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Erschienen in: Cellular Oncology 3/2019

01.03.2019 | Original Paper

Importance of CD45RO+ tumor-infiltrating lymphocytes in post-operative survival of breast cancer patients

verfasst von: Simin Ahmadvand, Zahra Faghih, Mehdi Montazer, Akbar Safaei, Maral Mokhtari, Peyman Jafari, Abdol-Rasoul Talei, Sedigheh Tahmasebi, Abbas Ghaderi

Erschienen in: Cellular Oncology | Ausgabe 3/2019

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Abstract

Purpose

In recent years, the prognostic/predictive significance of tumor infiltrating lymphocytes (TILs) has become a topic of interest. Here, we aimed to evaluate the prognostic significance of CD3+, CD8+, CD45RO+ and Foxp3+ TILs in breast cancer, as well as the relation of these markers to other clinicopathological features of this disease.

Methods

FFPE tumor samples from 94 females with invasive ductal carcinoma of the breast were retrospectively selected and immunohistochemically assessed for CD3, CD8, CD45RO and Foxp3 expression. Digital photos were acquired from the center (CT) and invasive margins (IM) of the tumors, after which positive cells were counted using ImageJ software.

Results

We found that greater infiltrations of target lymphocyte subpopulations were associated with TNM stage III, lymph node metastasis, high histological grade, ER negativity and HER2 positivity. The ratios of CD8+ cytotoxic T cells to CD3+, CD45RO+ and Foxp3+ TILs were found to be relatively higher in tumors exhibiting the aforementioned characteristics. In univariate survival analyses, CD8+ TILs in the IM and total CD45RO+ TILs were found to be significantly associated with overall survival (OS). Infiltration of CD45RO+ TILs in the CT and lymph node status were variables that significantly correlated with disease-free survival (DFS). Multiple Cox regression analyses revealed independent significant prognostic effects of total CD45RO+ TILs and lymph node status (HR of 3.24 and 3.19, respectively) in predicting OS. Infiltration of CD45RO+ TILs in the CT (HR 3.12) and lymph node status (HR 3.15) also exhibited significant prognostic effects on DFS.

Conclusion

From our data we conclude that CD45RO+ TILs serve as prognostic factors for predicting OS and DFS of breast cancer patients.
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Metadaten
Titel
Importance of CD45RO+ tumor-infiltrating lymphocytes in post-operative survival of breast cancer patients
verfasst von
Simin Ahmadvand
Zahra Faghih
Mehdi Montazer
Akbar Safaei
Maral Mokhtari
Peyman Jafari
Abdol-Rasoul Talei
Sedigheh Tahmasebi
Abbas Ghaderi
Publikationsdatum
01.03.2019
Verlag
Springer Netherlands
Erschienen in
Cellular Oncology / Ausgabe 3/2019
Print ISSN: 2211-3428
Elektronische ISSN: 2211-3436
DOI
https://doi.org/10.1007/s13402-019-00430-6

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