Immunoexpression pattern of TLR3 and TLR7 in minor salivary gland adenoid cystic carcinoma and its role in prognosis

Q3 Medicine
Aleksi Rytkönen , Mine Eray , Auli Suominen , Antti Mäkitie , Caj Haglund , Jaana Hagström , Hanna K. Laine
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Abstract

Objectives

Adenoid cystic carcinoma (ACC) of the salivary glands has poor long-term prognosis and a high metastatic rate. Toll-like receptors (TLRs), first-line immune activators, have been associated with both tumor progression and suppression. We aimed to study TLR3 and TLR7 behavior in ACC.

Materials and methods

We studied TLR3 and TLR7 immunoexpression of 46 minor salivary gland ACCs diagnosed at the Department of Otorhinolaryngology – Head and Neck Surgery, Helsinki University Hospital, Helsinki, Finland over the period 1974–2012. The associations of TLR3 and TLR7 immunoexpression with clinicopathological factors were evaluated by χ2-test and Fisher's exact test.

Results

In the majority of samples, both TLR3 and TLR7 were immunoexpressed in cytoplasm. The immunoexpression was heterogeneous between individual tumors. Stronger TLR7 immunoexpression associated with recurrence rate and poorer disease-specific survival (DSS). TLR3 did not associate significantly with survival although we found an inverse correlation between TLR3 and TLR7 immunopositivity. Hence, when TLR3 immunoexpression was negative or mild, TLR7 immunoexpression was moderate to strong, and vice versa.

Conclusions

TLR3 and TLR7 are immunoexpressed in minor salivary gland ACC. TLR7 is potentially an independent prognostic marker for recurrence rate and DSS.

小唾液腺腺样囊性癌中 TLR3 和 TLR7 的免疫表达模式及其在预后中的作用
目的 唾液腺腺样囊性癌(ACC)长期预后不良,转移率高。Toll样受体(TLRs)是一线免疫激活剂,与肿瘤的进展和抑制都有关系。材料与方法我们研究了芬兰赫尔辛基市赫尔辛基大学医院耳鼻咽喉-头颈外科在 1974-2012 年期间诊断出的 46 例小唾液腺 ACC 的 TLR3 和 TLR7 免疫表达。结果在大多数样本中,TLR3和TLR7均在细胞质中免疫表达。不同肿瘤的免疫表达存在差异。较强的TLR7免疫表达与复发率和较差的疾病特异性生存率(DSS)有关。尽管我们发现 TLR3 和 TLR7 免疫阳性之间存在反相关性,但 TLR3 与生存率的关系并不明显。因此,当TLR3免疫表达为阴性或轻度时,TLR7免疫表达为中度到强度,反之亦然。TLR7可能是复发率和DSS的独立预后指标。
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来源期刊
CiteScore
4.30
自引率
0.00%
发文量
148
审稿时长
56 days
期刊介绍: Cancer Treatment and Research Communications is an international peer-reviewed publication dedicated to providing comprehensive basic, translational, and clinical oncology research. The journal is devoted to articles on detection, diagnosis, prevention, policy, and treatment of cancer and provides a global forum for the nurturing and development of future generations of oncology scientists. Cancer Treatment and Research Communications publishes comprehensive reviews and original studies describing various aspects of basic through clinical research of all tumor types. The journal also accepts clinical studies in oncology, with an emphasis on prospective early phase clinical trials. Specific areas of interest include basic, translational, and clinical research and mechanistic approaches; cancer biology; molecular carcinogenesis; genetics and genomics; stem cell and developmental biology; immunology; molecular and cellular oncology; systems biology; drug sensitivity and resistance; gene and antisense therapy; pathology, markers, and prognostic indicators; chemoprevention strategies; multimodality therapy; cancer policy; and integration of various approaches. Our mission is to be the premier source of relevant information through promoting excellence in research and facilitating the timely translation of that science to health care and clinical practice.
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