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. 1976 Sep;84(3):529–544.

Identification of T and B lymphocytes in human breast cancer with immunohistochemical techniques.

R Schoorl, A B Riviere, A E Borne, T M Feltkamp-Vroom
PMCID: PMC2032535  PMID: 183507

Abstract

Cryostat sections of 50 breast cancer specimens and several lymphoid organs were investigated with antisera against human T-lymphocyte antigen, human lymphocytes, and human immunoglobulins using the immunofluorescence technique and the immunoperoxidase technique. These methods proved to make it possible to discriminate between T and B cells in lymphocytic infiltrates in tissue sections. In nearly all mammary carcinomas studied, T cells were found to predominate in and around tumor cell nests. Only the intraductal carcinomas of this series contained a substantial number of B cells in addition to T cells. The presence of T cells indicates that the host-tumor interaction in vivo mall-mediated immune reaction. The role of the B cells found in the lymphocytic infiltrates of the intraductal carcinomas is still a matter of speculation. Moreover, these findings enhance the value of established histologic classifications. These classifications may have to be modified to provide them with a more functional basis.

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Selected References

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  1. Alexopoulos C., Babitis P. Letter: Age dependence of T lymphocytes. Lancet. 1976 Feb 21;1(7956):426–426. doi: 10.1016/s0140-6736(76)90259-2. [DOI] [PubMed] [Google Scholar]
  2. Anastassiades O. T., Pryce D. M. Fibrosis as in indication of time in infiltrating breast cancer and its importance in prognosis. Br J Cancer. 1974 Mar;29(3):232–239. doi: 10.1038/bjc.1974.62. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Andersen V., Bendixen G., Schiodt T. An in vitro demonstration of cellular immunity against autologous mammary carcinoma in man. Acta Med Scand. 1969 Jul-Aug;186(1-2):101–103. doi: 10.1111/j.0954-6820.1969.tb01446.x. [DOI] [PubMed] [Google Scholar]
  4. Avrameas S., Ternynck T. Peroxidase labelled antibody and Fab conjugates with enhanced intracellular penetration. Immunochemistry. 1971 Dec;8(12):1175–1179. doi: 10.1016/0019-2791(71)90395-8. [DOI] [PubMed] [Google Scholar]
  5. BLACK M. M., KERPE S., SPEER F. D. Lymph node structure in patients with cancer of the breast. Am J Pathol. 1953 May-Jun;29(3):505–521. [PMC free article] [PubMed] [Google Scholar]
  6. Berczi I., Sehon A. H. Rejection of tumor cells in vitro: a T-cell-mediated reaction. Int J Cancer. 1975 Oct 15;16(4):665–674. doi: 10.1002/ijc.2910160417. [DOI] [PubMed] [Google Scholar]
  7. Berg J. W. Morphological evidence for immune response to breast cancer. An historical review. Cancer. 1971 Dec;28(6):1453–1456. doi: 10.1002/1097-0142(197112)28:6<1453::aid-cncr2820280618>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  8. Black M. M., Barclay T. H., Hankey B. F. Prognosis in breast cancer utilizing histologic characteristics of the primary tumor. Cancer. 1975 Dec;36(6):2048–2055. doi: 10.1002/cncr.2820360919. [DOI] [PubMed] [Google Scholar]
  9. Black M. M., Leis H. P., Jr Cellular responses to autologous breast cancer tissue. Correlation with stage and lymphoreticuloendothelial reactive. Cancer. 1971 Aug;28(2):263–273. doi: 10.1002/1097-0142(197108)28:2<263::aid-cncr2820280202>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
  10. Bloom H. J., Field J. R. Impact of tumor grade and host resistance on survival of women with breast cancer. Cancer. 1971 Dec;28(6):1580–1589. doi: 10.1002/1097-0142(197112)28:6<1580::aid-cncr2820280637>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
  11. Bloom H. J., Richardson W. W., Field J. R. Host resistance and survival in carcinoma of breast: a study of 104 cases of medullary carcinoma in a series of 1,411 cases of breast cancer followed for 20 years. Br Med J. 1970 Jul 25;3(5716):181–188. doi: 10.1136/bmj.3.5716.181. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. COONS A. H., LEDUC E. H., CONNOLLY J. M. Studies on antibody production. I. A method for the histochemical demonstration of specific antibody and its application to a study of the hyperimmune rabbit. J Exp Med. 1955 Jul 1;102(1):49–60. doi: 10.1084/jem.102.1.49. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Cottier H., Turk J., Sobin L. A proposal for a standardized system of reporting human lymph node morphology in relation to immunological function. J Clin Pathol. 1973 May;26(5):317–331. doi: 10.1136/jcp.26.5.317. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Deodhar S. D., Crile G., Jr, Esselstyn C. B., Jr Study of the tumor cell-lymphocyte interaction in patients with breast cancer. Cancer. 1972 May;29(5):1321–1325. doi: 10.1002/1097-0142(197205)29:5<1321::aid-cncr2820290529>3.0.co;2-m. [DOI] [PubMed] [Google Scholar]
  15. Di Paola M., Angelini L., Bertolotti A., Colizza S. Host resistance in relation to survival in breast cancer. Br Med J. 1974 Nov 2;4(5939):268–270. doi: 10.1136/bmj.4.5939.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Feltkamp-Vroom T. M., Ruys H. J., Feltkamp T. E. A periodic acid-silver methenamine restaining method for cryostat sections of renal tissue previously used in the immunofluorescence technique. J Histochem Cytochem. 1969 May;17(5):353–354. doi: 10.1177/17.5.353. [DOI] [PubMed] [Google Scholar]
  17. FeltkampVroom T. M., Stallman P. J., Aalberse R. C., Reerink-Brongers E. E. Immunofluorescence studies on renal tissue, tonsils, adenoids, nasal polyps, and skin of atopic and nonatopic patients, with special reference to IgE. Clin Immunol Immunopathol. 1975 Sep;4(3):392–404. doi: 10.1016/0090-1229(75)90008-2. [DOI] [PubMed] [Google Scholar]
  18. Fisher E. R., Gregorio R. M., Fisher B., Redmond C., Vellios F., Sommers S. C. The pathology of invasive breast cancer. A syllabus derived from findings of the National Surgical Adjuvant Breast Project (protocol no. 4). Cancer. 1975 Jul;36(1):1–85. doi: 10.1002/1097-0142(197507)36:1<1::aid-cncr2820360102>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
  19. Glazman H., Salwa J., Harlozińska A. Humoral immunologic response in patients with tumors of the breast. Arch Immunol Ther Exp (Warsz) 1973;21(1):175–184. [PubMed] [Google Scholar]
  20. Graham R. C., Jr, Karnovsky M. J. The early stages of absorption of injected horseradish peroxidase in the proximal tubules of mouse kidney: ultrastructural cytochemistry by a new technique. J Histochem Cytochem. 1966 Apr;14(4):291–302. doi: 10.1177/14.4.291. [DOI] [PubMed] [Google Scholar]
  21. Grosser N., Thomson D. M. Cell-mediated antitumor immunity in breast cancer patients evaluated by antigen-induced leukocyte adherence inhibition in test tubes. Cancer Res. 1975 Sep;35(9):2571–2579. [PubMed] [Google Scholar]
  22. Hamlin I. M. Possible host resistance in carcinoma of the breast: a histological study. Br J Cancer. 1968 Sep;22(3):383–401. doi: 10.1038/bjc.1968.47. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Hellström I., Hellström K. E. Cell-mediated immune reactions to tumor antigens with particular emphasis on immunity to human neoplasms. Cancer. 1974 Oct;34(4 Suppl):suppl–suppl:1468. doi: 10.1002/1097-0142(197410)34:8+<1461::aid-cncr2820340818>3.0.co;2-i. [DOI] [PubMed] [Google Scholar]
  24. Hellström I., Hellström K. E., Sjögren H. O., Warner G. A. Demonstration of cell-mediated immunity to human neoplasms of various histological types. Int J Cancer. 1971 Jan 15;7(1):1–16. doi: 10.1002/ijc.2910070102. [DOI] [PubMed] [Google Scholar]
  25. Husby G., Strickland R. G., Caldwell J. L., Williams R. C., Jr Localization of T and B cells and alpha fetoprotein in hepatic biopsies from patients with liver disease. J Clin Invest. 1975 Nov;56(5):1198–1209. doi: 10.1172/JCI108197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Kersey J. H., Gajl-Peczalska J. T and B lymphocytes in humans. A review. Am J Pathol. 1975 Nov;81(2):446–458. [PMC free article] [PubMed] [Google Scholar]
  27. Marsh M. N. Studies of intestinal lymphoid tissue. I. Electron microscopic evidence of 'blast transformation' in epithelial lymphocytes of mouse small intestinal mucosa. Gut. 1975 Sep;16(9):665–674. doi: 10.1136/gut.16.9.665. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Pilch Y. H., Golub S. H. Lymphocyte-mediated immune responses in neoplasia. Am J Clin Pathol. 1974 Aug;62(2):184–211. doi: 10.1093/ajcp/62.2.184. [DOI] [PubMed] [Google Scholar]
  29. Ploem J. S. The use of a vertical illuminator with interchangeable dichroic mirrors for fluorescence microscopy with incidental light. Z Wiss Mikrosk. 1967 Nov;68(3):129–142. [PubMed] [Google Scholar]
  30. Prehn R. T., Prehn L. M. Pathobiology of neoplasia. A teaching monograph. Am J Pathol. 1975 Sep;80(3):529–550. [PMC free article] [PubMed] [Google Scholar]
  31. Priori E. S., Seman G., Dmochowski L., Gallager H. S., Anderson D. E. Immunofluorescence studies on sera of patients with breast carcinoma. Cancer. 1971 Dec;28(6):1462–1471. doi: 10.1002/1097-0142(197112)28:6<1462::aid-cncr2820280620>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
  32. Richters A., Kaspersky C. L. Surface immunoglobulin positive lymphocytes in human breast cancer tissue and homolateral axillary lymph nodes. Cancer. 1975 Jan;35(1):129–133. doi: 10.1002/1097-0142(197501)35:1<129::aid-cncr2820350118>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  33. Roberts-Thomson I. C., Whittingham S., Youngchaiyud U., Mackay I. R. Ageing, immune response, and mortality. Lancet. 1974 Aug 17;2(7877):368–370. doi: 10.1016/s0140-6736(74)91755-3. [DOI] [PubMed] [Google Scholar]
  34. Roberts M. M., Bass E. M., Wallace I. W., Stevenson A. Local immunoglobulin production in breast cancer. Br J Cancer. 1973 Apr;27(4):269–275. doi: 10.1038/bjc.1973.33. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Roberts M. M., Bathgate E. M., Stevenson A. Serum immunoglobulin levels in patients with breast cancer. Cancer. 1975 Jul;36(1):221–224. doi: 10.1002/1097-0142(197507)36:1<221::aid-cncr2820360124>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  36. Rowe D. S., Hug K., Forni L., Pernis B. Immunoglobulin D as a lymphocyte receptor. J Exp Med. 1973 Oct 1;138(4):965–972. doi: 10.1084/jem.138.4.965. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Rowlands D. T., Daniele R. P. Surface receptors in the immune response. N Engl J Med. 1975 Jul 3;293(1):26–32. doi: 10.1056/NEJM197507032930108. [DOI] [PubMed] [Google Scholar]
  38. Smith M. A., Evans J., Steel C. M. Age-related variation in proportion of circulating T cells. Lancet. 1974 Oct 19;2(7886):922–924. doi: 10.1016/s0140-6736(74)91130-1. [DOI] [PubMed] [Google Scholar]
  39. Takasugi M., Mickey M. R., Terasaki P. I. Studies on specificity of cell-mediated immunity to human tumors. J Natl Cancer Inst. 1974 Dec;53(6):1527–1538. [PubMed] [Google Scholar]
  40. Williams R. C., Jr, DeBoard J. R., Mellbye O. J., Messner R. P., Lindström F. D. Studies of T- and B-lymphocytes in patients with connective tissue diseases. J Clin Invest. 1973 Feb;52(2):283–295. doi: 10.1172/JCI107184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. de Waard F. The epidemiology of breast cancer: review and prospects. Int J Cancer. 1969 Sep 15;4(5):577–586. doi: 10.1002/ijc.2910040502. [DOI] [PubMed] [Google Scholar]

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