{"title":"TIGIT expression on neoplastic cells is a poor prognostic factor for adult T-cell leukaemia/lymphoma","authors":"Yuichi Yamada, Hiroaki Miyoshi, Mai Takeuchi, Kazutaka Nakashima, Kyohei Yamada, Takeharu Kato, Ken Tanaka, Kei Kohno, Yoshitaka Imaizumi, Yasushi Miyazaki, Koichi Ohshima","doi":"10.1016/j.pathol.2024.06.003","DOIUrl":"https://doi.org/10.1016/j.pathol.2024.06.003","url":null,"abstract":"Adult T-cell leukaemia/lymphoma (ATLL) is an aggressive peripheral T-cell neoplasm with a poor prognosis. T-cell immunoreceptor with immunoglobulin and immunoreceptor tyrosine-based inhibitory motif domains (TIGIT) is an immune checkpoint receptor expressed on T and natural killer cells. Although increased TIGIT expression in the tumour microenvironment is associated with poor prognosis in various neoplasms, its relevance in ATLL remains unknown. Herein, we investigated the clinicopathological impact of TIGIT expression on ATLL using immunohistochemistry. TIGIT expression was detected in 21 of 84 patients (25%). A partial association between the clinical features and immune checkpoint molecules and the expression of TIGIT was found including sIL-2R, CD86 and GITR. TIGIT-positive patients [median survival time (MST) 8.9 months, 95% confidence interval (CI) 7.7–15.6] had inferior overall survival compared with TIGIT-negative patients (MST 18.7 months, 95% CI 12.0–36.4) (=0.0124]. TIGIT expression maintained its prognostic value for overall survival in both univariate and multivariate analyses [hazard ratio (HR) 1.909; 95% CI 1.044–3.488; =0.0356]. Further studies are required to clarify the clinical and biological significance of TIGIT expression in patients with ATLL.","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142205258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-08-12DOI: 10.1016/j.pathol.2024.05.013
Hemamali Samaratunga, Brett Delahunt, Mats Olsson, Markus Aly, Lars Egevad, John Yaxley
{"title":"Benign prostatic hyperplasia and insignificant prostate cancer with very high levels of serum prostate specific antigen.","authors":"Hemamali Samaratunga, Brett Delahunt, Mats Olsson, Markus Aly, Lars Egevad, John Yaxley","doi":"10.1016/j.pathol.2024.05.013","DOIUrl":"https://doi.org/10.1016/j.pathol.2024.05.013","url":null,"abstract":"","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-08-03DOI: 10.1016/j.pathol.2024.05.012
Siteng Chen, Xiyue Wang, Jun Zhang, Liren Jiang, Feng Gao, Jinxi Xiang, Sen Yang, Wei Yang, Junhua Zheng, Xiao Han
{"title":"Deep learning-based diagnosis and survival prediction of patients with renal cell carcinoma from primary whole slide images","authors":"Siteng Chen, Xiyue Wang, Jun Zhang, Liren Jiang, Feng Gao, Jinxi Xiang, Sen Yang, Wei Yang, Junhua Zheng, Xiao Han","doi":"10.1016/j.pathol.2024.05.012","DOIUrl":"https://doi.org/10.1016/j.pathol.2024.05.012","url":null,"abstract":"It remains an urgent clinical demand to explore novel diagnostic and prognostic biomarkers for renal cell carcinoma (RCC). We proposed deep learning-based artificial intelligence strategies. The study included 1752 whole slide images from multiple centres.","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141943156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-08-03DOI: 10.1016/j.pathol.2024.05.011
Anthea Anantharajah, Roger A. Silvestrini, David Campbell, Suzanne Culican, Adrian Y.S. Lee, Ming Wei Lin
{"title":"Macaque liver substrate for evaluating dense fine speckled-like patterns on HEp2010 cells","authors":"Anthea Anantharajah, Roger A. Silvestrini, David Campbell, Suzanne Culican, Adrian Y.S. Lee, Ming Wei Lin","doi":"10.1016/j.pathol.2024.05.011","DOIUrl":"https://doi.org/10.1016/j.pathol.2024.05.011","url":null,"abstract":"Antinuclear antibody (ANA) detection by indirect immunofluorescence (IIF) is instrumental in the evaluation of systemic autoimmune diseases (SAD). The dense fine speckled (DFS) ANA staining predominantly associates with anti-DFS70, an autoantibody that is thought to exclude the presence of SAD. However, the DFS pattern may mask the presence of other ANA patterns that may be clinically relevant. Our laboratory uses the HEp2010 substrate which contains both HEp2 and liver substates. The aim of this study was to determine whether negative liver nucleus immunofluorescence could exclude the presence of antibodies to extractable nuclear antigens (ENA) in sera with DFS-like patterns.","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141943155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-07-29DOI: 10.1016/j.pathol.2024.05.009
Matthew Krummenacher, Brittany Stevenson, Chris Bundell, Andrew McLean-Tooke
{"title":"Imprecision of myositis line immunoassay attributable to batch variability","authors":"Matthew Krummenacher, Brittany Stevenson, Chris Bundell, Andrew McLean-Tooke","doi":"10.1016/j.pathol.2024.05.009","DOIUrl":"https://doi.org/10.1016/j.pathol.2024.05.009","url":null,"abstract":"","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141943236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-07-25DOI: 10.1016/j.pathol.2024.07.002
{"title":"From the midfacial destructive drama to the unfolding EBV story: a short history of EBV-positive NK-cell and T-cell lymphoproliferative diseases","authors":"","doi":"10.1016/j.pathol.2024.07.002","DOIUrl":"10.1016/j.pathol.2024.07.002","url":null,"abstract":"<div><p>Epstein–Barr virus (EBV) is a ubiquitous gammaherpesvirus that has been related to oncogenesis of lymphoid and epithelial malignancies. Although the mechanism of EBV infection of NK and T cells remains enigmatic, it plays a pathogenic role in various EBV<sup>+</sup> NK-cell and T-cell lymphoproliferative diseases (LPDs), through promotion of cell activation pathways, inhibition of cell apoptotic pathways, behaving as oncogenes, interacting with host oncogenes or acting epigenetically. The study of NK-cell LPDs, previously hampered by the lack of immunophenotypical and genotypical criteria of NK cells, has become feasible with the recently accepted criteria. EBV<sup>+</sup> NK- and T-cell LPDs are mostly of poor prognosis. This review delivers a short history from primeval to recent EBV<sup>+</sup> NK- and T-cell LPDs in non-immunocompromised subjects, coupled with increasing interest, and work on the biological and oncogenic roles of EBV.</p></div>","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-07-25DOI: 10.1016/j.pathol.2024.06.002
{"title":"Hyperammonaemia: review of the pathophysiology, aetiology and investigation","authors":"","doi":"10.1016/j.pathol.2024.06.002","DOIUrl":"10.1016/j.pathol.2024.06.002","url":null,"abstract":"<div><p>Acute hyperammonaemia is a medical emergency as it can progress to cerebral oedema, seizures, coma and death. Hepatic encephalopathy secondary to cirrhotic disease or portosystemic shunting are relatively well-known causes, but non-cirrhotic aetiologies of acute hyperammonaemia are less well-known, especially in the emergency department. However, an elevated ammonia is not required to make the diagnosis of hepatic encephalopathy. Although measurement of plasma ammonia is recommended for patients with acute, unexplained, altered mental status, as early identification allows early effective management which may prevent irreversible brain damage, there is currently reduced awareness among physicians of the non-cirrhotic aetiologies of acute hyperammonaemia. Furthermore, measurement of ammonia in patients with cirrhosis has been shown to have low sensitivity and specificity, and not to have altered management in the majority of cases; thus, measurement of ammonia is currently not recommended in guidelines for management of hepatic encephalopathy.</p><p>We sought to describe the pathophysiology of hyperammonaemia and review the non-cirrhotic causes. This was achieved by review of MEDLINE, PubMed and Web of Science databases to include published English literature within the last 20 years. We also present a framework for investigating the acute non-cirrhotic causes of hyperammonaemia to assist both chemical pathologists and clinicians managing these often challenging cases.</p></div>","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-07-14DOI: 10.1016/j.pathol.2024.05.003
{"title":"Adenomatoid tumour with perineural space involvement: the utility of next-generation sequencing in this diagnostic conundrum","authors":"","doi":"10.1016/j.pathol.2024.05.003","DOIUrl":"10.1016/j.pathol.2024.05.003","url":null,"abstract":"","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141715430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PathologyPub Date : 2024-07-09DOI: 10.1016/j.pathol.2024.07.001
{"title":"Corrigendum to “Prognostic and predictive biomarkers in head and neck cancer: something old, something new, something borrowed, something blue and a sixpence in your shoe” [Pathology 56 (2) (2024) 170–185]","authors":"","doi":"10.1016/j.pathol.2024.07.001","DOIUrl":"10.1016/j.pathol.2024.07.001","url":null,"abstract":"","PeriodicalId":19915,"journal":{"name":"Pathology","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0031302524001739/pdfft?md5=4fa7f8d7b1bf03f094b2db3ccb66e226&pid=1-s2.0-S0031302524001739-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}