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The cellular ratio of immune tolerance (immunoCRIT) is a definite marker for aggressiveness of solid tumors and may explain tumor dissemination patterns

I. Türbachova, T. Schwachula, I. Vasconcelos, A. Mustea, T. Baldinger, KA. Jones, H. Bujard, A. Olek, K. Olek, K. Gellhaus, I. Braicu, D. Könsgen, C. Fryer, E. Ravot, A. Hellwag, N. Westerfeld, OJ. Gruss, M. Meissner, MT. Hasan, M. Weber, U....

. 2013 ; 8 (11) : 1226-35.

Language English Country United States

Document type Journal Article

The adaptive immune system is involved in tumor establishment and aggressiveness. Tumors of the ovaries, an immune-privileged organ, spread via transceolomic routes and rarely to distant organs. This is contrary to tumors of non-immune privileged organs, which often disseminate hematogenously to distant organs. Epigenetics-based immune cell quantification allows direct comparison of the immune status in benign and malignant tissues and in blood. Here, we introduce the "cellular ratio of immune tolerance" (immunoCRIT) as defined by the ratio of regulatory T cells to total T lymphocytes. The immunoCRIT was analyzed on 273 benign tissue samples of colorectal, bronchial, renal and ovarian origin as well as in 808 samples from primary colorectal, bronchial, mammary and ovarian cancers. ImmunoCRIT is strongly increased in all cancerous tissues and gradually augmented strictly dependent on tumor aggressiveness. In peripheral blood of ovarian cancer patients, immunoCRIT incrementally increases from primary diagnosis to disease recurrence, at which distant metastases frequently occur. We postulate that non-pathological immunoCRIT values observed in peripheral blood of immune privileged ovarian tumor patients are sufficient to prevent hematogenous spread at primary diagnosis. Contrarily, non-immune privileged tumors establish high immunoCRIT in an immunological environment equivalent to the bloodstream and thus spread hematogenously to distant organs. In summary, our data suggest that the immunoCRIT is a powerful marker for tumor aggressiveness and disease dissemination.

Basel Switzerland

Berlin Germany

Cambridge MA USA

Cardiff UK

Cardiff University

Charité Universitätsmedizin Berlin Campus Virchow

Clinics for Obstetrics and Gynecology

Department of Gynecology

Department of Mathematics

Department of Molecular Neurobiology

Department of Obstetrics and Gynecology

Division of Infection and Immunity

DKFZ ZMBH Allianz

Epiontis GmbH

Erasmus University Medical Center Daniel den Hoed Cancer Center Dept Medical Oncology

Glasgow Biomedical Research Centre

Glasgow UK

Gray Institute for Radiation Oncology and Biology

Greifswald Germany

Hamburg Germany

Heidelberg Germany

Humboldt University

IDEXX Laboratories

INF 282

Institute of Biomedical Life Sciences

La Jolla CA USA

Labor für Abstammungsbegutachtung

Leuven Belgium

Max Planck Institute for Medical Research

Medical University of Vienna

Milan Italy

Molecular Oncology Group

Nephrologie und internistische Intensivmedizin

Nobel Education

Novartis

Oxford UK

PATHOTRES Gemeinschaftspraxis für Pathologie und Neuropathologie

Prague Czech Republic

Regulatory Biology Laboratory

Rotterdam The Netherlands

Saatchi and Saatchi Health

Schönau am Königssee Germany

School of Medicine

The Salk Institute for Biological Studies

University Greifswald

University Heidelberg

University Medical Center Hamburg Eppendorf

University Medicine Charité Campus Virchow

University of Glasgow

University of Heidelberg

University of Leuven

University of Oxford

Vienna Austria

Wellcome Centre for Molecular Parasitology

Zentrum für Molekulare Biologie Heidelberg

References provided by Crossref.org

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