Jordan Fenlon, Nathan Van Bibber, Jonathon Mahlow, Kosj Yamoah, Alex C Soupir, Jonathan V Nguyen, Carlos Moran Segura, Adam M Spivak, Beatrice S Knudsen, Qin Zhou, Siwen Hu-Lieskovan, Sonam Puri, Wei Zhang, Yoko S DeRose, Gita Suneja, Anna E Coghill
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引用次数: 0
Abstract
Background: Cancer outcomes in people living with HIV (PWH) may be driven in part by a distinct tumor microenvironment (TME) for tumors that develop in the setting of persistent immune dysfunction.
Methods: Tumor samples from PWH were retrospectively obtained from the AIDS Cancer Specimen Resource, Moffitt Cancer Center, and Huntsman Cancer Institute. Staining of 22 different tumor immune markers was compared between PWH and cancer and patients diagnosed with the same cancer type but without HIV.
Results: A total of 292 samples were analyzed, 51 from PWH (lung cancer=17; breast cancer=14; prostate cancer=20). Cells positive for PD-1 were observed more frequently in PWH and lung cancer (OR 1.88; 95% CI: 1.02-3.45), while CD11b+ cells were observed less frequently (OR 0.4; 95% CI: 0.17-0.93). Three immune markers showed higher abundance in PWH and breast cancer, including PDL-1 (OR 3.24; 95% CI: 1.52-6.91), CD14 (OR 3.37; 95% CI: 1.14-10.0), and FOXP3 (OR 1.91; 95% CI: 1.03-3.53). In PWH and prostate cancer, the abundance of five immune markers was higher, including PDL-1 (OR 5.94; 95% CI: 3.77-9.34); while 3 three markers had lower abundance including CD14 (OR 0.40; 95% CI: 0.22-0.74), as well as CD16 and CD11c.
Conclusions: This pilot study showed that differences in the tumor immune microenvironment (TME) exist for PWH diagnosed with age-related NADCs compared to non-infected controls. Future work evaluating TME differences with related clinical endpoints is needed.
Impact: Findings are consistent with the hypothesis of altered tumorigenesis for cancers developing in an environment of immunosuppression.
期刊介绍:
Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.