大肠癌肿瘤浸润CD4和CD8 T淋巴细胞的表达与预后的关系
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杨伟明 E-mail:yangweiming2004@126.com

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贵州省优秀科技教育人才省长专项资金资助项目(200779)。


Expression and prognostic role of tumor-infiltrating CD4 and CD8 T lymphocyte in colorectal cancer
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    摘要:

    目的:探讨大肠癌肿瘤浸润淋巴细胞(TIL)表达的变化与预后的关系。方法:收集16年间收治的生存期≥5年及≤3年的大肠癌患者标本各30例,采用免疫组化方法及流式细胞术检测大肠癌组织中肿瘤浸润CD4和CD8 T淋巴细胞的表达情况,并分析它们与临床病理参数及患者预后的关系。结果:免疫组化法检测CD4和CD8 T淋巴细胞在大肠癌组织内表达率分别为28.3%(17/60)及41.6%(25/60),大肠癌癌巢内的CD4和CD8表达均明显低于间质内(均P<0.05),癌组织中CD4和CD8表达与患者年龄、性别、淋巴结转移及组织分化程度无关,而与患者肿瘤Dukes分期及预后相关;A+B期患者CD4和CD8阳性表达率均明显高于C+D期患者;而生存期≥5年组CD4和CD8表达率均明显高于≤3年死亡组(均P<0.05)。流式细胞术检测显示大肠癌组织中浸润淋巴细胞CD4/CD8比值与肿瘤Dukes分期及预后有关(P<0.05)。结论:大肠癌组织肿瘤浸润CD4和CD8 T淋巴细胞可以作为患者预后的指标;癌组织中TIL低密度浸润提示预后不良。

    Abstract:

    Objective: To study the expression of tumor-infiltrating lymphocytes (TIL) and their prognostic roles in colorectal cancer. Methods: The colorectal cancer specimens from the patients who had been operated in our hospital over a past 16-year period were collected, with 30 cases of either survival time≥5 years or ≤3 years.Immunohistochemical staining and flow cytometry were used to detect the expression of tumor-infiltrating CD4 and CD8 T lymphocyte, and the relations of their expressions with clinicopathological features and prognosis were analyzed. Results: The expression rate of CD4 and CD8 in colorectal cancer tissues was 28.3% (17/60) and 41.6%(25/60)by immunohistochemical staining, respectively. The expression levels of CD4 and CD8 in cancer nests were significantly lower than those in interstitial tissue (both P<0.05).The expression of CD4 and CD8 in tumor tissue was irrelevant to gender,age,lymph node metastasis and differentiation degree of tumor, and was correlated with tumor Dukes stage and outcome of the patients. The expression rates of CD4 and CD8 in the patients with Dukes stage A+B cancer were both higher than those in the patients with Dukes stage C+D cancer, and the expression rates of CD4 and CD8 in the patients with survival time ≥5years were both significantly higher than those of the patients with survival time ≤3 years(both P<0.05). Flow cytometry analysis showed that the CD4/CD8 ratio of tumor-infiltrating lymphocytes was related to the Dukes stage and outcome of the patients (P<0.05). Conclusions: Tumor-infiltrating CD4 and CD8 T lymphocyte can be used as the prognosis factors for patients with colorectal cancer, and low infiltration of TIL in tumor regions predicts a poor prognosis.

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杨伟明| 赵洪远| 王超宇| 刘宙.大肠癌肿瘤浸润CD4和CD8 T淋巴细胞的表达与预后的关系[J].中国普通外科杂志,2011,20(10):1062-1066.
DOI:10.7659/j. issn.1005-6947.2011.10.012

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  • 收稿日期:2011-06-03
  • 最后修改日期:2011-09-15
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  • 在线发布日期: 2011-10-15