Prognostic value of tumor-infiltrating dendritic cells in colorectal cancer: role of maturation status and intratumoral localization

Clin Cancer Res. 2005 Apr 1;11(7):2576-82. doi: 10.1158/1078-0432.CCR-04-1448.

Abstract

The clinical significance of tumor-infiltrating dendritic cells has been reported in a variety of human solid tumors as shown by the correlations found between the presence of tumor-infiltrating dendritic cells and clinical prognosis. In this study, we evaluated whether there is an association between the presence and maturation status of tumor-infiltrating dendritic cells, T lymphocytes, and clinical course in 104 primary tumor samples of patients with colorectal cancer. Dendritic cells were identified with four different markers (S-100, HLA class II, CD208, and CD1a) in double immunohistochemistry, with laminin as second marker to support the exact localization. Tumor-infiltrating dendritic cells showed a distinct infiltration pattern based on their maturation status. CD1a-positive dendritic cells resided in the advancing tumor margins in relatively high numbers, whereas mature CD208-positive dendritic cells were sparsely present in the tumor epithelium but mainly distributed in the tumor stroma and advancing tumor margin. Furthermore, high infiltration of CD1a-positive dendritic cells in the tumor epithelium was significantly correlated to the infiltration of CD4 lymphocytes (P = 0.006). Patients with relatively high numbers of mature CD208-positive infiltrating dendritic cells in the tumor epithelium had a shorter overall survival (P = 0.004). In addition, patients with relatively high numbers of CD1a-positive dendritic cells in the advancing margin of the tumor had a shorter disease-free survival (P = 0.03). We found that tumor-infiltrating dendritic cells had preferential infiltration sites within a tumor, affected local tumor cell-immune cell interactions, and correlated to the clinical prognosis of colorectal cancer patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antigens, CD / analysis
  • Antigens, CD1 / analysis
  • Child
  • Child, Preschool
  • Colorectal Neoplasms / metabolism
  • Colorectal Neoplasms / pathology*
  • Dendritic Cells / chemistry
  • Dendritic Cells / pathology*
  • Epithelium / chemistry
  • Epithelium / pathology
  • Female
  • HLA Antigens / analysis
  • Histocompatibility Antigens Class II / analysis
  • Humans
  • Immunohistochemistry
  • Infant
  • Infant, Newborn
  • Lysosomal Membrane Proteins
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Prognosis
  • S100 Proteins / analysis
  • Survival Analysis

Substances

  • Antigens, CD
  • Antigens, CD1
  • CD1a antigen
  • HLA Antigens
  • Histocompatibility Antigens Class II
  • Lysosomal Membrane Proteins
  • S100 Proteins