研究概要
TIL(肿瘤浸润淋巴细胞)是应对癌症的重要免疫成分。
中文摘要
背景:TIL(肿瘤浸润淋巴细胞)是癌症免疫应答的重要组成部分。乳腺癌组织中TIL数量较高者,包括细胞毒性T细胞、辅助性T细胞、B细胞和少量自然杀伤(NK)细胞,临床结局通常较好。目的:分析伊拉克女性乳腺肿瘤组织(浸润性和良性)中浸润淋巴细胞亚群表达CD20的B细胞和CD56的NK细胞表面标志蛋白比例,并探讨其与浸润性乳腺癌组织分级的关系。患者与方法:本回顾性研究纳入175份存档乳腺组织,包括100份浸润性乳腺癌女性患者样本(20份高分化、48份中分化、32份低分化)、50份良性乳腺肿瘤女性患者活检样本,以及25份外观正常女性乳腺组织作为对照。采用免疫组化和针对相应蛋白的特异性一抗,通过免疫酶抗原检测系统检测乳腺组织浸润淋巴细胞亚群中的B细胞CD20和NK细胞CD56表面标志蛋白。结果:100份乳腺癌组织中有53份(53.0%)检测到B细胞CD20表面标志;50份良性乳腺肿瘤中有24份(48.0%)阳性;健康对照乳腺组织中有32.0%(25份中的8份)检出CD20阳性细胞表面标志。恶性和良性乳腺肿瘤组与对照组之间差异有统计学意义(P<0.05),但恶性和良性肿瘤组之间无显著差异(P>0.05)。CD56免疫组化阳性率在乳腺癌组织中为14%(100份中的14份),在良性乳腺组织中为16%(50份中的8份),对照组乳腺组织均未检出CD56阳性。各组间未发现显著差异(P>0.05)。结论:恶性及良性乳腺肿瘤组中的CD20阳性浸润B细胞比例与对照组相比有显著差异,提示这些B细胞亚群可能参与对良性和恶性乳腺肿瘤的防御。相比之下,恶性和良性乳腺肿瘤组织浸润淋巴细胞中的NK细胞CD56似乎未在对这些肿瘤的防御中发挥相关作用。
展开英文摘要原文
BACKGROUND: Tumor-infiltrating lymphocytes (TIL) are important immunological components in response to cancers. Patients with higher numbers of TIL in breast cancerous tissues, comprising T- cytotoxic and T - helper cells along with B- and rare natural killer (NK) cells, have more favorable clinical outcomes.
OBJECTIVE: To analyze the rate of the expressed surface biomarker proteins of CD20-B cells and CD56- NK cells on the infiltrative lymphocytic subpopulations in a group of breast tumorous tissues (invasive and benign) from female patients in Iraq and explore the relations to the grade of the invasive breast cancerous tissues.
PATIENTS AND METHODS: One hundred and 75 archived breast tissues were enrolled in this retrospective research: 100 archived breast from female patients with invasive breast cancers (BC) [20 well differentiated BC tissues; 48 moderately differentiated BC and 32 poorly differentiated BC tissues]; 50 tissue biopsies from female patients with benign breast tumors and 25 apparently normal individuals with healthy breast tissues (included as the control group for this study). Immunohistochemistry was achieved for the detection of the expressed surface biomarker proteins related to B cell CD20 and NK cell CD56 present on the infiltrative lymphocytic subpopulations in breast tissues by using specific primary antibodies for these proteins via utilizing an immune-enzymatic antigen detection system.
RESULTS: The detection of IHC reactions for the expressed B cell CD20 - cell surface ( CD) biomarker proteins were observed in 53 out of 100 (53.0%) BC tissues, and in 24 out of 50 (48.0%) benign breast tumorous tissues, while CD20- positive cell surface markers was detected in apparently healthy breast tissues of the control group in a percentage of 32.0% (8 out of 25 tissues). Statistical significant differences (P<0.05) between both groups of malignant and benign breast tumors and the control group were found. However, between breast malignant and benign tumor groups, no significant difference was found ( p >0.05). Detection of CD56- IHC reactions revealed in 14% (14 out of 100 BC tissues), in 16% (8 out of 50 benign breast tissues) and none of control breast tissues revealed CD56- IHC reactions. Among all the enrolled groups, no significant differences (P>0.05) were detected.
CONCLUSIONS: The observed significant rates that showed highly significant differences between both studied groups of breast malignant and benign tumor in comparison to the control group indicate that the CD20- positive infiltrative B cell- lymphocytic subpopulations might contributed in the defense against these subsets of benign and malignant breast tumors. However, the observed rates of NK cell CD56 present on the lymphocytic subpopulations infiltrating the examined malignant and benign breast tumorous tissues seeming to play irrelevant roles in the defense against these studied breast tumor groups.
论文信息
- 作者
- Zeiny SMH、Mohammed Ali SH
- 第一作者单位
- Department of Microbiology, College of Medicine, University of Baghdad, Iraq.
- 通讯作者单位
- Clinical Communicable Diseases Research unit, College of Medicine, University of Baghdad, Iraq.
- 期刊
- Asian Pacific journal of cancer prevention : APJCP2023 Oct 1