Accumulation of regulatory T cells and myeloid derived suppressor cells in breast cancer and its significance
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摘要: 目的 探讨调节性T细胞和髓源性抑制细胞在乳腺癌组织中的浸润情况及意义。 方法 前瞻性收集2017年1月-2018年2月诸暨市人民医院收治的乳腺癌患者150例,行乳腺癌改良根治术,术中取乳腺癌标本,检测乳腺癌组织中调节性T细胞和髓源性抑制细胞表达水平,分析其与临床病理特征的相关性。 结果 调节性T细胞、髓源性抑制细胞在不同年龄的乳腺癌患者中分布差异无统计学意义。TNM分期为Ⅰ期、Ⅱ期、Ⅲ期的患者调节性T细胞分别为6.72±1.86、9.61±2.45、12.05±2.81;髓源性抑制细胞分别为2.81±1.32、4.92±1.92和6.01±2.65。随着TNM分期的增加,髓源性抑制细胞、调节性T细胞逐步增加(P<0.001)。与无淋巴结转移的患者相比,淋巴结转移的患者调节性T细胞和髓源性抑制细胞均显著增高(P<0.001)。高分化、中分化、低分化乳腺癌患者调节性T细胞分别为8.94±1.98、9.83±2.05、10.99±2.42;髓源性抑制细胞分别为4.03±1.65、4.87±1.91、6.22±1.89;以上比较差异均有统计学意义(均P<0.05)。Pearson线性相关性分析显示髓源性抑制细胞和调节性T细胞显著正相关(r=0.271,P<0.001)。 结论 调节性T细胞和髓源性抑制细胞在乳腺癌组织中与TNM分期、淋巴结转移、肿瘤细胞分化程度有关,调节性T细胞和髓源性抑制细胞具有协同作用。Abstract: Objective To investigate the infiltration of regulatory T cells (Tregs) and myeloid-derived suppressor cells (MDSCs) in breast cancer and discuss its and significance. Methods From January 2017 to February 2018, 150 cases of breast cancer treated in our hospital were prospectively collected. Modified radical mastectomy was performed. Breast cancer specimens were taken during the operation. The expression of regulatory T cells and myelinated suppressor cells in breast cancer tissues were detected, and the correlation with the clinicopathological features was analyzed. Results There was no significant difference in the distribution of regulatory T cells and myeloid derived suppressor cells in breast cancer patients of different ages. The regulatory T cells of TNM stage for stage Ⅰ, stage Ⅱ and stage Ⅲ were 6.72±1.86, 9.61±2.45 and 12.05±2.81, respectively; and myeloid derived suppressor cells were 2.81±1.32, 4.92±1.92 and 6.01±2.65. With the increase of TNM stage, myeloid derived suppressor cells and regulatory T cells gradually increased (P<0.001). When compared with patients without lymph node metastasis, regulatory T cells and myeloid derived suppressor cells in patients with lymph node metastasis were significantly higher (P<0.001). The regulatory T cells of the patients with high differentiation, medium differentiation and low differentiation were 8.94±1.98, 9.83±2.05 and 10.99±2.42; and myeloid derived suppressor cells were 4.03±1.65, 4.87±1.91 and 6.22±1.89. All the differences were statistically significant (P<0.05). Pearson linear correlation analysis showed that myeloid derived suppressor cells and regulatory T cells were significantly positively correlated (r=0.271, P<0.001). Conclusion The expanses of regulatory T cells and myeloid derived suppressor cells in breast cancer is related to TNM staging, Lymph node metastasis and differentiation of tumor cells, and regulatory T cells and myeloid derived suppressor cells have synergistic effects.
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Key words:
- Regulatory T cells /
- Myeloid-derived suppressor cells /
- Breast cancer
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