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小细胞肺癌的新型免疫组化特征分析:肿瘤亚型与免疫微环境之间的相关性

英文原题:Novel Immunohistochemical Profiling of Small-Cell Lung Cancer: Correlations Between Tumor Subtypes and Immune Microenvironment.

查看英文原题

Novel Immunohistochemical Profiling of Small-Cell Lung Cancer: Correlations Between Tumor Subtypes and Immune Microenvironment.

PubMed 2024/11/26(内容时间) Diagnostics (Basel) Q1 · IF 3.8(JCR 2025)

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研究概要

本研究强调,有必要将新型 SCLC 分类与 TIME 相关数据整合,以更好地指导患者预后和治疗。

中文摘要

小细胞肺癌(SCLC)是一种侵袭性极强的恶性肿瘤,正依据转录因子ASCL1、NEUROD1和POU2F3表达进行新型分子分型。本研究旨在探索这些新亚型与肿瘤免疫微环境(TIME)的关系,特别关注CD8+和CD4+TIL(肿瘤浸润淋巴细胞)。

研究对51例SCLC患者样本进行ASCL1、NEUROD1、POU2F3、CD56、Ki67、CD8和CD4免疫组化染色。计算新型转录因子的H评分,以确定肿瘤亚型。对CD8+和CD4+ TIL计数取10个高倍视野的平均值。采用Kruskal-Wallis检验及后续Dunn事后检验,比较各亚型间转录因子表达及TIL差异。

本队列中,SCLC-A占68.62%,SCLC-N占9.80%,SCLC-P占7.84%,SCLC-I占13.72%。不同亚型间ASCL1、NEUROD1和POU2F3表达存在显著差异。SCLC-P和SCLC-I中的CD8+ TIL更丰富。CD8+ TIL与ASCL1表达呈负相关(p<0.05),与POU2F3表达呈正相关(p<0.005)。

本研究突显将SCLC新型分子分型与TIME数据结合的重要性,有助于更准确地指导患者预后判断和治疗。

展开英文摘要原文

In 51 cases of patients with SCLC, immunohistochemical (IHC) stains for ASCL1, NEUROD1, POU2F3, CD56, Ki67, CD8, and CD4 were performed. H-scores for the novel transcription factors were calculated to determine tumor subtype. CD8+ and CD4+ TIL counts were averaged across 10 high-power fields. The Kruskal-Wallis test and subsequent post hoc Dunn tests were used to determine the differences in transcription factor expression and TILs across subtypes.

In our cohort, 68.62% of our cases were SCLC-A, 9.80% were SCLC-N, 7.84% were SCLC-P, and 13.72% were SCLC-I. Significant differences were observed in the expression of ASCL1, NEUROD1, and POU2F3 across subtypes. CD8+ TILs were more abundant in SCLC-P and SCLC-I. CD8+ TILs were negatively correlated with ASCL1 expression ( p < 0.05) and positively correlated with POU2F3 expression ( p < 0.005).

This study highlights the need to integrate the novel SCLC classification with data regarding the TIME to better inform patient prognosis and treatment.

论文信息

作者
Vigdorovits A、Olteanu GE、Pascalau AV、Pirlog R、Berindan-Neagoe I、Pop OL
单位
Department of Morphological Disciplines, University of Oradea, 410087 Oradea, Romania.Italy
期刊
Diagnostics (Basel, Switzerland)2024 Nov 26
原文标识
PubMed 39682568 · DOI 10.3390/diagnostics14232660