PMID- 29023924 OWN - NLM STAT- MEDLINE DCOM- 20180906 LR - 20190221 IS - 1365-2559 (Electronic) IS - 0309-0167 (Linking) VI - 72 IP - 6 DP - 2018 May TI - A decreased peritumoral CD1a+ cell number predicts a worse prognosis in oral squamous cell carcinoma. PG - 905-913 LID - 10.1111/his.13415 [doi] AB - AIMS: Dendritic cells (DCs) are known to play a central role in the regulation of both innate and adaptive immunological responses, including antitumour immunity. The aim of this study was to evaluate the prognostic impact of intratumoral and peritumoral DCs in oral squamous cell carcinoma (OSCC) affecting the tongue and floor of the mouth. METHODS AND RESULTS: Immunohistochemistry for CD1a and CD83 was performed in 53 patients with OSCC in the tongue and floor of the mouth. The markers were evaluated by automated examination in intratumoral and peritumoral compartments, and the results were expressed as density of cells/mm(2) . Correlations between these data and clinicopathological and survival outcomes were investigated. Depletion of peritumoral CD1a+ cells was associated with lymph node metastasis (P = 0.05), whereas depletion of peritumoral CD83+ cells was correlated with smoking history (P = 0.04), lymph node metastasis (P = 0.015), and extracapsular spread of lymph nodes (P = 0.018). Peritumoral CD1a+ was correlated with recurrence (P = 0.007) and overall survival (P = 0.03). The results of the survival analysis with the Cox proportional hazard model showed that depletion of peritumoral CD1a+ cells is an independent factor associated with overall survival and disease-free survival. CONCLUSION: Our results suggest that depletion of peritumoral CD1a+ cells is a strong independent prognostic factor, predicting a higher recurrence rates and worse survival outcomes. CI - (c) 2017 John Wiley & Sons Ltd. FAU - Jardim, Juscelino F AU - Jardim JF AUID- ORCID: 0000-0002-8964-996X AD - Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil. FAU - Gondak, Rogerio AU - Gondak R AD - Department of Pathology, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil. FAU - Galvis, Marisol M AU - Galvis MM AUID- ORCID: 0000-0003-4798-584X AD - Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil. FAU - Pinto, Clovis A L AU - Pinto CAL AD - Department of Pathology, AC Camargo Cancer Centre, Sao Paulo, Sao Paulo, Brazil. FAU - Kowalski, Luiz P AU - Kowalski LP AD - Department of Head and Neck Surgery and Otorhinolaryngology, AC Camargo Cancer Centre, Sao Paulo, Sao Paulo, Brazil. LA - eng PT - Journal Article DEP - 20180206 PL - England TA - Histopathology JT - Histopathology JID - 7704136 RN - 0 (Antigens, CD1) RN - 0 (CD1a antigen) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD1/analysis MH - Carcinoma, Squamous Cell/*immunology/mortality/pathology MH - Dendritic Cells/*pathology MH - Disease-Free Survival MH - Female MH - Head and Neck Neoplasms/*immunology/mortality/pathology MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Mouth Neoplasms/*immunology/mortality/pathology MH - Neoplasm Recurrence, Local/immunology/pathology MH - Prognosis MH - Proportional Hazards Models MH - Squamous Cell Carcinoma of Head and Neck OTO - NOTNLM OT - dendritic cells OT - oral cancer OT - oral squamous cell carcinoma OT - prognosis EDAT- 2017/10/13 06:00 MHDA- 2018/09/07 06:00 CRDT- 2017/10/13 06:00 PHST- 2017/03/14 00:00 [received] PHST- 2017/10/08 00:00 [accepted] PHST- 2017/10/13 06:00 [pubmed] PHST- 2018/09/07 06:00 [medline] PHST- 2017/10/13 06:00 [entrez] AID - 10.1111/his.13415 [doi] PST - ppublish SO - Histopathology. 2018 May;72(6):905-913. doi: 10.1111/his.13415. Epub 2018 Feb 6.