PMID- 34461859 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20211018 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 21 IP - 1 DP - 2021 Aug 30 TI - Infiltration of CD1a-positive dendritic cells in advanced laryngeal cancer correlates with unfavorable outcomes post-laryngectomy. PG - 973 LID - 10.1186/s12885-021-08715-6 [doi] LID - 973 AB - BACKGROUND: The prognosis of advanced laryngeal cancer is unfavorable despite advances in multidisciplinary therapy. Dendritic cells (DCs) play a central role in antitumor immunity. Tumor-infiltrating CD1a(+) DCs have been reported to be associated with clinical outcomes in carcinomas of various organs, but the clinical impact of CD1a(+) DCs in laryngeal cancer remains to be unequivocally established. METHODS: We retrospectively analyzed the cases of 57 patients with Stage III or IV laryngeal cancer who underwent a total laryngectomy. Immunohistochemistry detection of CD1a, S100 and CD8 was performed on representative resected specimens. CD1a(+) DCs, S100(+) DCs and CD8(+) cytotoxic T-lymphocytes (CTLs) were evaluated, and the cases divided into high and low groups according to the cut-off of the median values for each of these 3 parameters. RESULTS: Compared to the CD1a-low group, the CD1a-high group had more advanced cases and showed significantly worse disease-specific survival (DSS) (P = 0.008) and overall survival (OS) (P = 0.032). The analyses of S100 DCs and CD8(+) CTLs revealed no significant impact on clinical outcomes. However, multivariate analysis revealed that infiltration of CD1a(+) DCs was an independent unfavorable prognostic factor for both DSS (P = 0.009) and OS (P = 0.013). CONCLUSIONS: Our results demonstrated that the infiltration of CD1a(+) DCs was associated with unfavorable clinical outcomes in patients with advanced laryngeal cancer who underwent a total laryngectomy as the initial treatment. CI - (c) 2021. The Author(s). FAU - Minesaki, Akimichi AU - Minesaki A AD - Department of Pathology & Microbiology, Saga University Faculty of Medicine, Saga, Japan. AD - Department of Otolaryngology - Head & Neck Surgery, Saga University Faculty of Medicine, Saga, Japan. FAU - Kai, Keita AU - Kai K AUID- ORCID: 0000-0003-1553-2598 AD - Department of Pathology, Saga University Hospital, Nabeshima 5-1-1, Saga City, Saga, 849-8501, Japan. kaikeit@cc.saga-u.ac.jp. FAU - Kuratomi, Yuichiro AU - Kuratomi Y AD - Department of Otolaryngology - Head & Neck Surgery, Saga University Faculty of Medicine, Saga, Japan. FAU - Aishima, Shinichi AU - Aishima S AD - Department of Pathology & Microbiology, Saga University Faculty of Medicine, Saga, Japan. AD - Department of Pathology, Saga University Hospital, Nabeshima 5-1-1, Saga City, Saga, 849-8501, Japan. LA - eng GR - JP20K07408/Japan Society for the Promotion of Science/ PT - Journal Article DEP - 20210830 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (Antigens, CD1) RN - 0 (Biomarkers, Tumor) RN - 0 (CD1a antigen) SB - IM MH - Aged MH - Antigens, CD1/*metabolism MH - Biomarkers, Tumor/*analysis MH - CD8-Positive T-Lymphocytes/*immunology MH - Dendritic Cells/*immunology MH - Female MH - Follow-Up Studies MH - Humans MH - Laryngeal Neoplasms/immunology/*mortality/pathology/surgery MH - Laryngectomy/*mortality MH - Lymphocytes, Tumor-Infiltrating/*immunology MH - Male MH - Prognosis MH - Retrospective Studies MH - Survival Rate PMC - PMC8406956 OTO - NOTNLM OT - CD1a OT - Dendritic cell OT - Immunohistochemistry OT - Laryngeal cancer OT - Prognosis COIS- The authors have no conflicts of interest to declare. EDAT- 2021/09/01 06:00 MHDA- 2021/10/21 06:00 PMCR- 2021/08/30 CRDT- 2021/08/31 05:36 PHST- 2020/08/17 00:00 [received] PHST- 2021/08/23 00:00 [accepted] PHST- 2021/08/31 05:36 [entrez] PHST- 2021/09/01 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2021/08/30 00:00 [pmc-release] AID - 10.1186/s12885-021-08715-6 [pii] AID - 8715 [pii] AID - 10.1186/s12885-021-08715-6 [doi] PST - epublish SO - BMC Cancer. 2021 Aug 30;21(1):973. doi: 10.1186/s12885-021-08715-6.