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CORRELATION OF CD8 INFILTRATION AND EXPRESSION OF ITS CHECKPOINT PROTEINS PD-L1 AND PD-L2 WITH THE STAGE OF CERVICAL CARCINOMA
Autor
Afiliación
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evando Chagas. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evando Chagas. LApClin DST/AIDS. Rio de Janeiro, RJ. Brasil.
Universidade Federal Fluminense. Departamento de Patologia. Niterói, RJ, Brasil.
Instituo Nacional de Câncer. Divisão de Genética. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Unidade de Patologia Cervical e Colposcopia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Patologia. Rio de Janeiro, RJ, Brasil.
Ohio State University. Comprehensive Cancer Center. Columbus, Ohio, USA.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisas Médicas. Rio de Janeiro, RJ. Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evando Chagas. LApClin DST/AIDS. Rio de Janeiro, RJ. Brasil.
Universidade Federal Fluminense. Departamento de Patologia. Niterói, RJ, Brasil.
Instituo Nacional de Câncer. Divisão de Genética. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Unidade de Patologia Cervical e Colposcopia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Patologia. Rio de Janeiro, RJ, Brasil.
Ohio State University. Comprehensive Cancer Center. Columbus, Ohio, USA.
Resumen en ingles
The importance of CD8 infiltration for cancer prognosis has been underscored lately by the increased use
of checkpoint inhibitors in patients with invasive tumors. The objective of this study was to determine if CD8 infiltration
and the expression of two key checkpoint proteins, PD-L1 and PD-L2, varied between early stage (FIGO IA-IIA)
and advanced stage (FIGO IIB-IVA) cervical cancer. A tissue micro-array with 61 cervical specimens was analyzed
through immunohistochemistry for PD-L1, PD-L2 and CD8 using CD1a (antigen presenting cells) as an internal
control. Infiltration of both CD8 and CD1a was evident in control, benign tissues that showed little to no PD-L1 and
PD-L2 reactivity. In samples of invasive cervical cancers, there was a three-fold increase in the number of CD8 cells
with an increase in the expression of both PD-L1 and PD-L2 (P<0.001 for each vs. control). A slight decrease in
the number of CD1a cells was observed in malignant tissues compared to controls. No significant difference was
evident for the infiltration of CD8+ cells or the expression of either PD-L1 and PD-L2 between the samples of early
stage (FIGO IA-IIA) and advanced stage (FIGO IIB-IVA) cancers. Cytotoxic T cell infiltration and expression of two of its
key checkpoint proteins (PD-L1 and PD-L2) remained constant as cervical cancers advance from early stage to late
stage tumors. This suggests that the immune response may be equivalent in early and late stage cervical cancers.
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