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基于肿瘤浸润免疫细胞建立晚期肺鳞状细胞癌患者的预后特征

英文原题:Establishment of a prognostic signature for patients with advanced lung squamous cell carcinoma based on tumor-infiltrating immune cells.

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Establishment of a prognostic signature for patients with advanced lung squamous cell carcinoma based on tumor-infiltrating immune cells.

PubMed 2023/10/20(内容时间) Transl Cancer Res Q3 · IF 2.1(JCR 2025)

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研究概要

该研究全面分析并评估了晚期 LUSC 中的 22 种肿瘤浸润免疫细胞,揭示了免疫细胞浸润与临床患者总生存期(OS)之间的相关性。基于静息 NK 细胞、单核细胞和 M2 巨噬细胞的列线图,可以为晚期 LUSC 患者做出具体的预后预测。

研究思路结论见上方概要

随着科学、技术和医学治疗领域的进步,公众对肿瘤浸润免疫细胞的认知日益增强。这些免疫细胞与肺癌临床患者的预后密切相关。

该研究利用癌症基因组图谱(TCGA)数据库和CIBERSORT算法,对晚期肺鳞状细胞癌(LUSC)中的肿瘤浸润免疫细胞进行了综合分析。研究检测了22种肿瘤浸润免疫细胞,并观察到正常组织与晚期LUSC之间免疫细胞浸润模式存在显著差异。

单因素 Cox 回归分析显示,M2 型巨噬细胞与患者预后呈正相关,静息 NK 细胞、单核细胞和活化肥大细胞也可能影响患者预后。建立了纳入三种免疫细胞的多因素 Cox 回归模型。采用 ROC 曲线评估模型效能。此外,本研究构建了列线图模型,用于个体化预测晚期 LUSC 患者的死亡风险。该预测模型可作为临床医生的有价值工具,使其能够基于肿瘤浸润免疫细胞为晚期 LUSC 患者提供有效指导。

展开英文摘要原文

With the advancements in the fields of science, technology, and medical therapy, there is an increasing awareness among the general public regarding tumor-infiltrating immune cells. These immune cells have a close association with the prognosis of clinical patients with lung cancer.

The research used a comprehensive analysis and assessed tumor-infiltrating immune cells in advanced lung squamous cell carcinoma (LUSC) using The Cancer Genome Atlas (TCGA) database and the CIBERSORT algorithm. The research examined 22 types of tumor-infiltrating immune cells and observed notable differences in the infiltration patterns of immune cells between normal tissue and advanced LUSC.

Univariate Cox regression analyses revealed a positive correlation between macrophages M2 and patient prognoses, as well as potential influences on patient prognosis by natural killer (NK) cells resting, monocytes, and activated mast cells. Multivariate Cox regression models were developed, incorporating three types of immune cells. The efficacy of the model was evaluated using a receiver operating characteristic (ROC) curve. Furthermore, the research constructed a nomogram model to individually predict the mortality risk in patients with advanced LUSC. This prediction model serves as a valuable tool for clinicians, enabling them to provide effective guidance based on tumor-infiltrating immune cells for advanced LUSC patients.

The research comprehensively analyzed and evaluated 22 types of tumor-infiltrating immune cells from advanced LUSC, revealing the correlation between immune cell infiltration and overall survival (OS) in clinical patients. Based on the nomogram of NK cells resting, monocytes, and macrophages M2, it can make specific prognostic predictions for advanced LUSC patients.

论文信息

作者
Wu D、Zhang H、Huang H、Li X、Liu X、Liu H、Chen J
单位
Department of Lung Cancer Surgery, Tianjin Medical University General Hospital, Tianjin, China.China
期刊
Translational cancer research2023 Oct 31
原文标识
PubMed 37969402 · DOI 10.21037/tcr-23-545