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
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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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