Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis

To examine the relationship between cytotoxic T lymphocyte antigen-4 (CTLA-4) expression and esophageal carcinoma prognosis, CTLA-4 expression was immunohistochemically detected in paraffin-embedded primary tumor specimens from 158 patients with esophageal cancer. CTLA-4 was detected in the cytoplas...

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Main Authors: Zhang, Xiao-Fei, Pan, Ke, Weng, De-Sheng, Chen, Chang-Long, Wang, Qi-Jing, Zhao, Jing-Jing, Pan, Qiu-Zhong, Liu, Qing, Jiang, Shan-Shan, Li, Yong-Qiang, Zhang, Hong-Xia, Xia, Jian-Chuan
Format: Online
Language:English
Published: Impact Journals LLC 2016
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042006/
id pubmed-5042006
recordtype oai_dc
spelling pubmed-50420062016-10-10 Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis Zhang, Xiao-Fei Pan, Ke Weng, De-Sheng Chen, Chang-Long Wang, Qi-Jing Zhao, Jing-Jing Pan, Qiu-Zhong Liu, Qing Jiang, Shan-Shan Li, Yong-Qiang Zhang, Hong-Xia Xia, Jian-Chuan Research Paper To examine the relationship between cytotoxic T lymphocyte antigen-4 (CTLA-4) expression and esophageal carcinoma prognosis, CTLA-4 expression was immunohistochemically detected in paraffin-embedded primary tumor specimens from 158 patients with esophageal cancer. CTLA-4 was detected in the cytoplasm and cell membranes of esophageal cancer cells and in interstitial lymphocytes. In univariate analyses (log-rank), higher interstitial CTLA-4+ lymphocyte density and higher tumor CTLA-4 expression were associated with shorter overall survival (OS). After controlling for age and clinical stage, multivariate analysis (Cox) found that tumor CTLA-4 expression was an independent predictor of shorter OS (HR 2.016, P = 0.004). These results indicate that CTLA-4 expression in the tumor environment (both lymphocytes and tumor cells) is associated with poorer prognosis. In addition, CTLA-4 profiles may be useful for predicting the benefits and toxicity of CTLA-4 blockade in patients with esophageal carcinoma. Impact Journals LLC 2016-03-30 /pmc/articles/PMC5042006/ /pubmed/27050369 http://dx.doi.org/10.18632/oncotarget.8476 Text en Copyright: © 2016 Zhang et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Zhang, Xiao-Fei
Pan, Ke
Weng, De-Sheng
Chen, Chang-Long
Wang, Qi-Jing
Zhao, Jing-Jing
Pan, Qiu-Zhong
Liu, Qing
Jiang, Shan-Shan
Li, Yong-Qiang
Zhang, Hong-Xia
Xia, Jian-Chuan
spellingShingle Zhang, Xiao-Fei
Pan, Ke
Weng, De-Sheng
Chen, Chang-Long
Wang, Qi-Jing
Zhao, Jing-Jing
Pan, Qiu-Zhong
Liu, Qing
Jiang, Shan-Shan
Li, Yong-Qiang
Zhang, Hong-Xia
Xia, Jian-Chuan
Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
author_facet Zhang, Xiao-Fei
Pan, Ke
Weng, De-Sheng
Chen, Chang-Long
Wang, Qi-Jing
Zhao, Jing-Jing
Pan, Qiu-Zhong
Liu, Qing
Jiang, Shan-Shan
Li, Yong-Qiang
Zhang, Hong-Xia
Xia, Jian-Chuan
author_sort Zhang, Xiao-Fei
title Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
title_short Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
title_full Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
title_fullStr Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
title_full_unstemmed Cytotoxic T lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
title_sort cytotoxic t lymphocyte antigen-4 expression in esophageal carcinoma: implications for prognosis
description To examine the relationship between cytotoxic T lymphocyte antigen-4 (CTLA-4) expression and esophageal carcinoma prognosis, CTLA-4 expression was immunohistochemically detected in paraffin-embedded primary tumor specimens from 158 patients with esophageal cancer. CTLA-4 was detected in the cytoplasm and cell membranes of esophageal cancer cells and in interstitial lymphocytes. In univariate analyses (log-rank), higher interstitial CTLA-4+ lymphocyte density and higher tumor CTLA-4 expression were associated with shorter overall survival (OS). After controlling for age and clinical stage, multivariate analysis (Cox) found that tumor CTLA-4 expression was an independent predictor of shorter OS (HR 2.016, P = 0.004). These results indicate that CTLA-4 expression in the tumor environment (both lymphocytes and tumor cells) is associated with poorer prognosis. In addition, CTLA-4 profiles may be useful for predicting the benefits and toxicity of CTLA-4 blockade in patients with esophageal carcinoma.
publisher Impact Journals LLC
publishDate 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042006/
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