Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.

BACKGROUND:Tumor-infiltrating lymphocytes include tumor-reactive lymphocytes and regulatory T-cells. However, the prognostic value of tumor-infiltrating lymphocytes in oral squamous cell carcinoma (OSCC) remains unclear. METHODS:We used immunohistochemistry to evaluate the presence of tumor-infiltra...

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Main Authors: Kazushige Koike, Hironari Dehari, Kazuhiro Ogi, Shota Shimizu, Koyo Nishiyama, Tomoko Sonoda, Takanori Sasaki, Takashi Sasaya, Kei Tsuchihashi, Tadashi Hasegawa, Toshihiko Torigoe, Hiroyoshi Hiratsuka, Akihiro Miyazaki
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0237465
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author Kazushige Koike
Hironari Dehari
Kazuhiro Ogi
Shota Shimizu
Koyo Nishiyama
Tomoko Sonoda
Takanori Sasaki
Takashi Sasaya
Kei Tsuchihashi
Tadashi Hasegawa
Toshihiko Torigoe
Hiroyoshi Hiratsuka
Akihiro Miyazaki
author_facet Kazushige Koike
Hironari Dehari
Kazuhiro Ogi
Shota Shimizu
Koyo Nishiyama
Tomoko Sonoda
Takanori Sasaki
Takashi Sasaya
Kei Tsuchihashi
Tadashi Hasegawa
Toshihiko Torigoe
Hiroyoshi Hiratsuka
Akihiro Miyazaki
author_sort Kazushige Koike
collection DOAJ
description BACKGROUND:Tumor-infiltrating lymphocytes include tumor-reactive lymphocytes and regulatory T-cells. However, the prognostic value of tumor-infiltrating lymphocytes in oral squamous cell carcinoma (OSCC) remains unclear. METHODS:We used immunohistochemistry to evaluate the presence of tumor-infiltrating FoxP3⁺ T-cells and CTLA-4⁺ cells in four distinct histological compartments (tumor parenchyma and stroma at the tumor center, and parenchyma and stroma at the invasive front) and assessed the association between the prevalence of these cells and the histopathological status of 137 patients with OSCC. RESULTS:Five-year overall survival, disease-specific survival, and recurrence-free survival were favorable in patients with high numbers of FoxP3⁺ T-cells in the parenchyma of the invasive front. Recurrence-free survival and metastasis-free survival were decreased in patients with high numbers of CTLA-4⁺ cells in the parenchyma of the invasive front. CONCLUSIONS:The presence of FoxP3⁺ T-cells in the parenchyma of the invasive front may be a useful prognostic factor. Our results indicate that FoxP3⁺ T-cells may exert site-specific anti-tumor effects but may not play an immunosuppressive role in OSCC. In addition, our results suggest that CTLA-4+ cells suppress the function of FoxP3+ T-cells and promote anti-tumor immunity in OSCC.
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spelling doaj.art-8e353a9de3c242e8ab7829d2bd67e67b2022-12-21T22:38:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01158e023746510.1371/journal.pone.0237465Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.Kazushige KoikeHironari DehariKazuhiro OgiShota ShimizuKoyo NishiyamaTomoko SonodaTakanori SasakiTakashi SasayaKei TsuchihashiTadashi HasegawaToshihiko TorigoeHiroyoshi HiratsukaAkihiro MiyazakiBACKGROUND:Tumor-infiltrating lymphocytes include tumor-reactive lymphocytes and regulatory T-cells. However, the prognostic value of tumor-infiltrating lymphocytes in oral squamous cell carcinoma (OSCC) remains unclear. METHODS:We used immunohistochemistry to evaluate the presence of tumor-infiltrating FoxP3⁺ T-cells and CTLA-4⁺ cells in four distinct histological compartments (tumor parenchyma and stroma at the tumor center, and parenchyma and stroma at the invasive front) and assessed the association between the prevalence of these cells and the histopathological status of 137 patients with OSCC. RESULTS:Five-year overall survival, disease-specific survival, and recurrence-free survival were favorable in patients with high numbers of FoxP3⁺ T-cells in the parenchyma of the invasive front. Recurrence-free survival and metastasis-free survival were decreased in patients with high numbers of CTLA-4⁺ cells in the parenchyma of the invasive front. CONCLUSIONS:The presence of FoxP3⁺ T-cells in the parenchyma of the invasive front may be a useful prognostic factor. Our results indicate that FoxP3⁺ T-cells may exert site-specific anti-tumor effects but may not play an immunosuppressive role in OSCC. In addition, our results suggest that CTLA-4+ cells suppress the function of FoxP3+ T-cells and promote anti-tumor immunity in OSCC.https://doi.org/10.1371/journal.pone.0237465
spellingShingle Kazushige Koike
Hironari Dehari
Kazuhiro Ogi
Shota Shimizu
Koyo Nishiyama
Tomoko Sonoda
Takanori Sasaki
Takashi Sasaya
Kei Tsuchihashi
Tadashi Hasegawa
Toshihiko Torigoe
Hiroyoshi Hiratsuka
Akihiro Miyazaki
Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.
PLoS ONE
title Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.
title_full Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.
title_fullStr Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.
title_full_unstemmed Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.
title_short Prognostic value of FoxP3 and CTLA-4 expression in patients with oral squamous cell carcinoma.
title_sort prognostic value of foxp3 and ctla 4 expression in patients with oral squamous cell carcinoma
url https://doi.org/10.1371/journal.pone.0237465
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