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乳腺导管原位癌中 T 细胞相关蛋白的表达

英文原题:Expression of T cell-related proteins in breast ductal carcinoma in situ.

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Expression of T cell-related proteins in breast ductal carcinoma in situ.

PubMed 2024/09/02(内容时间) Histol Histopathol Q2 · IF 2.2(JCR 2025)

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中文摘要

本研究旨在考察原位导管癌(DCIS)肿瘤微环境免疫细胞中的 T 细胞亚型标志物表达,并评估其意义。研究构建了包含 191 例乳腺 DCIS 病例的组织芯片,并对 T 细胞亚型标志物(STAT3、STAT4、STAT-6 和 FOXP3)进行免疫组织化学染色。根据 ER、PR、HER2 和 Ki-67 检测结果,将 DCIS 分为管腔型、HER2 型和三阴性乳腺癌(TNBC)型;另根据间质 TIL 水平,将其分为低 TIL(<10%)和高 TIL(≥10%)型。

结果显示,54.6% 为管腔型,39.5% 为 HER2 型,5.9% 为 TNBC 型。STAT3 在管腔型肿瘤细胞中的阳性率较高;在 TNBC 免疫细胞中,STAT3、STAT4、STAT6 和 FOXP3 的阳性率均升高(p < 0.05)。与低 TIL 组相比,高 TIL 组免疫细胞的阳性率也更高(p < 0.001)。免疫细胞 T 细胞亚型标志物中,STAT3 与 STAT4 的一致性最高(总体一致率 83.7%,κ = 0.658),STAT4 与 FOXP3 的一致性最低(总体一致率 71.7%,κ = 0.370)。在免疫细胞中,STAT3 和 STAT4 阳性与坏死相关(p < 0.001);在伴坏死的 DCIS 中,所有免疫细胞相关蛋白均为阴性与不良预后相关(p = 0.013)。

总之,DCIS 免疫细胞可表达多种 T 细胞亚型标志物,其中 TNBC 和高 TIL 型 DCIS 的阳性表达更高。

展开英文摘要原文

This study aims to explore the expression of T cell subtype markers within the immune cells constituting the tumor microenvironment of ductal carcinoma in situ (DCIS) and to assess its implications. A tissue microarray comprising 191 cases of breast DCIS was created, and immunohistochemistry staining for T cell subtype markers (STAT3, STAT4, STAT-6, and FOXP3) was conducted. The DCIS cases were categorized into luminal, HER-2, and TNBC (Triple-negative breast cancer) types based on ER, PR, HER-2, and Ki-67 results.

Additionally, they were classified as low-TIL (tumor-infiltrating lymphocytes) (<10%) or high-TIL ( 10%) types according to stromal TIL. Results revealed that 54. 6% were luminal, 39. 5% HER-2, and 5. 9% TNBC. STAT3 exhibited a high positivity rate in luminal-type tumor cells, while STAT3, STAT4, STAT6, and FOXP3 showed elevated positivity rates in TNBC immune cells ( p <0. 05).

Furthermore, a higher positivity rate was observed in high-TIL immune cells compared with low-TIL ( p <0. 001). The strongest agreement between T cell subtype markers in immune cells was found between STAT3 and STAT4 (OA=83. 7%, =0. 658), whereas the lowest was between STAT4 and FOXP3 (OA=71. 7%, =0. 370). In immune cells, STAT3 and STAT4 positivity correlated with necrosis ( p <0. 001), and the absence of positivity in all immune cell-related proteins in DCIS with necrosis was associated with poor prognosis ( p =0. 013).

In conclusion, the immune cells in DCIS exhibit positivity for diverse T cell subtype markers, with TNBC and high-TIL DCIS displaying heightened positivity.

论文信息

作者
Shin E、Kim HM、Koo JS
第一作者单位
Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea.South Korea
通讯作者单位
Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea. kjs1976@yuhs.ac.South Korea
期刊
Histology and histopathology2025 Apr
原文标识
PubMed 39356080 · DOI 10.14670/HH-18-805