title: Impaired access of lymphocytes to neoplastic prostate tissue is associated with neoangiogenesis in the tumour site.
abstract: Recent reports demonstrated that neovasculature of certain murine tumours inhibits migration of lymphocytes to malignant tissues. We examined the possible existence of this phenomenon in human prostate adenocarcinoma by relating extent, patterns and composition of leucocyte infiltrates in adenocarcinoma specimens (N=28) to microvessel density and percentages of these vessels expressing adhesion molecules CD54, CD106 and CD62E. Specimens of nodular hyperplasia (N=30) were used as a control for nonmalignant prostate. Increased microvessel density was detected in foci of adenocarcinoma, as compared with adjacent benign areas (P=0.004) or hyperplastic specimens (P=0.001). Only CD54 was detected on prostate vasculature; percentages of CD54-expressing vessels in adenocarcinoma lesions and adjacent areas were higher than in hyperplasia (P=0.041 and P=0.014, respectively). Infiltrating leucocytes were either scattered diffusely in tissue or organised into clusters mainly composed of CD4-positive lymphocytes; smaller percentage of tissue was occupied by clustered infiltrates in adenocarcinoma foci (mean=0.7; median=0; range=0-5) than in adjacent tissue (mean=2.5; median=1; range=0-15; P=.021) and hyperplasia (mean=1.9; median=2; range=0-5; P=.006). In adenocarcinoma foci, microvessel density tended to negatively correlate with percentage of tissue occupied by an overall leucocyte infiltrate (mean=8.6; median=7.5; range=30) and negatively correlated with percentage of tissue occupied by clustered infiltrate (P=0.045). Percentage of CD54-expressing vessels positively correlated with percentage of tissue occupied by an overall (mean=12; median=10; range=30; P=0.01) and clustered (P=0.023) infiltrate in hyperplasia, whereas in carcinoma-adjacent benign areas, correlation was detected only for clustered infiltrates (P=0.02). The results indicate that impaired access of lymphocytes to malignant lesions is associated with increased numbers of newly formed blood vessels, whereas vascular CD54 likely contributes to extravasation of lymphocytes only in benign prostate tissue.
authors.affiliation: Department of Microbiology and Immunology, Faculty of Health Sciences, Ben-Gurion University Cancer Research Center, Ben-Gurion University of the Negev POB 653, Beer-Sheva 84105, Israel.
authors.forename: S
authors.initials: S
authors.lastname: Fedida
authors.forename: D
authors.initials: D
authors.lastname: Fishman
authors.forename: Z
authors.initials: Z
authors.lastname: Suzlovich
authors.forename: S
authors.initials: S
authors.lastname: Argov
authors.forename: M
authors.initials: M
authors.lastname: Friger
authors.forename: L
authors.initials: L
authors.lastname: Oren
authors.forename: S
authors.initials: S
authors.lastname: Segal
authors.forename: N
authors.initials: N
authors.lastname: Sion-Vardy
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology; D000368:Aged; D006801:Humans; D018799:Intercellular Adhesion Molecule-1 / Q000276:immunology; D008214:Lymphocytes / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D009389:Neovascularization, Pathologic / Q000276:immunology; D011471:Prostatic Neoplasms / Q000098:blood supply* / Q000276:immunology*
chemical_list: D018799:Intercellular Adhesion Molecule-1