LARINGOPHARINGEAL REFLUX IMPACTS IMMUNE MICROENVIRONMENT OF LARYNGEAL CARCINOMA
D.I. Zabolotnyi1, V.V. Kizim1, D.D. Zabolotna1, Y.V. Kizim1, O.N. Sulaieva2
- A.S. Kolomiychenko State Institution "Institute of Otolaryngology NAMS of Ukraine”, Kyiv, Ukraine
- Medical Laboratory CSD, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz66.04.012
Abstract
The purpose of this study was to evaluate the effect of the
laryngopharyngeal reflux (LPR) on the number of tumourinfiltrating T-lymphocytes in laryngeal cancer (LC). According
to the results of pH monitoring, 87 patients with laryngeal
tumours were subdivided into three groups: 1st group included
patients with LC without LPR; 2nd group comprised LC patients with coexisting LPR, patients with benign neoplasms of
the larynx with LPR were enrolled into 3d group. TIME was
assessed immunohistochemically by counting T-lymphocytes
(CD3+), T-cytotoxic cells (CD8+) and T-regulatory cells (Treg;
FOXP3+) number within the tumour, in the peritumour stroma,
and in the intact areas of the larynx. It was shown that LPR
leads to chronic inflammation and affects TIME of laryngeal
carcinomas. LC with coexisting LPR demonstrated a higher
inflammatory infiltration of tumour area and intact mucosa.
However, no statistically significant differences were found
between a number of CD3+- and CD8+-cells in LC of the 1st
and 2nd groups. In contrast, LPR was associated with higher
number of immunosuppressive Treg-cells within tumour and
in intact mucosa that could affect immune tolerance and efficacy of anti-tumour immunity facilitating LC progression.
Keywords:
: laryngeal cancer; laryngopharyngeal reflux; tumour immune microenvironment; T-lymphocytes; T-regulatory cells
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