Stasikowska-Kanicka Olga, Wągrowska-Danilewicz Małgorzata, Danilewicz Marian
Pol J Pathol. 2017;68(1):40-48. doi: 10.5114/pjp.2017.67614.
Several lines of evidence indicate that immune cells in the tumor microenvironment play an important role in regulating tumor progression. An immunohistochemical method was used to examine the abundance of natural killer (NK) cells, mucosal dendritic cells (DCs), macrophages, mast cells, and microvessel density in 78 cases of oral squamous cell carcinoma (OSCC): with better prognosis - OSCCBP (n = 37), and with poorer prognosis - OSCCPP (n = 41), and 18 controls. The mean numbers of macrophages and microvessels were significantly higher in the OSCCPP group in comparison to both OSCCBP and control groups. The mean number of NK cells, mast cells and DCs was lower in the OSCCPP group in comparison to the OSCCBP group, but there were no statistically significant differences between mean numbers of NK cells in tested groups. Statistically significant correlations between the number of DCs and NK cells and mast cells, as well as between microvessel density and numbers of macrophages, DCs and mast cells were revealed in both OSCCPP and OSCCBP groups. In conclusion, our findings revealed an association between the number of infiltrating cells and oral cancer prognosis. Moreover, our results suggest that the infiltrating cells (macrophages, Langerhans and mast cells) may be involved in the process of angiogenesis.
多项证据表明,肿瘤微环境中的免疫细胞在调节肿瘤进展中发挥着重要作用。采用免疫组织化学方法检测了78例口腔鳞状细胞癌(OSCC)患者中自然杀伤(NK)细胞、黏膜树突状细胞(DCs)、巨噬细胞、肥大细胞的数量以及微血管密度,其中预后较好的OSCC患者(OSCCBP,n = 37),预后较差的OSCC患者(OSCCPP,n = 41),以及18例对照者。与OSCCBP组和对照组相比,OSCCPP组中巨噬细胞和微血管的平均数量显著更高。与OSCCBP组相比,OSCCPP组中NK细胞、肥大细胞和DCs的平均数量更低,但各测试组中NK细胞的平均数量之间无统计学显著差异。在OSCCPP组和OSCCBP组中均发现DCs与NK细胞和肥大细胞的数量之间,以及微血管密度与巨噬细胞、DCs和肥大细胞的数量之间存在统计学显著相关性。总之,我们的研究结果揭示了浸润细胞数量与口腔癌预后之间的关联。此外,我们的结果表明浸润细胞(巨噬细胞、朗格汉斯细胞和肥大细胞)可能参与了血管生成过程。