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Increased CTLA-4 and FOXP3 Transcripts in Peripheral Blood Mononuclear Cells of Patients with Breast Cancer

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Pathology & Oncology Research

Abstract

Generation of Regulatory T cells (Tregs) is known to play a major role in progression and modulation of the immune escape mechanisms in cancer. These cells express Forkhead/winged helix transcription factor (FOXP3) and also Cytotoxic T-lymphocyte antigen-4 (CTLA-4), as a negative regulatory molecule which, is a potential target for immunotherapy. We, therefore, evaluated FOXP3 and CTLA-4 transcripts in the peripheral blood mononuclear cells from 55 women with histologically-confirmed infiltrating ductal carcinoma of the breast. Blood samples from 40 healthy volunteer women without a history of malignancies or autoimmune disorders were also obtained as a control. The abundance of FOXP3 and CTLA-4 gene transcripts was determined by quantitative real-time PCR (qRT-PCR). Compared to healthy individuals, significantly higher amounts of these transcripts were found in the mononuclear cells from breast cancer patients. Also, a significant correlation was found between CTLA-4 and FOXP3 expressions in a group of patients. Among patients with early stage, nonmetastatic or low-grade disease, the relative expression of CTLA-4 was about 10-fold as much as in the control group. These patients also showed a significant increase, more than 10 fold, in mean relative FOXP3 expression. The results of this investigation point to functional activity of Treg cells in early stages of breast cancer, a finding which emphasizes the significance of Tregs as an imminent target for breast cancer immunotherapy.

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Abbreviations

CTLA-4:

Cytotoxic T-lymphocyte antigen-4

GITR:

Glucocorticoid-induced tumor necrosis factor receptor

TGF-β:

Τransforming growth factor- betta

FoxP3:

Forkhead/winged helix transcription factor

qRT-PCR:

quantitative real-time PCR

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Acknowledgements

This work was funded by grant no. 87-4330 from Shiraz University of Medical Sciences and by Iranian Cancer Network and Shiraz Institute for Cancer Research (ICR-87-505). We also are grateful to the women with and without breast cancer who participated in this project.

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Correspondence to Mojtaba Habibagahi.

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Jaberipour, M., Habibagahi, M., Hosseini, A. et al. Increased CTLA-4 and FOXP3 Transcripts in Peripheral Blood Mononuclear Cells of Patients with Breast Cancer. Pathol. Oncol. Res. 16, 547–551 (2010). https://doi.org/10.1007/s12253-010-9256-8

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  • DOI: https://doi.org/10.1007/s12253-010-9256-8

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