Abstract
The distribution of S-100 protein positive dendritic cells (S100-DCs) in cancer nests and the expression of HLA-DR antigen on cancer cells in 90 patients with transitional cell carcinoma of the urinary bladder were studied immunohistochemically. A dense infiltrate of S100-DCs (more than 10 S100-DCs/high power field) was detected in 47 out of 90 cases, while in the remaining tumours the infiltrate was sparse. HLA-DR positive cancer cells (DR-CCs) were detected in 24 cases, including 16 with dense DR-CCs (more than 100 DR-CCs/high power field); no expression was observed in the remaining tumours. In terms of the numbers of S100-DCs infiltrating the following statistically significant differences were observed: tumour grading G1>G3, depth of penetration pT0>pT3; (p<0.05), G2>G3, lymphatic invasion->+ and venous invasion ->+; (p<0.01). A multivariate analysis demonstrated that the most important factor affecting prognosis was distant organ and/or lymph node metastasis (p<0.01) the number of S100DCs, with a hazard ratio (HR) of 0.26 (p<0.01), and the number of DR-CCs with HR of 0.18 (p<0.05); these were statistically significant. S100-DCs and DR-CCs may be regarded as independent prognostic factors of tumour growth and progression.
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Ambe K, Mori M, Enjoji M (1989) S-100 protein-positive dendritic cells in colorectal adenocarcinomas. Cancer 63:496–503
Basham TY, Merigan TC (1983) Recombinant interferon-γ increases HLA-DR synthesis and expression. J Immunol 130:1792–1794
Daar AK, Fabre JW (1983) The membrane antigens of human colorectal cancer cells: demonstration with monoclonal antibodies of heterogeneity within and between tumours and of anomalous expression of HLA-DR. Eur J Cancer Clin Oncol 19:209–220
Furihata M, Ohtsuki Y, Ido E, Iwata J, Sonobe H, Araki K, Ogoshi S, Ohmori K (1992) HLA-DR antigen- and S-100 protein-positive dendritic cells in esophageal squamous cell carcinoma — their distribution in relation to prognosis. Virchows Arch [B] 61:409–414
Japanese Urological Association and the Japanese Pathological Society (1980) The general rule for clinical and pathological studies on bladder cancer. 1
Nakajima T, Kodama T, Tsumuraya M, Shimosato Y, Kameya T (1985) S-100 protein-positive Langerhans cells in various human lung cancers, especially in peripheral adenocarcinomas. Virchows Arch [A] 407:177–189
Nakano T, Oka K, Arai T, Morita S, Tsunemoto H (1989) Prognostic significance of Langerhans' cell infiltration in radiation therapy for squamous cell carcinoma of uterine cervix. Arch Pathol Lab Med 113:507–511
Natali PG, Maetino CD, Quaranta V, Nicotra MR, Frezza F, Pellegrino MA, Ferrone S (1981) Expression of Ia-like antigens in normal human nonlymphoid tissues. Transplantation 31:75–78
Natali PG, Giacomini P, Bigotti A, Imai K, Nicotra MR, Ferrone S (1983) Heterogeneity in the expression of HLA and tumorassociated antigens by surgically removed and cultured breast carcinoma cells. Cancer Res 43:660–668
Nomori H, Watanabe S, Nakajima T, Shimosato Y, Kameya T (1986) Histiocytes in nasopharyngeal carcinoma in relation to prognosis. Cancer 57:100–105
Robinson J, Sieff C, Delia D, Edwards PAW, Greaves M (1981) Expression of cell-surface HLA-DR. HLA-ABC and glycophorin during erythroid differentiation. Nature 289:68–71
Sakai K, Takiguchi M, Karino K (1987) Malignant tumor and MHC. Oncologia 20(1): 55–65
Schroder S, Schwarz W, Rehpenning W, Loning T, Bocker W (1988) Dendritic/Langerhans cells and prognosis in patients with papillary thyroid carcinomas. Am J Clin Pathol 89:295–300
Smolle J, Soyer HP, Ehall R, Bartenstein S, Kerl H (1986) Langerhans cell density in epithelial skin tumors correlates with epithelial differentiation but not with the peritumoral infiltrate. J Invest Dermatol 87:477–479
Takiguchi M, Ting JPY, Buessow SC, Boyer SC, Boyer C, Gillespie Y, Frelinger JA (1985) Response of glioma cells to interferongamma: increase in class II RNA, protein and mixed lymphocyte reaction-stimulating ability. Eur J Immunol 15:809–814
Tsujitani S, Furukawa T, Tamada R, Okamura T, Yasumoto K, Sugimachi K (1987) Langerhans cells and prognosis in patients with gastric carcinoma. Cancer 59:501–505
Wilson BS, Herzig MA, Lloyd RV (1984) Immunoperoxidase staining for Ia-like antigens in paraffin-embedded tissues from human melanoma and lung carcinoma. Am J Pathol 115:102–108
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Inoue, K., Furihata, M., Ohtsuki, Y. et al. Distribution of S-100 protein-positive dendritic cells and expression of HLA-DR antigen in transitional cell carcinoma of the urinary bladder in relation to tumour progression and prognosis. Vichows Archiv A Pathol Anat 422, 351–355 (1993). https://doi.org/10.1007/BF01605452
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DOI: https://doi.org/10.1007/BF01605452