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Original Article |
1 Department of Surgery, Korea University College of Medicine, Seoul, Korea
2 Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
3 Laboratory of Molecular Pathology, Department of Pharmacy, Seoul National University College of Pharmacy, Seoul, Korea
4 Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Ilwondong 50, Gangnamgu, Seoul, Korea135-710
Correspondence: Address correspondence and reprint requests to: Jung-Hyun Yang, MD, PhD; E-mail: jhyang0809{at}skku.edu
Background: In breast carcinoma, identification of tumor cells in the sentinel lymph nodes is a predictor of the tumors metastatic potential. Sentinel lymph node may be targeted not only by tumor cell metastasis but also by cytokines from the emergence of antitumor immune responses.
Methods: Between February 2003 and February 2004, the investigator evaluated 38 cases that underwent sentinel lymph node biopsy at the Samsung Medical Center. Eighty paraffin-embedded sections, 49 sentinel, and 31 nonsentinel lymph node, from breast carcinoma without lymphatic metastases were analyzed by real-time polymerase chain reaction to evaluate the cytokine profile (interferon-
, interleukin-2, interleukin-10 and interleukin-12) for the T cell response.
Results: A higher expression of interleukin-10 was observed in sentinel lymph node than in nonsentinel lymph node (P = 0.03). The expressions of interferon-
, interleukin-2, and interleukin-12 were similar between sentinel and nonsentinel lymph node.
Conclusions: Theses results indicate that T cell response was downregulated by interleukin-10 overexpression in sentinel lymph node with breast cancer.
Key Words: Breast carcinoma Sentinel lymph node Cytokine Interleukin-10 Real-time quantitative polymerase chain reaction
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