TY - JOUR A1 - Kim, Mia A1 - Grimmig, Tanja A1 - Grimm, Martin A1 - Lazariotou, Maria A1 - Meier, Eva A1 - Rosenwald, Andreas A1 - Tsaur, Igor A1 - Blaheta, Roman A. A1 - Heemann, Uwe A1 - Germer, Christoph-Thomas A1 - Waaga, Ana Maria da Silva Rosa A1 - Gasser, Martin T1 - Expression of Foxp3 in colorectal cancer but not in Treg cells correlates with disease progression in patients with colorectal cancer T2 - PLoS One N2 - Background: Regulatory T cells (Treg) expressing the transcription factor forkhead-box protein P3 (Foxp3) have been identified to counteract anti-tumor immune responses during tumor progression. Besides, Foxp3 presentation by cancer cells itself may also allow them to evade from effector T-cell responses, resulting in a survival benefit of the tumor. For colorectal cancer (CRC) the clinical relevance of Foxp3 has not been evaluated in detail. Therefore the aim of this study was to study its impact in colorectal cancer (CRC). Methods and Findings: Gene and protein analysis of tumor tissues from patients with CRC was performed to quantify the expression of Foxp3 in tumor infiltrating Treg and colon cancer cells. The results were correlated with clinicopathological parameters and patients overall survival. Serial morphological analysis demonstrated Foxp3 to be expressed in cancer cells. High Foxp3 expression of the cancer cells was associated with poor prognosis compared to patients with low Foxp3 expression. In contrast, low and high Foxp3 level in tumor infiltrating Treg cells demonstrated no significant differences in overall patient survival. Conclusions: Our findings strongly suggest that Foxp3 expression mediated by cancer cells rather than by Treg cells contribute to disease progression. Y1 - 2013 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/28769 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-287690 SN - 1932-6203 N1 - Copyright: (c) 2013 Kim et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. VL - 8 IS - 1: e53630 PB - PLoS CY - Lawrence, Kan. ER -