Wang Zhi-yong, Li Sheng-wei, Hu Qin-gang, Tian Wei-dong
Dept. of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2004 Apr;22(2):103-5, 131.
To elucidate the functional status of dendritic cells (DC) in the tissue of oral squamous cell carcinoma by analyzing characteristic phenotype of them.
34 specimens from oral squamous cell carcinoma cases primarily treated with surgery were selected as test group. In addition, 30 specimens of normal mucosa from oral mucocele cases were used as control. Distribution of DC expressing CD1a+, HLA-DR+ and CD83+ in tumor tissue and normal mucous membrane was observed by immunohistochemistry. The number of DC expressing the antigens, which represented the density of DC infiltrating into tissue, was counted by microscope. The density of DC and the rate of DC expressing HLA-DR in oral carcinoma group and control were statistically compared.
There was no CD83+ DC in all cases, but CD1a+ DC was found in all samples. The density of CD1a+ DC in tumor tissue was significantly lower than that in normal mucous membrane (P < 0.05). HLA-DR antigen expressed on the surface of DC in tumoral epithelium of 27-case carcinoma specimens and in normal mucous epithelium of 23 cases. The rate of HLA-DR positive expression of TIDC had no statistic significance between the two groups.
The lower density of DC infiltrating in tumor tissue might reflect the microenviromental immunodeficiency of hosts with oral squamous cell carcinoma, and the functional mature of DC might be inhibited by the immunosuppressive action of oral squamous cell carcinoma.
通过分析树突状细胞(DC)的特征性表型,阐明其在口腔鳞状细胞癌组织中的功能状态。
选取34例接受手术为主治疗的口腔鳞状细胞癌病例标本作为试验组。另外,选取30例口腔黏液囊肿病例的正常黏膜标本作为对照。采用免疫组织化学法观察肿瘤组织和正常黏膜中表达CD1a⁺、HLA-DR⁺和CD83⁺的DC分布情况。通过显微镜计数表达这些抗原的DC数量,以此代表DC浸润组织的密度。对口腔癌组和对照组中DC的密度以及DC表达HLA-DR的比率进行统计学比较。
所有病例均未发现CD83⁺DC,但所有样本中均发现了CD1a⁺DC。肿瘤组织中CD1a⁺DC的密度显著低于正常黏膜(P < 0.05)。27例癌标本的肿瘤上皮和23例正常黏膜上皮中的DC表面均表达HLA-DR抗原。两组间肿瘤浸润性DC(TIDC)的HLA-DR阳性表达率无统计学意义。
肿瘤组织中DC浸润密度较低可能反映了口腔鳞状细胞癌宿主的微环境免疫缺陷,且口腔鳞状细胞癌的免疫抑制作用可能抑制了DC的功能成熟。