华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

口腔鳞癌中树突状细胞的免疫组化分析

王志勇1,李声伟1,胡勤刚2,田卫东1   

  1. 1.四川大学华西口腔医院 颌面外科,四川 成都610041; 2.南京大学医学院附属口腔医院 外科,江苏 南京210008
  • 收稿日期:2004-04-25 修回日期:2004-04-25 出版日期:2004-04-20 发布日期:2004-04-20
  • 通讯作者: 胡勤刚,Tel:025-3609574
  • 作者简介:王志勇(1967-),男,江苏人,主治医师,博士

Immunohistochemical Analysis of Dendritic Cell in Oral Squamous Cell Carcinoma

WANG Zhi-yong1,LISheng-wei1,HU Qin-gang2,TIANWei-dong1   

  1. 1.Dept.ofOral andMaxillofacial Surgery,West China College ofStomatolgy,Sichuan Universi- ty,Chengdu610041,China; 2.Dept.ofOral andMaxillofacial Surgery,StomatologicalHospitalAffiliated College ofMedicine, Nanjing University,Nanjing210008,China
  • Received:2004-04-25 Revised:2004-04-25 Online:2004-04-20 Published:2004-04-20

摘要:

目的 通过分析口腔鳞癌中浸润性树突状细胞的特征性表型,以探讨其在肿瘤微环境中的功能状态。方法 选择未经任何非手术治疗的初发口腔鳞癌患者标本34例作为实验组,30例口腔正常粘膜组织作为对照组。通过免疫组化技术标记组织中树突状细胞(DC)的CD1a,HLA-DR和CD83抗原,观察两种组织中的DC表达3种抗原的状况,结果进行统计学分析。结果 所有病例均未见明显CD83+DC,但均有CD1a+DC,其在口腔鳞癌组织中的浸润程度低于正常口腔粘膜组织,差异有显著性(P<0·05)。在口腔鳞癌组中有27例癌实质内的DC表达HLA- DR抗原,其HLA-DR的阳性表达率为79·41%。结论 口腔鳞癌组织中的DC,其浸润程度下降并存在功能成熟障碍。

关键词: 树突状细胞, 口腔癌, 免疫组化

Abstract:

Objective To elucidate the functional status of dendritic cells (DC) in the tissue of oral squamous cell carcinoma by analyzing characteristic phenotype of them.Methods 34 specimens from oral squamous cell carcinoma cases primarily treated with surgery were selected as test group.In addition, 30 specimens of normal mucosa from oral mucocele cases were used as con- trol. Distribution of DC expressing CD1a+, HLA-DR+and CD83+in tumortissue and normal mucous membrane was observed by immunohistochemistry. The number of DC expressingthe antigens, which represented the density of DC infiltrating intotissue, was counted by microscope. The density of DC and the rate of DC expressingHLA-DR in oral carcinoma group and controlwere statis- tically compared.Results There was no CD83+DC in all cases, but CD1a+DC was found in all samples. The density of CD1a+DC in tumortissue was significantly lowerthan that in normal mucous membrane (P<0.05). HLA-DR antigen expressed on the surface of DC in tumoral epithelium of 27-case carcinoma specimens and in normal mucous epithelium of 23 cases. The rate of HLA-DR positive expression of TIDC had no statistic significance between the two groups.Conclusion The lower density of DC infiltrating in tumor tissue might reflect the microenviromental immunodeficiency of hosts with oral squamous cell carcinoma, and the functional mature of DC might be inhibited by the immunosuppressive action of oral squamous cell carcinoma.

Key words: dendritic cell, oral carcinoma, immunohistochemistry