FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy

<p>Abstract</p> <p>Background</p> <p>Recent studies have demonstrated a direct involvement of B7-H1, PD-1 and FOXP3 molecules in the immune escape of cancer. B7-H1 is an inhibitory molecule that binds to PD-1 on T lymphocytes, while FOXP3 is a marker for regulatory T ce...

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Main Authors: Al-Tweigeri Taher, Elkum Naser, Tulbah Asma, Barhoush Eman, Ghebeh Hazem, Dermime Said
Format: Article
Language:English
Published: BMC 2008-02-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/8/57
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author Al-Tweigeri Taher
Elkum Naser
Tulbah Asma
Barhoush Eman
Ghebeh Hazem
Dermime Said
author_facet Al-Tweigeri Taher
Elkum Naser
Tulbah Asma
Barhoush Eman
Ghebeh Hazem
Dermime Said
author_sort Al-Tweigeri Taher
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Recent studies have demonstrated a direct involvement of B7-H1, PD-1 and FOXP3 molecules in the immune escape of cancer. B7-H1 is an inhibitory molecule that binds to PD-1 on T lymphocytes, while FOXP3 is a marker for regulatory T cells (T<sub>regs</sub>). We have previously demonstrated the association of B7-H1-expressing T infiltrating lymphocytes (TIL) with high-risk breast cancer patients while other studies reported the involvement of FOXP3+ T<sub>regs </sub>as a bad prognostic factor in breast tumors. Although the co-existence between the two types of cells has been demonstrated <it>in vitro </it>and animal models, their relative infiltration and correlation with the clinicopathological parameters of cancer patients have not been well studied. Therefore, we investigated TIL-expressing the B7-H1, PD-1, and FOXP3 molecules, in the microenvironment of human breast tumors and their possible association with the progression of the disease.</p> <p>Methods</p> <p>Using immunohistochemistry, tumor sections from 62 breast cancer patients were co-stained for B7-H1, PD-1 and FOXP3 molecules and their expression was statistically correlated with factors known to be involved in the progression of the disease.</p> <p>Results</p> <p>A co-existence of B7-H1<sup>+ </sup>T lymphocytes and FOXP3<sup>+ </sup>T<sub>regs </sub>was evidenced by the highly significant correlation of these molecules (<it>P </it>< .0001) and their expression by different T lymphocyte subsets was clearly demonstrated. Interestingly, concomitant presence of FOXP3<sup>+ </sup>T<sub>regs</sub>, B7-H1<sup>+ </sup>and PD-1<sup>+ </sup>TIL synergistically correlated with high histological grade (III) (<it>P </it>< .001), estrogen receptor negative status (<it>P </it>= .017), and the presence of severe lymphocytic infiltration (<it>P </it>= .022).</p> <p>Conclusion</p> <p>Accumulation of TIL-expressing such inhibitory molecules may deteriorate the immunity of high-risk breast cancer patients and this should encourage vigorous combinatorial immunotherapeutic approaches targeting T<sub>regs </sub>and B7-H1/PD-1 molecules.</p>
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spelling doaj.art-d7a3bfa9afca4bce98719ee1382ba48f2022-12-22T03:10:49ZengBMCBMC Cancer1471-24072008-02-01815710.1186/1471-2407-8-57FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapyAl-Tweigeri TaherElkum NaserTulbah AsmaBarhoush EmanGhebeh HazemDermime Said<p>Abstract</p> <p>Background</p> <p>Recent studies have demonstrated a direct involvement of B7-H1, PD-1 and FOXP3 molecules in the immune escape of cancer. B7-H1 is an inhibitory molecule that binds to PD-1 on T lymphocytes, while FOXP3 is a marker for regulatory T cells (T<sub>regs</sub>). We have previously demonstrated the association of B7-H1-expressing T infiltrating lymphocytes (TIL) with high-risk breast cancer patients while other studies reported the involvement of FOXP3+ T<sub>regs </sub>as a bad prognostic factor in breast tumors. Although the co-existence between the two types of cells has been demonstrated <it>in vitro </it>and animal models, their relative infiltration and correlation with the clinicopathological parameters of cancer patients have not been well studied. Therefore, we investigated TIL-expressing the B7-H1, PD-1, and FOXP3 molecules, in the microenvironment of human breast tumors and their possible association with the progression of the disease.</p> <p>Methods</p> <p>Using immunohistochemistry, tumor sections from 62 breast cancer patients were co-stained for B7-H1, PD-1 and FOXP3 molecules and their expression was statistically correlated with factors known to be involved in the progression of the disease.</p> <p>Results</p> <p>A co-existence of B7-H1<sup>+ </sup>T lymphocytes and FOXP3<sup>+ </sup>T<sub>regs </sub>was evidenced by the highly significant correlation of these molecules (<it>P </it>< .0001) and their expression by different T lymphocyte subsets was clearly demonstrated. Interestingly, concomitant presence of FOXP3<sup>+ </sup>T<sub>regs</sub>, B7-H1<sup>+ </sup>and PD-1<sup>+ </sup>TIL synergistically correlated with high histological grade (III) (<it>P </it>< .001), estrogen receptor negative status (<it>P </it>= .017), and the presence of severe lymphocytic infiltration (<it>P </it>= .022).</p> <p>Conclusion</p> <p>Accumulation of TIL-expressing such inhibitory molecules may deteriorate the immunity of high-risk breast cancer patients and this should encourage vigorous combinatorial immunotherapeutic approaches targeting T<sub>regs </sub>and B7-H1/PD-1 molecules.</p>http://www.biomedcentral.com/1471-2407/8/57
spellingShingle Al-Tweigeri Taher
Elkum Naser
Tulbah Asma
Barhoush Eman
Ghebeh Hazem
Dermime Said
FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy
BMC Cancer
title FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy
title_full FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy
title_fullStr FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy
title_full_unstemmed FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy
title_short FOXP3<sup>+ </sup>T<sub>regs </sub>and B7-H1<sup>+</sup>/PD-1<sup>+ </sup>T lymphocytes co-infiltrate the tumor tissues of high-risk breast cancer patients: Implication for immunotherapy
title_sort foxp3 sup sup t sub regs sub and b7 h1 sup sup pd 1 sup sup t lymphocytes co infiltrate the tumor tissues of high risk breast cancer patients implication for immunotherapy
url http://www.biomedcentral.com/1471-2407/8/57
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