Eur Respir J 2007, doi:10.1183/09031936.00129306
Macrophage expression of IL-10 is a prognostic factor in non-small cell lung cancer
1 Dept of Experimental and Clinical Medicine, University of Ferrara, Ferrara
* To whom correspondence should be addressed. E-mail: bsp{at}unife.it.
Interleukin-10 (IL-10) is expressed in many solid tumours and has an ambivalent role in controlling cancer growth and metastases. To determine whether IL-10 is involved in tumour progression and prognosis of non-small-cell lung cancer (NSCLC), we investigated IL-10 expression in tumour cells and tumour associated macrophages (TAMs) and its associations, if any, with the clinicopathological features. Paraffin-embedded sections of surgical specimens obtained from 50 patients undergoing surgery for non-small cell lung cancer were immunostained with an antibody against IL-10. TAMs and tumour cells positive to IL-10 were subsequently quantified . IL-10+ve TAMs were higher in patients with stages II, III and IV and in those with lymph node metastases as compared to patients with stage I non-small cell lung cancer. High IL-10 expression by TAMs was a significant independent predictor for advanced tumour stage and, thus, was associated with worse overall patient survival. Conversely, IL-10+ve tumour cells were not different between stages II, III and IV and stage I non-small-cell lung cancer. In conclusion, IL-10 expression by TAMs, but not by tumour cells, may have a role in the progression and prognosis of non-small cell lung cancer. These results may be useful in developing novel approaches in anticancer treatments. Keywords: Immunohistochemistry, interleukin-10, non-small cell lung cancer, prognosis, survival, tumour associated macrophages
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