Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/61012
Type: Artigo de Periódico
Title: Immune microenvironment and evasion mechanisms in adenoid cystic carcinomas of salivary glands
Authors: Carla Mosconi
Aline Carvalho Batista
José Alcides Almeida de Arruda
Ana Caroline Rodrigues de Farias
Gabriella Alves Quixabeira Oliveira
Henrique Moura de Paula
Felipe Paiva Fonseca
Ricardo Alves Mesquita
Tarcília Aparecida da Silva
Elismauro Francisco Mendonça
Abstract: Objectives: The objective of the present study was to investigate the expression of immune checkpoints (PD-L1, PD-L2, PD-1 and CTLA-4), immune inhibitory molecule HLA-G, markers of tumor-infiltrating lymphocytes (TIL) and dendritic cells (DC), as well as its association with clinicopathological features of adenoid cystic carcinomas (ACC) of the salivary glands. Materials and methods: Thirty-six samples from patients with ACC were analyzed immunohistochemically for the expression of PD-L1, PD-L2, PD-1, CTLA-4, HLA-G, CD8, GrB, CD1a and CD83. Positivity of HLA-G, PD-L1 and PD-L2 expression was defined by cut-offs values. CD8+ TIL was measured semiquantitatively and also using cut-off values obtained by the ROC curve considering recurrence of the lesion. Results: ACC showed low CD8+, GrB+ TIL, CD1a and CD83 populations, as well as scarce positivity for CTLA-4 and PD-1. In contrast, PD-L2 and HLA-G expression was increased, while no PD-L1 expression was detected. Interestingly, cases with lower CD8+ TIL density presented greater recurrence rates. Conclusion: Our findings suggest that the ACC microenvironment exhibits low immunogenicity, represented by low TIL and DC density. Moreover, there seems to be activation of the immune inhibitory proteins/PD-L2 and HLA-G, a scenario that may favor tumor escape from the immune system and partially explain the poor prognosis of ACC.
Subject: Carcinoma
Carcinoma, adenoid cystic
Head and neck neoplasms
Immunohistochemistry
Mouth Neoplasms
Salivary glands
Association
Recurrence
Proteins
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAO - DEPARTAMENTO DE CLÍNICA
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1016/j.oraloncology.2018.11.028
URI: http://hdl.handle.net/1843/61012
Issue Date: Jan-2019
metadata.dc.url.externa: https://www.sciencedirect.com/science/article/pii/S1368837518304482?via%3Dihub
metadata.dc.relation.ispartof: Oral Oncology
Appears in Collections:Artigo de Periódico

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