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恶性和良性涎腺肿瘤中的错配修复蛋白和 CD45RO 阳性淋巴细胞:与疾病临床参数的有利关联

英文原题:Mismatch Repair Proteins and CD45RO-Positive Lymphocytes in Malignant and Benign Salivary Gland Tumors: A Favorable Association with Disease Clinical Parameters.

PubMed 2026/03/17(内容时间) Int Arch Otorhinolaryngol Q3 · IF 1.1(JCR 2025)

研究概要

我们的结果显示,MMR缺陷在SGT中可能不重要且相关性较低。然而,TIL率和CD45RO表达的差异表明,每种SGT肿瘤类型可能具有不同的免疫微环境。恶性SGT具有更高的活化免疫细胞浸润,因此,这些细胞可被视为患者状态的良好指标。

研究思路结论见上方概要

唾液腺肿瘤(SGTs)是一种不常见的病变,占头颈部癌症的3%至6%。

探讨错配修复(MMR)蛋白、TIL(肿瘤浸润淋巴细胞)(TILs)及CD45RO在唾液腺肿瘤(SGTs)中的表达。

使用免疫组化(IHC)评估了MMR蛋白家族的MLH1、MSH2、MSH6和PMS2蛋白以及CD45RO。对苏木精-伊红染色切片进行评分,以探讨TILs的比例。

所有恶性和良性SGT均未出现至少一种MMR蛋白的部分或完全缺失。黏液表皮样癌、腺样囊性癌、唾液导管癌和腺泡细胞癌作为恶性肿瘤类型,以及多形性腺瘤和Warthin瘤作为最常见的良性肿瘤,在TILs和CD45RO的浸润方面显示出相当大的差异。与良性肿瘤相比,恶性肿瘤在CD45RO+细胞的浸润方面表现出显著差异。肿瘤、淋巴结、转移(TNM)分期和组织学分级均显示与CD45RO+细胞的浸润状态相关。

展开英文摘要原文

INTRODUCTION: Salivary gland tumors (SGTs) are uncommon lesions that account for 3 to 6% of head and neck cancers. OBJECTIVE: To investigate mismatch repair (MMR) proteins, tumor-infiltrating lymphocytes (TILs), and CD45RO expression in salivary gland tumors (SGTs). METHODS: Proteins MLH1, MSH2, MSH6, and PMS2 of the MMR proteins family and CD45RO were evaluated using immunohistochemistry (IHC). Hematoxylin and eosin-stained sections were scored to explore the rate of TILs. RESULTS: None of the malignant and benign SGTs had partial or complete loss of at least one of the MMR proteins. Mucoepidermoid carcinomas, adenoid cystic carcinomas, salivary ductal carcinomas, and acinic cell carcinomas as malignant tumor types, and pleomorphic adenoma and Warthin's tumors as the most common benign tumors showed considerable differences in terms of the infiltration of TILs and CD45RO. Malignant tumors exhibited a notable difference in the infiltration of CD45RO + cells compared to benign ones. Both the tumor, node, metastasis (TNM) stage and the histological grade were shown to be linked with the infiltration status of CD45RO + cells. CONCLUSION: Our results show that MMR deficiency might be insignificant and less relevant in SGTs. However, differences in TIL rate and CD45RO expression indicate that each of the SGT tumor types may have distinguished immune microenvironments. Malignant SGTs have higher infiltration of activated immune cells, and, thereby, these cells can be considered as good indicators of patient's status.

论文信息

作者
Ghaderi H、Mohammadi Y、Ahmadvand S、Safaei A、Gerdabi S、Asadian F、Khademi B、Haghshenas MR
第一作者单位
Violet Vines Marshman Centre for Rural Health Research, La Trobe Rural Health School, La Trobe University Bendigo, Bendigo, Victoria, Australia.Australia
通讯作者单位
School of Medicine, Shiraz Institute for Cancer Research, Shiraz University of Medical Sciences, Shiraz, Iran.Iran
期刊
International archives of otorhinolaryngology2026 Jan
原文标识
PubMed 41853657 · DOI 10.1055/s-0045-1806721