Prognostic Value of Tumor-Infiltrating Dendritic Cells in Colorectal Cancer: Role of Maturation Status and Intratumoral Localization

The clinical significance of tumor-infiltrating dendritic cells has been reported in a variety of human solid tumors as shown by the correlations found between the presence of tumor-infiltrating dendritic cells and clinical prognosis. In this study, we evaluated whether there is an association betwe...

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Veröffentlicht in:Clinical cancer research 2005-04, Vol.11 (7), p.2576-2582
Hauptverfasser: SANDEL, Maro H, DADABAYEV, Alisher R, VAN DE VELDE, Cornelis J. H, KUPPEN, Peter J. K, MENON, Anand G, MORREAU, Hans, MELIEF, Cornelis J. M, OFFRINGA, Rienk, VAN DER BURG, Sjoerd H, JANSSEN-VAN RHIJN, Connie M, ENSINK, N. Geeske, TOLLENAAR, Rob A. E. M
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container_end_page 2582
container_issue 7
container_start_page 2576
container_title Clinical cancer research
container_volume 11
creator SANDEL, Maro H
DADABAYEV, Alisher R
VAN DE VELDE, Cornelis J. H
KUPPEN, Peter J. K
MENON, Anand G
MORREAU, Hans
MELIEF, Cornelis J. M
OFFRINGA, Rienk
VAN DER BURG, Sjoerd H
JANSSEN-VAN RHIJN, Connie M
ENSINK, N. Geeske
TOLLENAAR, Rob A. E. M
description The clinical significance of tumor-infiltrating dendritic cells has been reported in a variety of human solid tumors as shown by the correlations found between the presence of tumor-infiltrating dendritic cells and clinical prognosis. In this study, we evaluated whether there is an association between the presence and maturation status of tumor-infiltrating dendritic cells, T lymphocytes, and clinical course in 104 primary tumor samples of patients with colorectal cancer. Dendritic cells were identified with four different markers (S-100, HLA class II, CD208, and CD1a) in double immunohistochemistry, with laminin as second marker to support the exact localization. Tumor-infiltrating dendritic cells showed a distinct infiltration pattern based on their maturation status. CD1a-positive dendritic cells resided in the advancing tumor margins in relatively high numbers, whereas mature CD208-positive dendritic cells were sparsely present in the tumor epithelium but mainly distributed in the tumor stroma and advancing tumor margin. Furthermore, high infiltration of CD1a-positive dendritic cells in the tumor epithelium was significantly correlated to the infiltration of CD4 lymphocytes ( P = 0.006). Patients with relatively high numbers of mature CD208-positive infiltrating dendritic cells in the tumor epithelium had a shorter overall survival ( P = 0.004). In addition, patients with relatively high numbers of CD1a-positive dendritic cells in the advancing margin of the tumor had a shorter disease-free survival ( P = 0.03). We found that tumor-infiltrating dendritic cells had preferential infiltration sites within a tumor, affected local tumor cell-immune cell interactions, and correlated to the clinical prognosis of colorectal cancer patients.
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H ; KUPPEN, Peter J. K ; MENON, Anand G ; MORREAU, Hans ; MELIEF, Cornelis J. M ; OFFRINGA, Rienk ; VAN DER BURG, Sjoerd H ; JANSSEN-VAN RHIJN, Connie M ; ENSINK, N. Geeske ; TOLLENAAR, Rob A. E. M</creator><creatorcontrib>SANDEL, Maro H ; DADABAYEV, Alisher R ; VAN DE VELDE, Cornelis J. H ; KUPPEN, Peter J. K ; MENON, Anand G ; MORREAU, Hans ; MELIEF, Cornelis J. M ; OFFRINGA, Rienk ; VAN DER BURG, Sjoerd H ; JANSSEN-VAN RHIJN, Connie M ; ENSINK, N. Geeske ; TOLLENAAR, Rob A. E. M</creatorcontrib><description>The clinical significance of tumor-infiltrating dendritic cells has been reported in a variety of human solid tumors as shown by the correlations found between the presence of tumor-infiltrating dendritic cells and clinical prognosis. In this study, we evaluated whether there is an association between the presence and maturation status of tumor-infiltrating dendritic cells, T lymphocytes, and clinical course in 104 primary tumor samples of patients with colorectal cancer. Dendritic cells were identified with four different markers (S-100, HLA class II, CD208, and CD1a) in double immunohistochemistry, with laminin as second marker to support the exact localization. Tumor-infiltrating dendritic cells showed a distinct infiltration pattern based on their maturation status. CD1a-positive dendritic cells resided in the advancing tumor margins in relatively high numbers, whereas mature CD208-positive dendritic cells were sparsely present in the tumor epithelium but mainly distributed in the tumor stroma and advancing tumor margin. Furthermore, high infiltration of CD1a-positive dendritic cells in the tumor epithelium was significantly correlated to the infiltration of CD4 lymphocytes ( P = 0.006). Patients with relatively high numbers of mature CD208-positive infiltrating dendritic cells in the tumor epithelium had a shorter overall survival ( P = 0.004). In addition, patients with relatively high numbers of CD1a-positive dendritic cells in the advancing margin of the tumor had a shorter disease-free survival ( P = 0.03). 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Abdomen ; Histocompatibility Antigens Class II - analysis ; HLA Antigens - analysis ; Humans ; Immunohistochemistry ; Infant ; Infant, Newborn ; Lysosomal Membrane Proteins ; Male ; Medical sciences ; Middle Aged ; Neoplasm Staging ; Pharmacology. Drug treatments ; Prognosis ; S100 Proteins - analysis ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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H</creatorcontrib><creatorcontrib>KUPPEN, Peter J. K</creatorcontrib><creatorcontrib>MENON, Anand G</creatorcontrib><creatorcontrib>MORREAU, Hans</creatorcontrib><creatorcontrib>MELIEF, Cornelis J. M</creatorcontrib><creatorcontrib>OFFRINGA, Rienk</creatorcontrib><creatorcontrib>VAN DER BURG, Sjoerd H</creatorcontrib><creatorcontrib>JANSSEN-VAN RHIJN, Connie M</creatorcontrib><creatorcontrib>ENSINK, N. Geeske</creatorcontrib><creatorcontrib>TOLLENAAR, Rob A. E. M</creatorcontrib><title>Prognostic Value of Tumor-Infiltrating Dendritic Cells in Colorectal Cancer: Role of Maturation Status and Intratumoral Localization</title><title>Clinical cancer research</title><addtitle>Clin Cancer Res</addtitle><description>The clinical significance of tumor-infiltrating dendritic cells has been reported in a variety of human solid tumors as shown by the correlations found between the presence of tumor-infiltrating dendritic cells and clinical prognosis. 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subjects adenocarcinoma
Adolescent
Adult
Antigen-presenting cells
Antigens, CD - analysis
Antigens, CD1 - analysis
Antineoplastic agents
Biological and medical sciences
CD1a
CD208
Child
Child, Preschool
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - pathology
Dendritic Cells - chemistry
Dendritic Cells - pathology
Epithelium - chemistry
Epithelium - pathology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Histocompatibility Antigens Class II - analysis
HLA Antigens - analysis
Humans
Immunohistochemistry
Infant
Infant, Newborn
Lysosomal Membrane Proteins
Male
Medical sciences
Middle Aged
Neoplasm Staging
Pharmacology. Drug treatments
Prognosis
S100 Proteins - analysis
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Survival Analysis
tumor-infiltrating leukocytes
Tumors
title Prognostic Value of Tumor-Infiltrating Dendritic Cells in Colorectal Cancer: Role of Maturation Status and Intratumoral Localization
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