To explore the correlation between tumor-infiltrating immune cell subsets and breast cancer prognosis.
Specimens of 102 patients with invasive ductal carcinoma of the breast were analyzed for immune-related markers (CD8, CD20, FOXP3 and CD68). The number of positive cells in the 3 most highly stained intratumoral stroma areas of the primary tumor was counted. The mean number was calculated and used to divide patients into 2 groups for each marker (CD8-high/CD8-low, CD20-high/CD20-low, FOXP3-high/FOXP3-low, and CD68-high/CD68-low).
Kaplan-Meier survival analysis showed (a) for all patients that high tumor-infiltrating CD8+ and CD20+ B lymphocytes, low tumor-infiltrating FOXP3+ regulatory T cells (Tregs), and CD68+ macrophages all increased OS and DFS (p<0.05); (b) for both the 35 ER-negative and 45 lymph–node-negative patients, high CD8+ cytotoxic T lymphocytes (CTLs) increased OS and DFS (p<0.05). Multivariate analysis of OS and DFS showed that for all patients high CD8+ CTLs and low FOXP3+ Tregs were related to good OS and DFS (p<0.05).
High numbers of tumor-infiltrating CD8+ and low numbers of FOXP3+ T lymphocytes both could function as potential independent prognostic markers for invasive ductal breast carcinoma.
Post author correction
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsYangmei Xu, Suzhen Lan, Qiuhong Zheng
- • Accepted on 14/03/2017
- • Available online on 20/04/2017
This article is available as full text PDF.
- Xu, Yangmei [PubMed] [Google Scholar]
- Lan, Suzhen [PubMed] [Google Scholar]
- Zheng, Qiuhong [PubMed] [Google Scholar] , * Corresponding Author (firstname.lastname@example.org)
Fujian Provincial Key Laboratory of Tumor Biotherapy, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, Fuzhou, Fujian - China