Abstract
Background - Hypopharyngeal cancer (HPSCC) shows a poor clinical outcome, while HPSCC, caused by human papillomavirus (HPV), presents a better outcome. Here, HPCC, immune proteins, and tumor infiltrating CD8+ lymphocytes (CD8+ TILs) were evaluated in relation to HPV and outcome. Methods - Fresh frozen tissue from four HPV-positive HPSCC, 39 HPV-negative HPSCC, and normal samples were analyzed for protein expression by the Proseek immuno-oncology immunoassay. CD8+ TIL numbers evaluated by immunohistochemistry on 144 formalin-fixed biopsies were analyzed in relation to clinical outcome. Results - Proteins differing between HPV-positive and negative HPSCC included CD8A, PD-L1, Fas ligand, and chemokines. High CD8+ TIL numbers were correlated to improve clinical outcome in HPV-negative HPSCC. Conclusions - High expression of immune proteins in HPV-positive HPSCC may explain the better clinical outcome. CD8+ TILs are of relevance for outcome of HPV-negative HPSCC, while tumors with high immune activity but poor patient survival suggest a role for immune therapy.
Original language | English |
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Pages (from-to) | 3206-3217 |
Number of pages | 12 |
Journal | Head and Neck |
Volume | 42 |
Issue number | 11 |
Early online date | 1 Jul 2020 |
DOIs | |
Publication status | Published - Nov 2020 |
Funding
The authors would like to acknowledge support of the Clinical biomarker facility at SciLifeLab Sweden for providing assistance in protein analysis. We thank Susanne Becker, Inger Bodin, and Anna Malmerfelt for excellent technical assistance and Ola Hössjer for advice regarding data analysis. This work was supported by the Cancer Society in Stockholm (151253, 181053), The Swedish Cancer Foundation (180440), the Stockholm County ALF (20180085, 2018037), Laryngfonden and the Cancer and Allergy Foundation (253). Anders Näsman was supported by Region Stockholm (clinical postdoctoral appointment). The funding sources had no involvement in any part of the study.
All Science Journal Classification (ASJC) codes
- Otorhinolaryngology