Investigation of immune cell markers in feline oral squamous cell carcinoma

Squamous cell carcinoma is the most common oral cancer in the cat and presents as a locally aggressive lesion for which an effective therapeutic protocol remains elusive. Feline oral squamous cell carcinoma (OSCC) shares many clinical characteristics with human head and neck squamous cell carcinoma...

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Main Authors: Sparger, Ellen E., Murphy, Brian G., Mustaffa Kamal, Farina, Arzi, Boaz, Naydan, Diane, Skouritakis, Chrisoula T., Cox, Darren P., Skorupski, Katherine
Format: Article
Language:English
Published: Elsevier 2018
Online Access:http://psasir.upm.edu.my/id/eprint/74737/1/Investigation%20of%20immune.pdf
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author Sparger, Ellen E.
Murphy, Brian G.
Mustaffa Kamal, Farina
Arzi, Boaz
Naydan, Diane
Skouritakis, Chrisoula T.
Cox, Darren P.
Skorupski, Katherine
author_facet Sparger, Ellen E.
Murphy, Brian G.
Mustaffa Kamal, Farina
Arzi, Boaz
Naydan, Diane
Skouritakis, Chrisoula T.
Cox, Darren P.
Skorupski, Katherine
author_sort Sparger, Ellen E.
collection UPM
description Squamous cell carcinoma is the most common oral cancer in the cat and presents as a locally aggressive lesion for which an effective therapeutic protocol remains elusive. Feline oral squamous cell carcinoma (OSCC) shares many clinical characteristics with human head and neck squamous cell carcinoma (HNSCC). Accordingly, present studies were conducted to determine similarities for immune markers shared by feline OSCC and human HNSCC. Biopsies harvested from a feline patient cohort-1 (n = 12) were analyzed for lymphoid cell infiltrates by immunohistochemistry (IHC). Results revealed unique patterns of T cell infiltration involving both neoplastic epithelium and stroma that were detected in most patient tumor biopsies (92%) examined by IHC staining for CD3. Intratumoral B cell infiltrates were detected within tumor stroma only, based on IHC staining for CD79a and CD20 for all patients within the same cohort-1. Infiltration of tumors by a regulatory CD4 T cell subset (Tregs) defined by expression of the forkhead transcription factor FoxP3, was also detected in biopsies from 57% of patients and involved infiltration of neoplastic epithelium and stroma. Patient biopsies were also examined for expression of immunomodulator cyclooxygenase (COX)-2 and revealed positive but weak staining of neoplastic epithelium in a significant proportion of cases (75%). Interestingly, COX-2 expression was detected in both neoplastic epithelium and stroma. Blood collected from a second cohort of feline OSCC patients (n = 9) revealed an increased frequency of circulating CD4+FoxP3+ T cells when compared to healthy adult controls (n = 7) (P = 0.045), although frequencies of CD4+CD25+FoxP3+ T cells were comparable between patients and healthy pet cat controls. Lastly, biopsies from feline OSCC patients were characterized for histologic subtype using a classification scheme previously described for human HNSCC. This analysis revealed the conventional subtype as the predominant variant (75%) with conventional subtypes split evenly between well differentiated and moderately differentiated carcinomas. Two cases were classified as papillary and one case as basaloid subtypes. Correlations between subtype, immune marker scores or circulating Treg frequencies and clinical characteristics or outcome were not detected, most likely due to small patient numbers within patient cohorts. However, findings from these studies provide a preliminary step in the characterization of immune and histologic markers that will be critical to defining prognostic immune markers for feline OSCC and potential targets for testing of immunotherapeutics also relevant to human HNSCC in future studies.
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spelling upm.eprints-747372020-02-28T07:20:50Z http://psasir.upm.edu.my/id/eprint/74737/ Investigation of immune cell markers in feline oral squamous cell carcinoma Sparger, Ellen E. Murphy, Brian G. Mustaffa Kamal, Farina Arzi, Boaz Naydan, Diane Skouritakis, Chrisoula T. Cox, Darren P. Skorupski, Katherine Squamous cell carcinoma is the most common oral cancer in the cat and presents as a locally aggressive lesion for which an effective therapeutic protocol remains elusive. Feline oral squamous cell carcinoma (OSCC) shares many clinical characteristics with human head and neck squamous cell carcinoma (HNSCC). Accordingly, present studies were conducted to determine similarities for immune markers shared by feline OSCC and human HNSCC. Biopsies harvested from a feline patient cohort-1 (n = 12) were analyzed for lymphoid cell infiltrates by immunohistochemistry (IHC). Results revealed unique patterns of T cell infiltration involving both neoplastic epithelium and stroma that were detected in most patient tumor biopsies (92%) examined by IHC staining for CD3. Intratumoral B cell infiltrates were detected within tumor stroma only, based on IHC staining for CD79a and CD20 for all patients within the same cohort-1. Infiltration of tumors by a regulatory CD4 T cell subset (Tregs) defined by expression of the forkhead transcription factor FoxP3, was also detected in biopsies from 57% of patients and involved infiltration of neoplastic epithelium and stroma. Patient biopsies were also examined for expression of immunomodulator cyclooxygenase (COX)-2 and revealed positive but weak staining of neoplastic epithelium in a significant proportion of cases (75%). Interestingly, COX-2 expression was detected in both neoplastic epithelium and stroma. Blood collected from a second cohort of feline OSCC patients (n = 9) revealed an increased frequency of circulating CD4+FoxP3+ T cells when compared to healthy adult controls (n = 7) (P = 0.045), although frequencies of CD4+CD25+FoxP3+ T cells were comparable between patients and healthy pet cat controls. Lastly, biopsies from feline OSCC patients were characterized for histologic subtype using a classification scheme previously described for human HNSCC. This analysis revealed the conventional subtype as the predominant variant (75%) with conventional subtypes split evenly between well differentiated and moderately differentiated carcinomas. Two cases were classified as papillary and one case as basaloid subtypes. Correlations between subtype, immune marker scores or circulating Treg frequencies and clinical characteristics or outcome were not detected, most likely due to small patient numbers within patient cohorts. However, findings from these studies provide a preliminary step in the characterization of immune and histologic markers that will be critical to defining prognostic immune markers for feline OSCC and potential targets for testing of immunotherapeutics also relevant to human HNSCC in future studies. Elsevier 2018-08 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/74737/1/Investigation%20of%20immune.pdf Sparger, Ellen E. and Murphy, Brian G. and Mustaffa Kamal, Farina and Arzi, Boaz and Naydan, Diane and Skouritakis, Chrisoula T. and Cox, Darren P. and Skorupski, Katherine (2018) Investigation of immune cell markers in feline oral squamous cell carcinoma. Veterinary Immunology and Immunopathology, 202. 52 - 62. ISSN 0165-2427; ESSN: 1873-2534 10.1016/j.vetimm.2018.06.011
spellingShingle Sparger, Ellen E.
Murphy, Brian G.
Mustaffa Kamal, Farina
Arzi, Boaz
Naydan, Diane
Skouritakis, Chrisoula T.
Cox, Darren P.
Skorupski, Katherine
Investigation of immune cell markers in feline oral squamous cell carcinoma
title Investigation of immune cell markers in feline oral squamous cell carcinoma
title_full Investigation of immune cell markers in feline oral squamous cell carcinoma
title_fullStr Investigation of immune cell markers in feline oral squamous cell carcinoma
title_full_unstemmed Investigation of immune cell markers in feline oral squamous cell carcinoma
title_short Investigation of immune cell markers in feline oral squamous cell carcinoma
title_sort investigation of immune cell markers in feline oral squamous cell carcinoma
url http://psasir.upm.edu.my/id/eprint/74737/1/Investigation%20of%20immune.pdf
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