CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Increased tumor-infiltrating lymphocyte density is associated with favorable outcomes in a comparative study of canine histiocytic sarcoma.
Increased tumor-infiltrating lymphocyte density is associated with favorable outcomes in a comparative study of canine histiocytic sarcoma.
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组织细胞肉瘤(HS)在人类中是一种罕见且侵袭性强的肿瘤,目前尚无普遍认可的标准治疗。自发性犬HS在特定品种中更常见,与人类疾病具有重要的遗传和生物学相似性,且发生于免疫功能完整的宿主。既往资料提示两物种的HS均具有免疫原性,意味着免疫疗法可能有效。对5例人类HS病例的CD3TIL(肿瘤浸润淋巴细胞)定量显示,肿瘤内T细胞浸润程度不一。由于人类病例稀少,且缺少能够评估HS中抗肿瘤免疫与治疗结局关联的现有模型系统,研究者分析了18只既往确诊为局限性HS的犬的临床资料并定量评估TIL;这些犬均接受了以根治为目的的肿瘤切除,部分联合辅助化疗。与人类相似,诊断时活检组织的TIL评估显示肿瘤免疫状态从“冷”到“热”各不相同。
重要的是,犬术后CD3阳性TIL和颗粒酶B阳性TIL增加与较好结局相关。NanoString转录分析发现,犬肺部HS中T细胞及抗原呈递相关转录本增加与生存期延长相关,而脾脏HS中肿瘤免疫原性特征降低与生存期缩短相关。基于这些发现,作者提出自发性犬HS是一种易于利用且有力的新型肿瘤免疫学模型,可作为临床前平台评估HS抗癌免疫疗法的疗效与耐受性。
Histiocytic sarcoma (HS) is a rare and aggressive tumor in humans with no universally agreed standard of care therapy. Spontaneous canine HS exhibits increased prevalence in specific breeds, shares key genetic and biologic similarities with the human disease, and occurs in an immunocompetent setting. Previous data allude to the immunogenicity of this disease in both species, highlighting the potential for their successful treatment with immunotherapy. Quantification of CD3 tumor-infiltrating lymphocytes (TIL) in five cases of human HS revealed variable intra-tumoral T cell infiltration.
Due to the paucity of human cases and lack of current model systems in which to appraise associations between anti-tumor immunity and treatment-outcome in HS, we analyzed clinical data and quantified TIL in 18 dogs that were previously diagnosed with localized HS and treated with curative-intent tumor resection with or without adjuvant chemotherapy. As in humans, assessment of TIL in biopsy tissues taken at diagnosis reveal a spectrum of immunologically "cold" to "hot" tumors.
Importantly, we show that increased CD3 and granzyme B TIL are positively associated with favorable outcomes in dogs following surgical resection. NanoString transcriptional analyses revealed increased T cell and antigen presentation transcripts associated with prolonged survival in canine pulmonary HS and a decreased tumor immunogenicity profile associated with shorter survivals in splenic HS.
Based on these findings, we propose that spontaneous canine HS is an accessible and powerful novel model to study tumor immunology and will provide a unique platform to preclinically appraise the efficacy and tolerability of anti-cancer immunotherapies for HS.
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