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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2007-11-20
pubmed:abstractText
We studied the prognostic importance of tumor-infiltrating regulatory T lymphocytes (Tregs) and cytotoxic T/NK lymphocytes (CTLs) in 98 diagnostic biopsy specimens from patients with classical Hodgkin lymphoma (cHL). Immunohistochemical analysis was performed for FOXP3 to identify Tregs and for granzyme B (GrB) to identify activated CTLs. Failure-free survival (FFS) and overall survival (OS) were clinical end points. Patients with fewer than 25 FOXP3+ cells per high-power field (HPF) had a mean +/- SD 5-year FFS of 64% +/- 7% vs 85% +/- 5% for patients with 25 or more FOXP3+ cells/HPF (P = .05). A FOXP3/GrB ratio of 1 or less was associated with poor FFS (46% +/- 10% vs 86% +/- 4%; P < .001) and OS (67% +/- 10% vs 93% +/- 3%; P < .001). When prior available MAL and bcl-2 expression data were included in a multivariate analysis of all clinical and biologic factors, a FOXP3/GrB ratio of 1 or less and tumor cell expression of MAL and bcl-2 all independently predicted poor FFS. This demonstrates the importance of evaluating tumor cell markers and the tumor immune infiltrate when considering biologic prognostic markers in cHL.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0002-9173
pubmed:author
pubmed:issnType
Print
pubmed:volume
128
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
958-65
pubmed:meshHeading
pubmed-meshheading:18024321-Adolescent, pubmed-meshheading:18024321-Adult, pubmed-meshheading:18024321-Aged, pubmed-meshheading:18024321-Aged, 80 and over, pubmed-meshheading:18024321-Cell Count, pubmed-meshheading:18024321-Child, pubmed-meshheading:18024321-Child, Preschool, pubmed-meshheading:18024321-Female, pubmed-meshheading:18024321-Forkhead Transcription Factors, pubmed-meshheading:18024321-Granzymes, pubmed-meshheading:18024321-Hodgkin Disease, pubmed-meshheading:18024321-Humans, pubmed-meshheading:18024321-Killer Cells, Natural, pubmed-meshheading:18024321-Lymphocytes, Tumor-Infiltrating, pubmed-meshheading:18024321-Male, pubmed-meshheading:18024321-Membrane Transport Proteins, pubmed-meshheading:18024321-Middle Aged, pubmed-meshheading:18024321-Myelin Proteins, pubmed-meshheading:18024321-Neoplasm Staging, pubmed-meshheading:18024321-Proteolipids, pubmed-meshheading:18024321-Proto-Oncogene Proteins c-bcl-2, pubmed-meshheading:18024321-Retrospective Studies, pubmed-meshheading:18024321-Survival Rate, pubmed-meshheading:18024321-T-Lymphocytes, Cytotoxic, pubmed-meshheading:18024321-T-Lymphocytes, Regulatory, pubmed-meshheading:18024321-Tissue Array Analysis, pubmed-meshheading:18024321-Tumor Markers, Biological
pubmed:year
2007
pubmed:articleTitle
The ratio of FOXP3+ regulatory T cells to granzyme B+ cytotoxic T/NK cells predicts prognosis in classical Hodgkin lymphoma and is independent of bcl-2 and MAL expression.
pubmed:affiliation
Department of Clinical Pathology, Cleveland Clinic Taussig Cancer Center, Cleveland, OH 44195, USA.
pubmed:publicationType
Journal Article