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喉癌中人类白细胞抗原I缺失及局部淋巴细胞浸润的研究

[Research into the human leucocyte antigen I deletion and local lymphocytes infiltration in laryngeal carcinoma].

作者信息

Niu Chunbo, Liu Xinmei, Zhou Weiguo, Jing Ling, Du Baodong

机构信息

Department of Otorhinolaryngology Head & Neck Surgery, First Hospital Affiliated to Jilin University, Changchun 130021, China.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Jun;37(3):215-8.

Abstract

OBJECTIVE

To detect the deletion of human leucotyte antigen (HLA) class I antigen expression in laryngeal carcinoma tissue and discuss the relationship between its expression and tumor infiltrating lymphocyte (TIL) cell infiltration or/and malignancy of tumor cell.

METHODS

From Feb 2001 to May 2001 specific mouse antihuman HLA class I monoclonal antibody was combined to examined tissue, 64 samples of laryngeal carcinoma were detected by streptavidin-peroxidase (SP) method immunohistochemistry.

RESULTS

All of 64 cases, 57 were positive HLA class I antigen and 7 were negative, the negative expression rate was 10.9% (7/64). CD3+ and CD8+ T cell infiltrated in HLA class I positive tumor mass were significantely more than those in negative tissue. the malignant degree elevated along with the declination of HLA class I antigen expression. By 3 years follow up, the mortalitywas not statistically significant in both HLA- group and HLA+ group (P > 0.05).

CONCLUSION

There is deletion of HLA class I antigen in laryngeal tissue, which favours penetration of cytotoxic lymphoid cells into tumor mass; alteration in HLA class I expression may be used by cancer cells to avoid immune surveillance.

摘要

目的

检测喉癌组织中人类白细胞抗原(HLA)I类抗原表达缺失情况,并探讨其表达与肿瘤浸润淋巴细胞(TIL)浸润及肿瘤细胞恶性程度之间的关系。

方法

2001年2月至2001年5月,将特异性小鼠抗人HLA I类单克隆抗体与检测组织相结合,采用链霉亲和素-过氧化物酶(SP)法免疫组化检测64例喉癌样本。

结果

64例中,HLA I类抗原阳性57例,阴性7例,阴性表达率为10.9%(7/64)。HLA I类阳性肿瘤块中浸润的CD3 +和CD8 + T细胞明显多于阴性组织中的。HLA I类抗原表达下降,肿瘤恶性程度升高。随访3年,HLA阴性组和HLA阳性组的死亡率无统计学差异(P>0.05)。

结论

喉组织存在HLA I类抗原缺失,有利于细胞毒性淋巴细胞浸润肿瘤块;癌细胞可能利用HLA I类表达改变来逃避免疫监视。

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