淋巴结CD-1α+树突状细胞对肾癌预后的影响

CD-1+dendritic cells in lymph nodes and prognosis of kidney neoplasms

  • 摘要: 目的: 通过对淋巴结CD-1α+树突状细胞(dendriticcells,DC)浸润密度进行定量分析,探讨淋巴结CD-1α+树突状细胞在肾癌患者抗肿瘤免疫反应中的作用。方法: 59例行肾癌根治性切除术的肾癌患者的淋巴结石蜡标本被重新制备,用CD-1α单克隆抗体免疫组化SABC法显示DC的分布并检测其浸润密度。结果: 无转移组中DC浸润密度个数平均为(35.1± 13.0)/mm2,有转移组平均为(25.9± 9.6)/mm2,2组差异有显著性(P<0.001)。结论: 淋巴结中CD-1α+DC的浸润对肾癌患者免疫防御机制的建立有重要作用,反映了机体免疫系统的抗肿瘤潜能。其浸润密度反映了该患者的抗肿瘤免疫状态,可以作为预后判定的重要指标之一

     

    Abstract: Objective: CD-1α+ Dendritic cells(DCs) in lymph nodes form a system of highly efficient antigen-presenting cells. An immunohistochemical study was performed to prove their role in immune responses against cancer. Methods: Paraffin blocks were prepared for staining with antibody against CD-1α in tissue specimens obtained from elective lymphadenectomy in 59 cases of kidney neoplasms. Results: The extent of infiltration by CD-1α+ DC was evaluated in two groups according to negative and positive metastasis. Densities of DCs is 35.1±13.0/mm2 on the average in the negative metastasis;and 25.9±9.6/ mm2 in the positive metastasis. The test revealed that the differences in population density between the two groups were significant (P <0.001). Conclusion: DCs may be more directly involved in the host immune reaction against tumor by means of the most important antigen-presenting cells. CD-1α+ DCs is important for establishing immunologic defense mechanisms in cases of kidney neoplasms,and the densities of DCs can serve as a useful indicator in assessing prognosis of kidney neoplasms.

     

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