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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Differentiated thyroid carcinomas may elude the immune system by B7H1 upregulation

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Cunha, Lucas Leite [1] ; Marcello, Marjory Alana [1] ; Morari, Elaine Cristina [1] ; Nonogaki, Suely [2] ; Conte, Fabio Frangiotti [3] ; Gerhard, Rene [4] ; Soares, Fernando Augusto [5] ; Vassallo, Jose [5, 6] ; Ward, Laura Sterian [1]
Total Authors: 9
[1] Univ Campinas Unicamp, Fac Med Sci, Lab Canc Mol Genet, Sao Paulo - Brazil
[2] Adolfo Lutz Inst, Sao Paulo - Brazil
[3] Univ Campinas Unicamp, Dept Genet & Evolut, Sao Paulo - Brazil
[4] Univ Sao Paulo, Fac Med, Dept Radiol, Sao Paulo - Brazil
[5] AC Camargo Canc Hosp, Dept Pathol, Sao Paulo - Brazil
[6] Univ Campinas Unicamp, Fac Med Sci, Lab Invest & Mol Pathol Ciped, Sao Paulo - Brazil
Total Affiliations: 6
Document type: Journal article
Source: Endocrine-Related Cancer; v. 20, n. 1, p. 103-110, FEB 2013.
Web of Science Citations: 40

B7H1 is consistently associated with inhibition of the immune system in many solid tumors. However, there is no report about its impact on differentiated thyroid carcinoma (DTC) presentation, aggressiveness, or evolution. Aiming to investigate the role of B7H1 in DTC and correlate this protein with other tumor-infiltrating immune cells, we studied 407 thyroid nodule tissue samples including 293 from DTC patients, all managed according to a same standard protocol. In addition, we obtained 5 normal and 114 benign thyroid lesions. Eighteen out of the 253 papillary thyroid carcinomas were paired with respective metastatic lymph node tissues. B7H1 (CD274) protein expression was assessed by immunohistochemistry and the gene expression was quantified by real-time PCR. Malignant tissues displayed a more intense B7H1 staining and higher mRNA levels than benign tissues (both P<0.0001). We observed a positive linear correlation between higher age at diagnosis and B7H1 mRNA levels (P=0.02896). Elevated levels of B7H1 protein were associated with the presence of CD4+, CD8+, CD20+, and FoxP3+ lymphocytes (all P<0.05); tumor-associated macro-phages (P<0.0001); and the presence of myeloid-derived suppressor cells (P=0.03256). Stage II-IV patients presented higher B7H1 mRNA levels than stage I cases (P=0.03522). On the contrary, a decreased expression of B7H1 protein was observed in lymph node metastasis (P=0.0152). In conclusion, our data demonstrate that B7H1 expression is associated with features of aggressiveness, suggesting that this is an immune evasion mechanism of DTC cells. (AU)

FAPESP's process: 11/19681-2 - Critical analysis of the prognostic role of tumor infiltrating lymphocytes in differentiated thyroid carcinomas
Grantee:Lucas Leite Cunha
Support type: Scholarships in Brazil - Doctorate