Immune Response Evaluation Through Determination of Type 1, Type 2, and Type 17 Patterns in Patients With Epithelial Ovarian Cancer

Innate and adaptive immune cells secrete different cytokines, which participate through distinct mechanisms in cell-mediated immunity and humoral immune responses. The aim of this study was to evaluate the immune response through analysis of type 1 (Th1), Th2, and Th17 cells in patients with epithel...

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Veröffentlicht in:Reproductive sciences (Thousand Oaks, Calif.) Calif.), 2013-07, Vol.20 (7), p.828-837
Hauptverfasser: Cândido, Eduardo Batista, Silva, Luciana Maria, Carvalho, Andréa Teixeira, Lamaita, Rívia Mara, Filho, Roberto Mundim Porto, Cota, Bianca Della Croce Vieira, Silva-Filho, Agnaldo Lopes da
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container_issue 7
container_start_page 828
container_title Reproductive sciences (Thousand Oaks, Calif.)
container_volume 20
creator Cândido, Eduardo Batista
Silva, Luciana Maria
Carvalho, Andréa Teixeira
Lamaita, Rívia Mara
Filho, Roberto Mundim Porto
Cota, Bianca Della Croce Vieira
Silva-Filho, Agnaldo Lopes da
description Innate and adaptive immune cells secrete different cytokines, which participate through distinct mechanisms in cell-mediated immunity and humoral immune responses. The aim of this study was to evaluate the immune response through analysis of type 1 (Th1), Th2, and Th17 cells in patients with epithelial ovarian cancer (EOC). Our study included 44 patients with EOC (study group) and 32 gynecological patients with no ovarian disease (control group). Fragments of ovarian tissue and blood samples were collected in both groups and aliquots of intracystic fluid and peritoneal fluid were recovered from the EOC patient group. Interleukin (IL)-2/IL-4/IL-6/IL-10/IL-17/tumor necrosis factor (TNF)-α/interferon (IFN)-γ levels were measured by cytometric bead array. Statistical analysis included chi-squared, Student t, Mann-Whitney, Kruskal-Wallis tests, and Cox regression model. Patients with EOC were associated with higher levels of TNF-α/IL-4/IL-6/IL-10 compared to the control group. Both IL-10 and TNF-α concentrations were higher in patients with stage III/IV EOC and also associated with higher levels of cancer antigen 125. Higher Th1-mediated immune response was observed when the cytoreduction was considered optimal. However, patients with EOC with unsatisfactory cytoreductive surgery and undifferentiated tumors were associated with higher concentrations of Th2 cytokines in the 4 sites studied. Higher IL-6/IL-10 and lower IFN-γ concentrations were also associated with a lower overall survival rate in patients with EOC. The EOC group presented a predominantly Th2 response and an immunosuppressant standard and had association between IL-6/IL-10/IFN-γ and prognosis.
doi_str_mv 10.1177/1933719112466299
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Sci</stitle><addtitle>Reprod Sci</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>20</volume><issue>7</issue><spage>828</spage><epage>837</epage><pages>828-837</pages><issn>1933-7191</issn><eissn>1933-7205</eissn><abstract>Innate and adaptive immune cells secrete different cytokines, which participate through distinct mechanisms in cell-mediated immunity and humoral immune responses. The aim of this study was to evaluate the immune response through analysis of type 1 (Th1), Th2, and Th17 cells in patients with epithelial ovarian cancer (EOC). Our study included 44 patients with EOC (study group) and 32 gynecological patients with no ovarian disease (control group). Fragments of ovarian tissue and blood samples were collected in both groups and aliquots of intracystic fluid and peritoneal fluid were recovered from the EOC patient group. Interleukin (IL)-2/IL-4/IL-6/IL-10/IL-17/tumor necrosis factor (TNF)-α/interferon (IFN)-γ levels were measured by cytometric bead array. Statistical analysis included chi-squared, Student t, Mann-Whitney, Kruskal-Wallis tests, and Cox regression model. Patients with EOC were associated with higher levels of TNF-α/IL-4/IL-6/IL-10 compared to the control group. Both IL-10 and TNF-α concentrations were higher in patients with stage III/IV EOC and also associated with higher levels of cancer antigen 125. Higher Th1-mediated immune response was observed when the cytoreduction was considered optimal. However, patients with EOC with unsatisfactory cytoreductive surgery and undifferentiated tumors were associated with higher concentrations of Th2 cytokines in the 4 sites studied. Higher IL-6/IL-10 and lower IFN-γ concentrations were also associated with a lower overall survival rate in patients with EOC. The EOC group presented a predominantly Th2 response and an immunosuppressant standard and had association between IL-6/IL-10/IFN-γ and prognosis.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23239818</pmid><doi>10.1177/1933719112466299</doi><tpages>10</tpages></addata></record>
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subjects Adult
Aged
Carcinoma, Ovarian Epithelial
Embryology
Female
Humans
Immunity, Cellular
Interleukin-1 - biosynthesis
Interleukin-17 - biosynthesis
Interleukin-2 - biosynthesis
Medicine & Public Health
Middle Aged
Neoplasms, Glandular and Epithelial - diagnosis
Neoplasms, Glandular and Epithelial - immunology
Neoplasms, Glandular and Epithelial - mortality
Obstetrics/Perinatology/Midwifery
Original Article
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - immunology
Ovarian Neoplasms - mortality
Prospective Studies
Reproductive Medicine
Survival Rate - trends
Th1 Cells - immunology
Th1 Cells - metabolism
Th1 Cells - pathology
Th17 Cells - immunology
Th17 Cells - metabolism
Th17 Cells - pathology
Th2 Cells - immunology
Th2 Cells - metabolism
Th2 Cells - pathology
title Immune Response Evaluation Through Determination of Type 1, Type 2, and Type 17 Patterns in Patients With Epithelial Ovarian Cancer
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