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胃肠道外间质瘤中与增殖活性和免疫应答相关的肿瘤微环境生物标志物:探索不同年龄组的差异

英文原题:Tumor Microenvironment Biomarkers Correlated with Proliferative Activity and Immune Response in Extragastrointestinal Stromal Tumors: Exploring Variations in Different Age Groups.

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Tumor Microenvironment Biomarkers Correlated with Proliferative Activity and Immune Response in Extragastrointestinal Stromal Tumors: Exploring Variations in Different Age Groups.

PubMed 2024/06/01(内容时间) Maedica (Bucur)

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研究概要

我们的发现强调了免疫微环境在 EGISTs 中的作用,显示 ki67 表达与 TIL 密度之间存在显著相关性,以及与年龄相关的关联。本研究增进了我们对 EGIST 病理生理学的理解,敦促进一步探索以改进治疗方法并全面深入了解 EGISTs 中的免疫反应。

研究思路结论见上方概要

胃肠外间质瘤(EGISTs)是起源于类Cajal细胞的非胃肠道肉瘤。近期研究表明,肿瘤微环境至关重要,并强调了瘤内白细胞群体在恶性肿瘤中的重要性,这对EGISTs的治疗策略产生了重大影响。目的与目标:本研究旨在表征EGISTs中的瘤内白细胞群体,将增殖指数(ki67)与白细胞密度相关联,并探讨年龄对增殖活性和免疫反应的影响。

我们对2007年1月至2020年6月期间在“Victor Babes”国家病理学研究所和布加勒斯特大学急诊医院就诊的25例EGIST患者进行了回顾性分析。排除5例患者后,本研究共纳入19例受试者。利用CD5、CD20、CD45和ki67抗体进行免疫组化,识别并评估瘤内淋巴细胞,并通过QuPath软件进行分析。统计分析包括Pearson相关性检验、Kruskal-Wallis检验和Bonferroni校正。

诊断为EGIST的患者平均年龄为51岁;ki67表达在不同形态学类型之间存在差异。免疫组化显示TIL(肿瘤浸润淋巴细胞)密度各异,且ki67与TIL-CD05/CD20阳性细胞之间存在显著关联。观察到与年龄相关的相关性,这凸显了肿瘤微环境内的复杂性。

展开英文摘要原文

We conducted a retrospective analysis on 25 patients with EGIST who came at "Victor Babes" National Institute of Pathology and Bucharest University Emergency Hospital between January 2007 and June 2020. After excluding five patients, a total of 19 subjects were included in the present study. Immunohistochemistry utilizing CD5, CD20, CD45 and ki67 antibodies identified and assessed intratumoral lymphocytes, analyzed via QuPath software. Statistical analyses included Pearson correlation, Kruskal-Wallis tests and Bonferroni corrections.

The mean age of patients diagnosed with EGIST was 51 years; ki67 expression varied among morphological types. Immunohistochemistry revealed distinct tumor-infiltrating lymphocytes (TIL) densities with significant associations between ki67 and TIL-CD05/CD20 positive cells. Age-related correlations were noted, which highlighted complexities within the tumor microenvironment.

Our findings emphasize the role of the immune microenvironment in EGISTs, showing significant correlations between ki67 expression and TIL densities as well as age-related associations. This study enhances our understanding of EGIST pathophysiology, urging further exploration for improved therapeutic approaches and comprehensive insights into immune responses in EGISTs.

论文信息

作者
Moldovan VT、Sajin M、Ali L
第一作者单位
Doctoral School, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.Romania
通讯作者单位
Department of Pathology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.Romania
期刊
Maedica2024 Jun
原文标识
PubMed 39188847 · DOI 10.26574/maedica.2024.19.2.233