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FoxP3 overexpression and CD1a+ and CD3+ depletion in anal tissue as possible mechanisms for increased risk of human papillomavirus‐related anal carcinoma in HIV infection

Identifieur interne : 000F35 ( Istex/Corpus ); précédent : 000F34; suivant : 000F36

FoxP3 overexpression and CD1a+ and CD3+ depletion in anal tissue as possible mechanisms for increased risk of human papillomavirus‐related anal carcinoma in HIV infection

Auteurs : M. Yaghoobi ; S. Le Gouvello ; N. Aloulou ; C. Duprez- Dutreuil ; F. Walker ; I. Sobhani

Source :

RBID : ISTEX:F499A4216F28E5D2F099DBF0548D4B6B941EFF9E

English descriptors

Abstract

Aim  We analysed local cellular and humoral immunity factors in the anal mucosa in an attempt to explain how HIV infection increases the risk of anal cancer in HPV‐infected patients. Method  HIV‐positive cases and matched HIV‐negative controls with more than one recurrence of condylomas were included in a prospective study following treatment of the initial lesions. Patients were followed every 3 to 6 months for the development of anal intraepithelial neoplasia (AIN3) and cancer for up to 60 months. Tissue CD1a+, CD3+, CD4+, CD8+ cells and mRNAs of selected cytokines and chemokines were quantified and compared in patients with or without AIN3 or cancer using morphometric or immunohistochemistry analysis and qRT‐PCR. Results  Sixty‐six individuals (22 patients and 44 controls) were included. In the case group, CD1a+ and CD3+ cell counts were significantly lower in biopsies from AIN3 and cancer specimens compared with those from AIN 1‐2 or normal biopsies (P < 0.0001). A CD1a+ count of < 10/mm was predictive of AIN3 and cancer (Odds ratio = 9.4, 95% CI: 5.4–18.3, P < 0.0001). IL‐8 and IL23 levels were significantly higher in cancer than in non‐cancer tissues regardless of HIV status (P = 0.02). FoxP3 expression was significantly higher in HIV‐infected cases than in controls with AIN3/cancer (P < 0.04). Conclusion  Depletion of CD1a+ and CD3+ cells and overexpression of FoxP3 in the anal mucosa appear likely to contribute to the risk of HPV‐related anal cancer in HIV‐infected patients. Furthermore, overexpression of IL‐8 and IL‐23 in the anal mucosa might be responsible for the development of this cancer regardless of HIV status.

Url:
DOI: 10.1111/j.1463-1318.2010.02283.x

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ISTEX:F499A4216F28E5D2F099DBF0548D4B6B941EFF9E

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<div type="abstract" xml:lang="en">Aim  We analysed local cellular and humoral immunity factors in the anal mucosa in an attempt to explain how HIV infection increases the risk of anal cancer in HPV‐infected patients. Method  HIV‐positive cases and matched HIV‐negative controls with more than one recurrence of condylomas were included in a prospective study following treatment of the initial lesions. Patients were followed every 3 to 6 months for the development of anal intraepithelial neoplasia (AIN3) and cancer for up to 60 months. Tissue CD1a+, CD3+, CD4+, CD8+ cells and mRNAs of selected cytokines and chemokines were quantified and compared in patients with or without AIN3 or cancer using morphometric or immunohistochemistry analysis and qRT‐PCR. Results  Sixty‐six individuals (22 patients and 44 controls) were included. In the case group, CD1a+ and CD3+ cell counts were significantly lower in biopsies from AIN3 and cancer specimens compared with those from AIN 1‐2 or normal biopsies (P < 0.0001). A CD1a+ count of < 10/mm was predictive of AIN3 and cancer (Odds ratio = 9.4, 95% CI: 5.4–18.3, P < 0.0001). IL‐8 and IL23 levels were significantly higher in cancer than in non‐cancer tissues regardless of HIV status (P = 0.02). FoxP3 expression was significantly higher in HIV‐infected cases than in controls with AIN3/cancer (P < 0.04). Conclusion  Depletion of CD1a+ and CD3+ cells and overexpression of FoxP3 in the anal mucosa appear likely to contribute to the risk of HPV‐related anal cancer in HIV‐infected patients. Furthermore, overexpression of IL‐8 and IL‐23 in the anal mucosa might be responsible for the development of this cancer regardless of HIV status.</div>
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<hi rend="bold">Aim </hi>
We analysed local cellular and humoral immunity factors in the anal mucosa in an attempt to explain how HIV infection increases the risk of anal cancer in HPV‐infected patients.</p>
<p>
<hi rend="bold">Method </hi>
HIV‐positive cases and matched HIV‐negative controls with more than one recurrence of condylomas were included in a prospective study following treatment of the initial lesions. Patients were followed every 3 to 6 months for the development of anal intraepithelial neoplasia (AIN3) and cancer for up to 60 months. Tissue CD1a
<hi rend="superscript">+</hi>
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<hi rend="superscript">+</hi>
, CD4
<hi rend="superscript">+</hi>
, CD8
<hi rend="superscript">+</hi>
cells and mRNAs of selected cytokines and chemokines were quantified and compared in patients with or without AIN3 or cancer using morphometric or immunohistochemistry analysis and qRT‐PCR.</p>
<p>
<hi rend="bold">Results </hi>
Sixty‐six individuals (22 patients and 44 controls) were included. In the case group, CD1a
<hi rend="superscript">+</hi>
and CD3
<hi rend="superscript">+</hi>
cell counts were significantly lower in biopsies from AIN3 and cancer specimens compared with those from AIN 1‐2 or normal biopsies (
<hi rend="italic">P </hi>
<
<hi rend="italic"></hi>
0.0001). A CD1a
<hi rend="superscript">+</hi>
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<hi rend="italic">P </hi>
<
<hi rend="italic"></hi>
0.0001). IL‐8 and IL23 levels were significantly higher in cancer than in non‐cancer tissues regardless of HIV status (
<hi rend="italic">P</hi>
 = 0.02). FoxP3 expression was significantly higher in HIV‐infected cases than in controls with AIN3/cancer (
<hi rend="italic">P </hi>
<
<hi rend="italic"></hi>
0.04).</p>
<p>
<hi rend="bold">Conclusion </hi>
Depletion of CD1a
<hi rend="superscript">+</hi>
and CD3
<hi rend="superscript">+</hi>
cells and overexpression of FoxP3 in the anal mucosa appear likely to contribute to the risk of HPV‐related anal cancer in HIV‐infected patients. Furthermore, overexpression of IL‐8 and IL‐23 in the anal mucosa might be responsible for the development of this cancer regardless of HIV status.</p>
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<correspondenceTo>Iradj Sobhani, Department of Gastroenterology and Hepatology, Henri‐Mondor Hospital, 51 Avenue du Général de Lattre de Tassigny, 94010 Créteil, France.
E‐mail:
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<title type="main">Abstract</title>
<p>
<b>Aim </b>
We analysed local cellular and humoral immunity factors in the anal mucosa in an attempt to explain how HIV infection increases the risk of anal cancer in HPV‐infected patients.</p>
<p>
<b>Method </b>
HIV‐positive cases and matched HIV‐negative controls with more than one recurrence of condylomas were included in a prospective study following treatment of the initial lesions. Patients were followed every 3 to 6 months for the development of anal intraepithelial neoplasia (AIN3) and cancer for up to 60 months. Tissue CD1a
<sup>+</sup>
, CD3
<sup>+</sup>
, CD4
<sup>+</sup>
, CD8
<sup>+</sup>
cells and mRNAs of selected cytokines and chemokines were quantified and compared in patients with or without AIN3 or cancer using morphometric or immunohistochemistry analysis and qRT‐PCR.</p>
<p>
<b>Results </b>
Sixty‐six individuals (22 patients and 44 controls) were included. In the case group, CD1a
<sup>+</sup>
and CD3
<sup>+</sup>
cell counts were significantly lower in biopsies from AIN3 and cancer specimens compared with those from AIN 1‐2 or normal biopsies (
<i>P </i>
<
<i></i>
0.0001). A CD1a
<sup>+</sup>
count of < 10/mm was predictive of AIN3 and cancer (Odds ratio = 9.4, 95% CI: 5.4–18.3,
<i>P </i>
<
<i></i>
0.0001). IL‐8 and IL23 levels were significantly higher in cancer than in non‐cancer tissues regardless of HIV status (
<i>P</i>
 = 0.02). FoxP3 expression was significantly higher in HIV‐infected cases than in controls with AIN3/cancer (
<i>P </i>
<
<i></i>
0.04).</p>
<p>
<b>Conclusion </b>
Depletion of CD1a
<sup>+</sup>
and CD3
<sup>+</sup>
cells and overexpression of FoxP3 in the anal mucosa appear likely to contribute to the risk of HPV‐related anal cancer in HIV‐infected patients. Furthermore, overexpression of IL‐8 and IL‐23 in the anal mucosa might be responsible for the development of this cancer regardless of HIV status.</p>
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<abstract lang="en">Aim  We analysed local cellular and humoral immunity factors in the anal mucosa in an attempt to explain how HIV infection increases the risk of anal cancer in HPV‐infected patients. Method  HIV‐positive cases and matched HIV‐negative controls with more than one recurrence of condylomas were included in a prospective study following treatment of the initial lesions. Patients were followed every 3 to 6 months for the development of anal intraepithelial neoplasia (AIN3) and cancer for up to 60 months. Tissue CD1a+, CD3+, CD4+, CD8+ cells and mRNAs of selected cytokines and chemokines were quantified and compared in patients with or without AIN3 or cancer using morphometric or immunohistochemistry analysis and qRT‐PCR. Results  Sixty‐six individuals (22 patients and 44 controls) were included. In the case group, CD1a+ and CD3+ cell counts were significantly lower in biopsies from AIN3 and cancer specimens compared with those from AIN 1‐2 or normal biopsies (P < 0.0001). A CD1a+ count of < 10/mm was predictive of AIN3 and cancer (Odds ratio = 9.4, 95% CI: 5.4–18.3, P < 0.0001). IL‐8 and IL23 levels were significantly higher in cancer than in non‐cancer tissues regardless of HIV status (P = 0.02). FoxP3 expression was significantly higher in HIV‐infected cases than in controls with AIN3/cancer (P < 0.04). Conclusion  Depletion of CD1a+ and CD3+ cells and overexpression of FoxP3 in the anal mucosa appear likely to contribute to the risk of HPV‐related anal cancer in HIV‐infected patients. Furthermore, overexpression of IL‐8 and IL‐23 in the anal mucosa might be responsible for the development of this cancer regardless of HIV status.</abstract>
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<title>Anal human papillomavirus infection among homosexual and bisexual men: prevalence of type‐specific infection and association with human immunodeficiency virus</title>
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