PMID- 31933123 OWN - NLM STAT- MEDLINE DCOM- 20210111 LR - 20210111 IS - 1880-4233 (Electronic) IS - 1340-6868 (Linking) VI - 27 IP - 4 DP - 2020 Jul TI - The number of FoxP3-positive tumor-infiltrating lymphocytes in patients with synchronous bilateral breast cancer. PG - 586-593 LID - 10.1007/s12282-020-01049-4 [doi] AB - PURPOSE: In breast cancer, FoxP3-positive tumor-infiltrating lymphocytes (FoxP3+ TILs) vary depending on lymph node status, histological grade, and subtype. All these studies have compared the numbers of FoxP3+ TILs among different hosts, but recruitment of FoxP3+ TILs might depend on each individual's immune environment and each tumor's biological characteristics. In the present study, FoxP3+ TIL numbers were investigated in patients with synchronous bilateral breast cancer (SBBC) to determine the factors that affect FoxP3+ TIL recruitment in the same anti-tumor immune environment. METHODS: Patients diagnosed with SBBC who underwent curative surgery at two institutions were enrolled in this study. Patients who underwent primary systemic therapy or who were diagnosed with ductal carcinoma in situ or who had distant metastases at diagnosis were excluded. The average numbers of Foxp3+ TILs were determined from the scores of five high-power microscopic fields (HPF). The associations between Foxp3+ TIL numbers and the clinicopathological features of bilateral breasts in a single individual were examined. RESULTS: Nuclear grade (NG) (p = 0.007) and subtype (p = 0.03), but not size (p = 0.18) and axillary lymph node (p = 0.23) were significantly associated with increase of FoxP3 + TIL numbers by univariate analysis. Further, only NG was a statistically significant clinicopathological factor for change in the number of FoxP3+ TILs by multivariate analysis (p = 0.046) CONCLUSIONS: There was no relationship between FoxP3+ TIL numbers and cancer progression as reflected in tumor size and axillary lymph node in patients with SBBC. Aggressive biological factors, especially high NG, were significantly related to enhanced recruitment of FoxP3+ TILs. FAU - Goto, Risa AU - Goto R AUID- ORCID: 0000-0002-5956-3209 AD - Department of Breast Surgical Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome Bunkyoku, Tokyo, Japan. rg02045@cick.jp. AD - Department of Pathology, Showa University, Tokyo, Japan. rg02045@cick.jp. FAU - Hirota, Yuko AU - Hirota Y AD - Department of Pathology, Showa University Koto Toyosu Hospital, Tokyo, Japan. FAU - Aruga, Tomoyuki AU - Aruga T AD - Department of Breast Surgical Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Honkomagome Bunkyoku, Tokyo, Japan. FAU - Horiguchi, Shinichiro AU - Horiguchi S AD - Department of Pathology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan. FAU - Miura, Sakiko AU - Miura S AD - Department of Pathology, Showa University, Tokyo, Japan. FAU - Nakamura, Seigo AU - Nakamura S AD - Department of Surgery, Division of Breast Surgical Oncology, Showa University, Tokyo, Japan. FAU - Takimoto, Masafumi AU - Takimoto M AD - Department of Pathology, Showa University, Tokyo, Japan. LA - eng GR - H290303015/Clinical Research Found of Tokyo Metropolitan Government/ PT - Journal Article DEP - 20200113 PL - Japan TA - Breast Cancer JT - Breast cancer (Tokyo, Japan) JID - 100888201 RN - 0 (FOXP3 protein, human) RN - 0 (Forkhead Transcription Factors) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Axilla MH - Breast/immunology/pathology/surgery MH - Breast Neoplasms/*immunology/pathology/surgery MH - Disease Progression MH - Female MH - Forkhead Transcription Factors/metabolism MH - Humans MH - Lymph Nodes/pathology MH - Lymphocyte Count MH - Lymphocytes, Tumor-Infiltrating/*immunology/metabolism MH - Mastectomy MH - Middle Aged MH - Neoplasm Grading MH - Neoplasms, Multiple Primary/*immunology/pathology/surgery MH - Retrospective Studies MH - Tumor Microenvironment/*immunology OTO - NOTNLM OT - Anti-tumor immunity environment OT - FoxP3 OT - Regulatory T cell OT - Synchronous bilateral breast cancer OT - Tumor-infiltrating lymphocytes EDAT- 2020/01/15 06:00 MHDA- 2021/01/12 06:00 CRDT- 2020/01/15 06:00 PHST- 2019/09/21 00:00 [received] PHST- 2020/01/05 00:00 [accepted] PHST- 2020/01/15 06:00 [pubmed] PHST- 2021/01/12 06:00 [medline] PHST- 2020/01/15 06:00 [entrez] AID - 10.1007/s12282-020-01049-4 [pii] AID - 10.1007/s12282-020-01049-4 [doi] PST - ppublish SO - Breast Cancer. 2020 Jul;27(4):586-593. doi: 10.1007/s12282-020-01049-4. Epub 2020 Jan 13.