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小体积肺腺癌中实性成分占比与 TIL(肿瘤浸润淋巴细胞)的关系

英文原题:Relationship between consolidation tumor ratio and tumor-infiltrating lymphocytes in small-sized lung adenocarcinoma.

查看英文原题

Relationship between consolidation tumor ratio and tumor-infiltrating lymphocytes in small-sized lung adenocarcinoma.

PubMed 2022/07/06(内容时间) Thorac Cancer Q2 · IF 2.6(JCR 2025)

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研究概要

在 GGO 组中,CTR 与 CD8+ 和 FoxP3+ TILs 的丰度相关。

中文摘要

实性肿瘤比例(CTR)与肺腺癌(LAD)进展和组织学侵袭性相关,但小体积LAD中CTR与免疫相关因素(包括TIL(肿瘤浸润淋巴细胞)[TIL]密度、肿瘤程序性死亡配体1[PD-L1]及吲哚胺2,3-双加氧酶1[IDO1]表达)的关系尚不清楚。

本研究纳入258名接受手术、肿瘤小于3厘米的LAD患者。患者分为四组:CTR=0;0<CTR<0.5;0.5≤CTR<1(磨玻璃影[GGO]组);CTR=1(纯实性组)。采用免疫组化评估CD4+、CD8+和FoxP3+ TIL密度,以及PD-L1和IDO1肿瘤表达。

在GGO组中,CD8+和FoxP3+ TIL密度随CTR增加而显著升高(均P<0.001)。此外,纯实性组PD-L1和IDO1表达显著高于GGO组(均P<0.001)。

GGO组CTR与CD8+和FoxP3+ TIL丰度相关。纯实性组PD-L1和IDO1阳性率显著高于GGO组。CTR增加可能与免疫抑制状态相关。

展开英文摘要原文

Consolidation tumor ratio (CTR) is associated with cancer progression and histological invasiveness in lung adenocarcinoma (LAD). However, little is known about the association between CTR and immune-related factors, including tumor-infiltrating lymphocytes (TILs) density or tumor expression of programmed death ligand 1 (PD-L1) and indoleamine 2,3-dioxygenase 1 (IDO1) in small-sized LAD.

This study included 258 patients with LAD (<3 cm) who underwent surgery. Patients were assigned to four groups: CTR = 0; 0 < CTR <0.5; 0.5 CTR <1 (ground-glass opacity [GGO] group); and CTR = 1 (pure-solid group). CD4 + , CD8 + , and FoxP3 + TIL density and PD-L1 and IDO1 tumor expression were assessed by immunohistochemistry.

Among the GGO group, CD8 + and FoxP3 + TIL density increased significantly with increasing CTR (p < 0.001 and p < 0.001, respectively). Moreover, PD-L1 and IDO1 expression was significantly higher in the pure-solid group than in the GGO group (p < 0.001 and p < 0.001, respectively).

CTR was correlated with the abundance of CD8 + and FoxP3 + TILs in the GGO group. PD-L1 and IDO1 positivity rates were significantly higher in the pure-solid group than in the GGO group. Increased CTR may be correlated with immunosuppressive condition.

论文信息

作者
Ono Y、Tagawa T、Kinoshita F、Haratake N、Takada K、Kohno M、Takenaka T、Kamitani T
单位
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.Japan
期刊
Thoracic cancer2022 Aug
原文标识
PubMed 35791738 · DOI 10.1111/1759-7714.14524