ROLE OF STROMAL MICROENVIRONMENT IN THE FORMATION OF INVASIVE, ANGIOGENIC, AND METASTATIC POTENTIAL OF ENDOMETRIOID CARCINOMA OF ENDOMETRIUM.

Q3 Medicine
N P Iurchenko, I P Nesina, N М Glushchenko, L G Buchynska
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Abstract

The aim of the study was to determine the association of indicators of the progression of endometrioid carcinoma of the endometrium (ECE) with the type of stromal microenvironment, the counts of CXCL12+ fibroblasts and CD163+ macrophages, and the expression of the chemokine CXCL12 and its receptor CXCR4 in tumor cells.

Materials and methods: Histological preparations of ECE samples (n = 51) were analyzed. Expression of CXCL2 and CXCR4 antigens in tumor cells, the content of CXCL12+ fibroblasts and CD163+ macrophages, and the density of microvessels were determined by the immunohistochemical method.

Results: Groups of ECE with desmoplastic and inflammatory stromal reactions were delineated. The majority (80.0%) of tumors with desmoplasia were of low differentiation grade, deeply invading the myometrium; 65.0% of patients with these tumors were at stage III of the disease. In ECE cases of stages I-II, 77.4% of ECE showed an inflammatory type of stroma. The high angiogenic and invasive potential of EC of stages I-II was associated with an inflammatory stromal type, high counts of CD163+ macrophages and CXCL12+ fibroblasts in the tumor microenvironment, high expression of the chemokine receptor CXCR4, and reduced expression of its ligand CXCL12 in tumor cells. In the majority of EC of stage III, the increase in angiogenic, invasive, and metastatic potential was accompanied by the presence of desmoplastic stroma, increased expression of CXCR4 in tumor cells, and a high count of CXCL12+ fibroblasts.

Conclusions: The obtained results showed that the morphological architecture of the stromal ECE component is related to the molecular features of its constituents and tumor cells. Their interaction modulates the phenotypic characteristics of ECE associated with the degree of malignancy.

间质微环境在子宫内膜样癌侵袭性、血管生成和转移潜能形成中的作用。
本研究旨在探讨子宫内膜子宫内膜样癌(ECE)进展指标与肿瘤细胞间质微环境类型、CXCL12+成纤维细胞和CD163+巨噬细胞计数、趋化因子CXCL12及其受体CXCR4表达的关系。材料与方法:对51例ECE标本进行组织学分析。免疫组化法检测肿瘤细胞中CXCL2和CXCR4抗原的表达、CXCL12+成纤维细胞和CD163+巨噬细胞的含量以及微血管密度。结果:对有结缔组织增生和炎性间质反应的ECE进行分组。大多数(80.0%)伴有结缔组织增生的肿瘤为低分化级别,深侵肌层;65.0%的患者处于疾病的III期。在I-II期的ECE病例中,77.4%的ECE表现为炎性间质。I-II期EC的高血管生成和侵袭潜力与炎症基质类型、肿瘤微环境中CD163+巨噬细胞和CXCL12+成纤维细胞的高计数、趋化因子受体CXCR4的高表达以及其配体CXCL12在肿瘤细胞中的低表达有关。在大多数III期EC中,血管生成、侵袭和转移潜能的增加伴随着间质增生、肿瘤细胞中CXCR4表达的增加和CXCL12+成纤维细胞的高计数。结论:基质ECE成分的形态结构与其成分及肿瘤细胞的分子特征有关。它们的相互作用调节了与恶性程度相关的ECE的表型特征。
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来源期刊
Experimental oncology
Experimental oncology Medicine-Oncology
CiteScore
1.40
自引率
0.00%
发文量
49
期刊介绍: The Experimental Oncology is an English-language journal that publishes review articles, original contributions, short communications, case reports and technical advances presenting new data in the field of experimental and fundamental oncology. Manuscripts should be written in English, contain original work, which has not been published or submitted for publication elsewhere. It also implies the transfer of the Copyright from the author to “Experimental Oncology”. No part of journal publications may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior permission of the publisher.
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