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Distribution and prognostic value of tumor-infiltrating T cells in breast cancer

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机构: [1]First Peoples Hosp Yunnan Prov, Dept Breast & Thyroid Surg, 157 Jin Bi Rd, Kunming 650011, Yunnan, Peoples R China [2]Anhui Med Univ, Affiliated Hosp 4, Dept Emergency Surg, Hefei 230000, Anhui, Peoples R China
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关键词: tumor-infiltrating T cells gene expression distribution prognosis breast cancer

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Tumor-infiltrating lymphocytes are associated with the response to neoadjuvent chemotherapy and prognosis in breast cancer. However, the distribution, interaction and prognostic value of tumor-infiltrating T cells, the main component of the tumor microenvironment, have seldom been reported. In the present study, surgical specimens of 72 breast cancer patients were analyzed. Tumor-infiltrating T cell subsets [cluster of differentiation (CD)4(+)T, CD8(+)T and regulatory T cells] and expression of their cytokines [interferon-gamma, interleukin (IL)-4, and IL-17] were evaluated by flow cytometry. These parameters together with The Cancer Genome Atlas database were used to demonstrate the distribution, interaction and prognostic value of tumor-infiltrating T cells in breast cancer. Tumor-infiltrating lymphocytes were closely associated with histological grade (P = 0.03), estrogen receptor status (P = 0.006), human epidermal growth factor receptor 2 status (P = 0.047) and molecular subtype in breast cancer (P = 0.012). The gene expression of CD4, CD8A and forkhead box protein P3 in the tumor was increased compared with healthy breast tissue, and was positively associated with the prognosis of breast cancer patients. HER2(+) and triple-negative breast cancer exhibited a significantly increased percentage of CD4(+)T cells (P = 0.01) and regulatory T cells (P = 0.035), and a decreased percentage of CD8(+)T cells (P = 0.006) compared with the luminal subtype. Furthermore, the regulatory T cell number was positively correlated with CD8(+)T cell number in tumors (R = 0.7, P = 1.5 x 10(-162)) and significantly inhibited the cytokine secretion of T cells. These results reveal the distribution and interaction of tumor-infiltrating T cell subsets, and indicate that CD8(+)T cells and regulatory T cells may be used as reliable predictors of prognosis in breast cancer.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 医学:研究与实验 4 区 肿瘤学
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出版当年[2017]版:
Q3 MEDICINE, RESEARCH & EXPERIMENTAL Q4 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY Q2 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]First Peoples Hosp Yunnan Prov, Dept Breast & Thyroid Surg, 157 Jin Bi Rd, Kunming 650011, Yunnan, Peoples R China
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通讯机构: [1]First Peoples Hosp Yunnan Prov, Dept Breast & Thyroid Surg, 157 Jin Bi Rd, Kunming 650011, Yunnan, Peoples R China [*1]Department of Breast and Thyroid Surgery, The First People's Hospital of Yunnan Province, 157 Jin Bi Road, Kunming, Yunnan 650011, P.R. China
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