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Published online before print May 30, 2007
Eur Respir J 2007, doi:10.1183/09031936.00129306
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ORIGINAL ARTICLE

Macrophage expression of IL-10 is a prognostic factor in non-small cell lung cancer

E. Zeni 1, L. Mazzetti 1, D. Miotto 1, N. Lo Cascio 1, P. Maestrelli 2, P. Querzoli 3, M. Pedriali 3, E. De Rosa 1, L.M. Fabbri 4, C.E. Mapp 1, P. Boschetto 1*

1 Dept of Experimental and Clinical Medicine, University of Ferrara, Ferrara
2 Dept of Environmental Medicine and Public Health, University of Padova, Padova
3 Dept of Experimental and Diagnostic Medicine, University of Ferrara, Ferrara
4 Dept of Medicine, Oncology and Radiology, Section of Respiratory Diseases, University of Modena & Reggio Emilia, Modena, Italy.

* To whom correspondence should be addressed. E-mail: bsp{at}unife.it.


   Abstract

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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