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PMID: 19641607 Published · epublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, Non-P.H.S.

Systematic analysis of immune infiltrates in high-grade serous ovarian cancer reveals CD20, FoxP3 and TIA-1 as positive prognostic factors.

PloS one ·Vol. 4 ·No. 7 ·2009-07-29 ·Pages e6412

Milne K, Köbel M, Kalloger SE, Barnes RO, Gao D, Gilks CB, Watson PH, Nelson BH

Abstract

Tumor-infiltrating T cells are associated with survival in epithelial ovarian cancer (EOC), but their functional status is poorly understood, especially relative to the different risk categories and histological subtypes of EOC. Tissue microarrays containing high-grade serous, endometrioid, mucinous and clear cell tumors were analyzed immunohistochemically for the presence of lymphocytes, dendritic cells, neutrophils, macrophages, MHC class I and II, and various markers of activation and inflammation. In high-grade serous tumors from optimally debulked patients, positive associations were seen between intraepithelial cells expressing CD3, CD4, CD8, CD45RO, CD25, TIA-1, Granzyme B, FoxP3, CD20, and CD68, as well as expression of MHC class I and II by tumor cells. Disease-specific survival was positively associated with the markers CD8, CD3, FoxP3, TIA-1, CD20, MHC class I and class II. In other histological subtypes, immune infiltrates were less prevalent, and the only markers associated with survival were MHC class II (positive association in endometrioid cases) and myeloperoxidase (negative association in clear cell cases). Host immune responses to EOC vary widely according to histological subtype and the extent of residual disease. TIA-1, FoxP3 and CD20 emerge as new positive prognostic factors in high-grade serous EOC from optimally debulked patients.

MeSH Terms
Antigens, CD20/immunology B-Lymphocytes/immunology Biomarkers, Tumor/immunology Female Forkhead Transcription Factors/immunology Humans Immunohistochemistry Middle Aged Ovarian Neoplasms/immunology,pathology Poly(A)-Binding Proteins/immunology Prognosis Survival Analysis T-Cell Intracellular Antigen-1 Tissue Array Analysis
Chemicals
Antigens, CD20 Biomarkers, Tumor FOXP3 protein, human Forkhead Transcription Factors Poly(A)-Binding Proteins T-Cell Intracellular Antigen-1 TIA1 protein, human
Authors & Affiliations
8 authors, click to expand affiliations / ORCID
Milne Katy
Trev and Joyce Deeley Research Centre, BC Cancer Agency, Victoria, British Columbia, Canada.
Köbel Martin
Kalloger Steven E
Barnes Rebecca O
Gao Dongxia
Gilks C Blake
Watson Peter H
Nelson Brad H
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Article Info
Journal
PloS one
Abbr.
PLoS One
ISSN
1932-6203
Published
2009-07-29
Epub
2009-00-29
Pages
e6412
Language
English
Region
United States
NLM ID
101285081
PMCID
PMC2712762
Subset
IM
Corrections
ErratumIn
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