High tissue density of FOXP3+ T cells is associated with clinical outcome in prostate cancer
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High tissue density of FOXP3+ T cells is associated with clinical outcome in prostate cancer. / Flammiger, Anna; Weisbach, Lars; Huland, Hartwig; Tennstedt, Pierre; Simon, Ronald; Minner, Sarah; Bokemeyer, Carsten; Sauter, Guido; Schlomm, Thorsten; Trepel, Martin.
in: EUR J CANCER, Jahrgang 49, Nr. 6, 01.04.2013, S. 1273-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - High tissue density of FOXP3+ T cells is associated with clinical outcome in prostate cancer
AU - Flammiger, Anna
AU - Weisbach, Lars
AU - Huland, Hartwig
AU - Tennstedt, Pierre
AU - Simon, Ronald
AU - Minner, Sarah
AU - Bokemeyer, Carsten
AU - Sauter, Guido
AU - Schlomm, Thorsten
AU - Trepel, Martin
N1 - Copyright © 2012 Elsevier Ltd. All rights reserved.
PY - 2013/4/1
Y1 - 2013/4/1
N2 - Cell-mediated immunity may impact prostate cancer progression and has great therapeutic potential. Here, we investigated the clinical significance of the numeric density of regulatory T cells (Tregs) in prostate cancer as the presence of such cells in the tumour microenvironment has been linked to clinical outcome in other tumour entities. We detected Tregs by FOXP3 immunohistochemistry in 88.8% of 2002 prostate cancer specimens in tissue microarray format, the largest cohort so far in which Tregs have been quantified. The density of Tregs in tumour tissue was compared with pathological parameters and clinical outcome. The number of Tregs identified per 0.6mm tissue spot ranged from 1 to 10 in normal and 1 to 103 FOXP3+ cells in tumour samples. Prostate-specific antigen (PSA) recurrence-free survival was significantly reduced in patients with higher numbers of Tregs (p=0.0151). Further, a higher number of intratumoural FOXP3+ Tregs was associated with a more advanced tumour stage (p=0.0355) and higher Ki67 labelling index (p<0.0001). The tissue density of Tregs was unrelated to other clinical parameters such as spread to lymph nodes, preoperative PSA level and Gleason score. Our study suggests that the intratumoural presence of regulatory T cells may have substantial functional impact and may confer an adverse clinical course in prostate cancer.
AB - Cell-mediated immunity may impact prostate cancer progression and has great therapeutic potential. Here, we investigated the clinical significance of the numeric density of regulatory T cells (Tregs) in prostate cancer as the presence of such cells in the tumour microenvironment has been linked to clinical outcome in other tumour entities. We detected Tregs by FOXP3 immunohistochemistry in 88.8% of 2002 prostate cancer specimens in tissue microarray format, the largest cohort so far in which Tregs have been quantified. The density of Tregs in tumour tissue was compared with pathological parameters and clinical outcome. The number of Tregs identified per 0.6mm tissue spot ranged from 1 to 10 in normal and 1 to 103 FOXP3+ cells in tumour samples. Prostate-specific antigen (PSA) recurrence-free survival was significantly reduced in patients with higher numbers of Tregs (p=0.0151). Further, a higher number of intratumoural FOXP3+ Tregs was associated with a more advanced tumour stage (p=0.0355) and higher Ki67 labelling index (p<0.0001). The tissue density of Tregs was unrelated to other clinical parameters such as spread to lymph nodes, preoperative PSA level and Gleason score. Our study suggests that the intratumoural presence of regulatory T cells may have substantial functional impact and may confer an adverse clinical course in prostate cancer.
KW - Aged
KW - Androgen Antagonists
KW - Forkhead Transcription Factors
KW - Humans
KW - Immunity, Cellular
KW - Immunohistochemistry
KW - Kaplan-Meier Estimate
KW - Ki-67 Antigen
KW - Lymphocyte Count
KW - Male
KW - Middle Aged
KW - Neoplasm Grading
KW - Neoplasm Staging
KW - Outcome Assessment (Health Care)
KW - Preoperative Period
KW - Prognosis
KW - Proportional Hazards Models
KW - Prostate-Specific Antigen
KW - Prostatectomy
KW - Prostatic Neoplasms
KW - T-Lymphocytes, Regulatory
KW - Tissue Array Analysis
U2 - 10.1016/j.ejca.2012.11.035
DO - 10.1016/j.ejca.2012.11.035
M3 - SCORING: Journal article
C2 - 23266046
VL - 49
SP - 1273
EP - 1279
JO - EUR J CANCER
JF - EUR J CANCER
SN - 0959-8049
IS - 6
ER -