P53和免疫标记物的表达可以识别早期甲状腺肿瘤。

Clinical & Developmental Immunology Pub Date : 2013-01-01 Epub Date: 2013-09-19 DOI:10.1155/2013/846584
Marjory Alana Marcello, Elaine Cristina Morari, Lucas Leite Cunha, Aline Carolina De Nadai Silva, Dirce Maria Carraro, André Lopes Carvalho, Fernando Augusto Soares, José Vassallo, Laura Sterian Ward
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引用次数: 24

摘要

背景:除了在细胞增殖、DNA修复和细胞凋亡中发挥重要作用外,功能性p53蛋白还参与诱导抗肿瘤细胞毒性t细胞对癌细胞的活性。我们的目的是研究p53和免疫细胞标志物作为分化型甲状腺癌(DTC)诊断和预后标志物的效用。方法:采用ACIS-III系统评价p53及肿瘤相关巨噬细胞(TAM)等免疫细胞标志物;CD68和肿瘤浸润淋巴细胞(TIL)亚群如CD3、CD4、CD8和CD20在206个甲状腺癌、105个良性结节和18个正常组织中。此外,164例甲状腺乳头状癌患者中有78例进行了TP53测序。结果:P53在恶性病变中的表达高于良性病变(P < 0.0001),有助于区分滤泡型病变。此外,p53在较小的肿瘤(P = 0.0015)、特殊的肿瘤(P = 0.0286)、甲状腺炎(P = 0.0486)和诊断时无转移(P = 0.0201)中更常见。TAM在P53阴性肿瘤中更为常见(P = 0.002)。CD8+ TIL浸润在P53阳性DTC中占61.7%,P53阴性DTC中占25.6% (P < 0.001)。结论:我们认为p53和CD8+ TIL免疫谱分析可能对DTC有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

P53 and expression of immunological markers may identify early stage thyroid tumors.

P53 and expression of immunological markers may identify early stage thyroid tumors.

P53 and expression of immunological markers may identify early stage thyroid tumors.

Background: Besides its major role in cell proliferation, DNA repair, and apoptosis, functional p53 protein is involved in the induction of antitumor cytotoxic-T-cell activity against carcinoma cells. We aimed to investigate p53 and immune cell markers utility as diagnostic and prognostic markers of differentiated thyroid cancer (DTC).

Methods: ACIS-III system was used to evaluate p53 and immune cell markers including tumor-associated macrophages (TAM); CD68 and tumor-infiltrating lymphocytes (TIL) subsets such as CD3, CD4, CD8, and CD20 in 206 thyroid carcinomas, 105 benign nodules, and 18 normal tissues. Also, TP53 was sequenced in 78 out of 164 patients with papillary thyroid carcinoma.

Results: P53 expression was observed more frequently in malignant than in benign lesions (P < 0.0001) and helped discriminate follicular patterned lesions. In addition, p53 was more frequent in smaller (P = 0.0015), unique tumors (P = 0.0286), with thyroiditis (P = 0.0486) and without metastasis at diagnosis (P = 0.0201). TAM was more frequent in P53 negative tumors (P = 0.002). Infiltration of CD8+ TIL was found in 61.7% of P53 positive and 25.6% of P53 negative DTC (P < 0.001).

Conclusions: We suggest that p53 and CD8+ TIL immune profile analysis might be useful in DTC.

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