
[1] Natl Taiwan Univ, Dept Obstet & Gynecol, Coll Med, Taipei 100, Taiwan
[2] Natl Taiwan Univ, Dept Surg, Coll Med, Taipei 100, Taiwan
[3] Far Eastern Mem Hosp, Dept Obstet & Gynecol, Taipei 220, Taiwan
关键词
Breast cancers; Tumor-infiltrating lymphocytes; CD4/CD8; percentage; Lymph node metastasis;
D O I
10.1016/j.breast.2008.06.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
To investigate the clinical significance of tumor-infiltrating lymphocytes (TILs) within the tumor milieu, we quantitatively measured and compared the subpopulations of TILs in 24 patients with stage I-III breast carcinoma. Peripheral blood mononuclear cells (PBMCs), normal breast parenchyma-infiltrating lymphocytes (NILs), and TILs were isolated from tissue specimens and quantified by flow cytometry. The results showed that increased proportion of CD8(+) T cells. with decreased proportion of CD4(+) T cells, was significant in gated CD3(+) TILs as compared to autologous NILs or PBMCs (P < 0.001). The tumor-infiltrating CD8(+) T cells significantly increased with stage progression, reflected in a more strongly decreased CD4/CD8 percentage (P = 0.003). The CD4/CD8 percentage of TILs was strongly correlated with lymphovascular permeation and subsequent lymph node metastasis (P < 0.001). Increased percentages of tumor-infiltrating CD8(+) T cells with decreased CD4/CD8 percentages are of prognostic importance for cancer progression in human breast cancer. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:604 / 610
页数:7
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