帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
英文原题:CD3 and CD20 Expressions and Infiltrating Patterns in Salivary Gland Tumors.
CD3 and CD20 Expressions and Infiltrating Patterns in Salivary Gland Tumors.
在各肿瘤类型中,CD3 的表达密度均显著高于 CD20。
TIL(肿瘤浸润淋巴细胞)是肿瘤微环境中可影响癌症生长的一类免疫成分。本研究回顾性评估唾液腺肿瘤中 CD3 和 CD20 表达密度与分布模式,并研究其与临床病理参数的关系。研究纳入 44 份唾液腺肿瘤福尔马林固定石蜡包埋组织块,进行 CD3 和 CD20 免疫组化染色。采用卡方检验分析免疫评分、染色强度和临床病理参数与不同唾液腺肿瘤类型的关系,P<0.05 为差异有统计学意义。多形性腺瘤(PA)中瘤内 CD3 浸润数量较高且分布弥漫(71.4%),其次为黏液表皮样癌(MEC,66.7%)。腺样囊性癌(AdCC)显著表现为低浸润(71.4%,P=0.046)。三类肿瘤的周边区域均显示较高且弥漫的 TIL 计数,恶性肿瘤之间存在显著差异(P=0.047)。瘤内 CD20 浸润计数在肿瘤类型间差异显著(P=0.002):所有 PA 和 AdCC 均为低水平,而 MEC 的表达比例相近。周边区域中,PA 和 MEC 的高浸润计数比例显著较高(分别为 69.2% 和 84.6%,P=0.007),AdCC 则主要表现为最低浸润计数。在全部样本中,瘤内和周边区域 CD3 平均值与周边区域 CD20 之间呈显著正相关。总之,各肿瘤类型中 CD3 表达密度明显高于 CD20;PA 和 MEC 密度评分较高,AdCC 评分较低。瘤内区域 TIL 表达与患者结局显著相关。
Tumor-infiltrating lymphocytes (TILs) represent a subset of immunological constituents within the tumor microenvironment that can influence cancer growth. We retrospectively evaluate the density and pattern of CD3 and CD20 expression in salivary gland tumors and their relation to clinical pathologic parameters. A total of 44 formalin-fixed paraffin-embedded blocks of salivary gland tumors were included. These tumors were stained immunohistochemically with CD3 and CD20. The chi-square test was used to relate immune scoring, intensity, and clinical pathological parameters to different salivary tumors. p -value < 0.05 was considered statistically significant. The intra-tumoral CD3 infiltrating count was high and diffused in (71.4%) of pleomorphic adenomas (PAs) followed by mucoepidermoid carcinomas (MECs) (66.7%). At the same time, adenoid cystic carcinomas (AdCCs) exhibited significantly low infiltration (71.4%) ( p = 0.046). The three types of tumors exhibited high tumor-infiltrating counts diffused in peripheral areas with significant differences between malignant tumors ( p = 0.047). The intra-tumoral CD20 infiltrating count significantly differed among the tumors ( p = 0.002); it was low in all PAs and AdCCs, while MECs showed an equal percentage of expression. However, in the peripheral area, PAs and MECs exhibited significantly ( p = 0.007) high infiltrating counts (69.2% and 84.6), and the lowest infiltrating count was predominantly found for AdCCs. The two markers had a significant positive correlation between the mean of CD3 in the intra-tumoral and peripheral regions and CD20 in the peripheral zone across the total samples. In conclusion, the density of CD3 expression is notably higher than CD20 across tumor types. PAs and MECs showed high-density scores, while AdCCs were characterized by low scores. TIL expression was found to be significantly associated with patients' outcomes in the intra-tumoral area.
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