Prognostic Impact of FoxP3+ Regulatory T Cells in Relation to CD8+ T Lymphocyte Density in Human Colon Carcinomas 英文参考文献.docVIP

Prognostic Impact of FoxP3+ Regulatory T Cells in Relation to CD8+ T Lymphocyte Density in Human Colon Carcinomas 英文参考文献.doc

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PrognosticImpactofFoxP3RegulatoryTCellsinRelationtoCD8TLymphocyteDensityinHumanColonCarcinomas英文参考文献

PrognosticImpactofFoxP3+RegulatoryTCellsin RelationtoCD8+TLymphocyteDensityinHumanColon Carcinomas HarryH.Yoon1,JaredM.Orrock2,NathanR.Foster3,DanielJ.Sargent3,ThomasC.Smyrk2, FrankA.Sinicrope1,4 * 1DepartmentofOncology,MayoClinic,Rochester,Minnesota,UnitedStatesofAmerica,2DepartmentofLaboratoryMedicineandPathology,MayoClinic,Rochester, Minnesota,UnitedStatesofAmerica,3DepartmentofHealthSciencesResearch MayoClinic,Rochester,Minnesota,UnitedStatesofAmerica,4DepartmentofMedicine, MayoClinic,Rochester,Minnesota,UnitedStatesofAmerica Abstract Background:T-lymphocyteinfiltrationintocoloncarcinomascaninfluenceclinicaloutcome,andinteractionsamongTcell subsetsmaybemoreinformativethaneithersubsetalone.Ourobjectivewastoexaminetheprognosticimpactoftumor- infiltratingFoxP3+regulatoryTcells(Tregs)inrelationtocytotoxicCD8 Tlymphocytesinpatientswithcoloncarcinomas characterizedbyDNAmismatchrepair(MMR)statuswhoparticipatedinadjuvantchemotherapytrials. + Methods: FoxP3+ and CD8+ densities in tumor epithelial and stromal compartments were analyzed by immunohisto- chemistryandquantifiedinresected,stageIIandIIIcoloniccarcinomas(N=216).Immunemarkerdensitywasdichotomized atthemedianandcategorizedashighvslow.MMRstatuswasclassifiedasMMRdeficient(dMMR)orproficient(pMMR).Cox modelswereadjustedforage,stage,andtumorgrade. Results:ThedensityofFoxP3+infiltrationwassimilarintumorstromaandepithelia,whereasCD8+washigherinstroma. TheprognosticimpactofFoxP3+andCD8+Tcellinfiltrationwasstrongerinstromavsepithelia,andthedensityofeach marker in stroma was independently associated with improved overall survival (OS). However, the impact of FoxP3+ on survival was dependent upon CD8+ density (P interaction =.040). Among CD8+low tumors, FoxP3+high cases had significantlyimprovedOScomparedtoFoxP3+ casesafteradjustmentforcovariates(hazardratio0.43;95%confidence low interval0.19to0.95;P=.030).Incontrast,FoxP3+wasnotprognosticamongCD8+hightumors.FoxP3+remainedprognostic in CD8+low tumors after furt

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