PMID- 23179760 OWN - NLM STAT- MEDLINE DCOM- 20130228 LR - 20211021 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 462 IP - 1 DP - 2013 Jan TI - Tumoral indoleamine 2,3-dioxygenase expression predicts poor outcome in laryngeal squamous cell carcinoma. PG - 73-81 LID - 10.1007/s00428-012-1340-x [doi] AB - The development of laryngeal squamous cell carcinomas (LSCC) is strongly influenced by the host immune system. Indoleamine 2,3-dioxygenase (IDO) can promote and maintain an immunosuppressive microenvironment which can impede the efficacy of anticancer responses. The purpose of the current study is to investigate the prognostic value of intratumoral IDO expression in LSCC. The expression of IDO protein was retrospectively assessed by immunohistochemistry in 187 LSCC patients. The potential association of tumor IDO expression with clinical parameters and tumor-infiltrating lymphocytes (TILs) was analyzed separately. Survival curves were estimated by the Kaplan-Meier method, and differences between groups were determined by log-rank test. Multivariate logistic regression analysis was performed to determine the independent factors associated with survival. Based on the evaluation score, 90 carcinomas (48.1 %) were identified with high IDO expression and 97 carcinomas (51.9 %) showed low expression. Tumor IDO expression was not associated with clinical stage, presence of metastases, and other clinicopathological parameters. Also, high IDO expression was not correlated with tumor-infiltrating CD3(+) and CD8(+) TILs. Instead it was positively related with the density of FOXP3(+) Tregs. Furthermore, multivariate analysis identified a significant association of overall survival and disease-free survival with tumor IDO status. IDO high expression represents a significant negative prognostic factor in patients with LSCC. Current results provide further support for using IDO as an immunotherapeutic target in LSCC. The precise role of tumoral IDO in human LSCC remains to be elucidated in the future. FAU - Ye, Jin AU - Ye J AD - Department of Otolaryngology, Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, No. 600 Tianhe Street, Guangzhou, Guangdong, 510630, China. yejin_sums@yahoo.com.cn FAU - Liu, Hui AU - Liu H FAU - Hu, Yanming AU - Hu Y FAU - Li, Peng AU - Li P FAU - Zhang, Gehua AU - Zhang G FAU - Li, Yuan AU - Li Y LA - eng PT - Journal Article DEP - 20121120 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Biomarkers, Tumor) RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/metabolism MH - Carcinoma, Squamous Cell/diagnosis/*enzymology/mortality/secondary MH - China/epidemiology MH - Disease-Free Survival MH - Female MH - Humans MH - Indoleamine-Pyrrole 2,3,-Dioxygenase/*metabolism MH - Laryngeal Neoplasms/diagnosis/*enzymology/mortality MH - Lymph Nodes/pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Retrospective Studies MH - Survival Rate EDAT- 2012/11/28 06:00 MHDA- 2013/03/01 06:00 CRDT- 2012/11/27 06:00 PHST- 2012/07/12 00:00 [received] PHST- 2012/11/05 00:00 [accepted] PHST- 2012/08/28 00:00 [revised] PHST- 2012/11/27 06:00 [entrez] PHST- 2012/11/28 06:00 [pubmed] PHST- 2013/03/01 06:00 [medline] AID - 10.1007/s00428-012-1340-x [doi] PST - ppublish SO - Virchows Arch. 2013 Jan;462(1):73-81. doi: 10.1007/s00428-012-1340-x. Epub 2012 Nov 20.