The cellular ratio of immune tolerance (immunoCRIT) is a definite marker for aggressiveness of solid tumors and may explain tumor dissemination patterns
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The cellular ratio of immune tolerance (immunoCRIT) is a definite marker for aggressiveness of solid tumors and may explain tumor dissemination patterns. / Türbachova, Ivana; Schwachula, Tim; Vasconcelos, Ines; Mustea, Alexander; Baldinger, Tina; Jones, Katherine A; Bujard, Hermann; Olek, Alexander; Olek, Klaus; Gellhaus, Katharina; Braicu, Ioana; Könsgen, Dominique; Fryer, Christy; Ravot, Elisabetta; Hellwag, Alexander; Westerfeld, Nicole; Gruss, Oliver J; Meissner, Markus; Hasan, Mazahir T; Weber, Michael; Hoffmüller, Ulrich; Zimmermann, Sven; Loddenkemper, Christoph; Mahner, Sven; Babel, Nina; Berns, Els; Adams, Richard; Zeilinger, Robert; Baron, Udo; Vergote, Ignace; Maughan, Tim; Marme, Frederik; Dickhaus, Thorsten; Sehouli, Jalid; Olek, Sven.
in: EPIGENETICS-US, Jahrgang 8, Nr. 11, 01.11.2013, S. 1226-35.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - The cellular ratio of immune tolerance (immunoCRIT) is a definite marker for aggressiveness of solid tumors and may explain tumor dissemination patterns
AU - Türbachova, Ivana
AU - Schwachula, Tim
AU - Vasconcelos, Ines
AU - Mustea, Alexander
AU - Baldinger, Tina
AU - Jones, Katherine A
AU - Bujard, Hermann
AU - Olek, Alexander
AU - Olek, Klaus
AU - Gellhaus, Katharina
AU - Braicu, Ioana
AU - Könsgen, Dominique
AU - Fryer, Christy
AU - Ravot, Elisabetta
AU - Hellwag, Alexander
AU - Westerfeld, Nicole
AU - Gruss, Oliver J
AU - Meissner, Markus
AU - Hasan, Mazahir T
AU - Weber, Michael
AU - Hoffmüller, Ulrich
AU - Zimmermann, Sven
AU - Loddenkemper, Christoph
AU - Mahner, Sven
AU - Babel, Nina
AU - Berns, Els
AU - Adams, Richard
AU - Zeilinger, Robert
AU - Baron, Udo
AU - Vergote, Ignace
AU - Maughan, Tim
AU - Marme, Frederik
AU - Dickhaus, Thorsten
AU - Sehouli, Jalid
AU - Olek, Sven
PY - 2013/11/1
Y1 - 2013/11/1
N2 - The adaptive immune system is involved in tumor establishment and aggressiveness. Tumors of the ovaries, an immune-privileged organ, spread via transceolomic routes and rarely to distant organs. This is contrary to tumors of non-immune privileged organs, which often disseminate hematogenously to distant organs. Epigenetics-based immune cell quantification allows direct comparison of the immune status in benign and malignant tissues and in blood. Here, we introduce the "cellular ratio of immune tolerance" (immunoCRIT) as defined by the ratio of regulatory T cells to total T lymphocytes. The immunoCRIT was analyzed on 273 benign tissue samples of colorectal, bronchial, renal and ovarian origin as well as in 808 samples from primary colorectal, bronchial, mammary and ovarian cancers. ImmunoCRIT is strongly increased in all cancerous tissues and gradually augmented strictly dependent on tumor aggressiveness. In peripheral blood of ovarian cancer patients, immunoCRIT incrementally increases from primary diagnosis to disease recurrence, at which distant metastases frequently occur. We postulate that non-pathological immunoCRIT values observed in peripheral blood of immune privileged ovarian tumor patients are sufficient to prevent hematogenous spread at primary diagnosis. Contrarily, non-immune privileged tumors establish high immunoCRIT in an immunological environment equivalent to the bloodstream and thus spread hematogenously to distant organs. In summary, our data suggest that the immunoCRIT is a powerful marker for tumor aggressiveness and disease dissemination.
AB - The adaptive immune system is involved in tumor establishment and aggressiveness. Tumors of the ovaries, an immune-privileged organ, spread via transceolomic routes and rarely to distant organs. This is contrary to tumors of non-immune privileged organs, which often disseminate hematogenously to distant organs. Epigenetics-based immune cell quantification allows direct comparison of the immune status in benign and malignant tissues and in blood. Here, we introduce the "cellular ratio of immune tolerance" (immunoCRIT) as defined by the ratio of regulatory T cells to total T lymphocytes. The immunoCRIT was analyzed on 273 benign tissue samples of colorectal, bronchial, renal and ovarian origin as well as in 808 samples from primary colorectal, bronchial, mammary and ovarian cancers. ImmunoCRIT is strongly increased in all cancerous tissues and gradually augmented strictly dependent on tumor aggressiveness. In peripheral blood of ovarian cancer patients, immunoCRIT incrementally increases from primary diagnosis to disease recurrence, at which distant metastases frequently occur. We postulate that non-pathological immunoCRIT values observed in peripheral blood of immune privileged ovarian tumor patients are sufficient to prevent hematogenous spread at primary diagnosis. Contrarily, non-immune privileged tumors establish high immunoCRIT in an immunological environment equivalent to the bloodstream and thus spread hematogenously to distant organs. In summary, our data suggest that the immunoCRIT is a powerful marker for tumor aggressiveness and disease dissemination.
U2 - 10.4161/epi.26334
DO - 10.4161/epi.26334
M3 - SCORING: Journal article
C2 - 24071829
VL - 8
SP - 1226
EP - 1235
JO - EPIGENETICS-US
JF - EPIGENETICS-US
SN - 1559-2294
IS - 11
ER -