乳腺癌微钙化组织中m1和m2巨噬细胞的免疫组化研究

O. Kolomiiets, R. Moskalenko
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引用次数: 1

摘要

介绍。乳腺癌(BC)是一个重要的医学和社会问题,因为它是全世界妇女癌症相关死亡的主要原因。乳腺组织中的微钙化在病理发展过程中是必不可少的,并影响预后和转移。肿瘤微环境由癌细胞和间质细胞组成,如成纤维细胞、内皮细胞、周细胞和免疫细胞,包括M1和M2巨噬细胞。本工作旨在研究微钙化对BC肿瘤微环境中巨噬细胞极化的影响。材料和方法。本研究选取60例BC样本,分为30例有微钙化的BC样本(I组)和30例无钙化的BC样本(II组),所有的微钙化均符合≤1mm的标准。为了研究BC的病理组织学变化,采用宏观描述、组织学和CD68、cd163抗体免疫组化方法对BC组织进行分析。免疫组化研究结果发现,与对照组相比,微钙化BC组织中cd68阳性M1型巨噬细胞的表达明显增加(视野内60.85±2.71个细胞vs. 51.14±2.89个细胞,p < 0.05)。另一方面,CD163在I组的平均表达量为53.21±3.05,而未钙化BC组的平均表达量为65.57±3.75 (p小于0.05)。然而,肿瘤中M1和M2巨噬细胞的定位具有标准特征,没有差异。微钙化对巨噬细胞极化影响的可能机制是它们支持癌症组织中的慢性炎症,从而在巨噬细胞中形成促炎M1表型。需要进一步的研究来获得更明确的结论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IMMUNOHISTOCHEMICAL STUDY OF M1 AND M2 MACROPHAGES IN BREAST CANCER WITH MICROCALCIFICATIONS
Introduction. Breast cancer (BC) is a significant medical and social problem, as it is the leading cause of cancer-related mortality in women worldwide. Microcalcifications in the breast tissue are essential in developing the pathological process and affect the prognosis and metastasis. The tumor microenvironment consists of cancer cells and stromal cells such as fibroblasts, endothelial cells, pericytes, and immune cells, including M1 and M2 macrophages. The work aims to study the influence of microcalcifications on the polarization of macrophages in the tumor microenvironment of BC. Materials and methods. The study was conducted on 60 samples of BC, divided into 30 samples of BC with microcalcifications (group I) and a control group of 30 samples of BC without calcifications (group II). All microcalcifications met the criterion of size up to ≤1 mm. To study the pathohistological changes, BC's tissue was analyzed using macroscopic description, histology, and immunohistochemical study with antibodies against CD68 and CD163. Results. According to the results of an immunohistochemical study, it was found that the expression of CD68-positive macrophages of the M1 type is significantly higher in the tissue of samples of BC with microcalcifications, compared to samples of the control group (60.85 ± 2.71 cells in the field of view vs. 51.14 ± 2.89, p < 0.05). On the other hand, it was established that the average value of CD163 expression in group I was 53.21 ± 3.05 against 65.57 ± 3.75 (p ˂ 0.05) cells in the group of BC without calcification. Nevertheless, the localization of M1 and M2 macrophages in the tumor had standard features and did not differ. A possible mechanism of the effect of microcalcifications on the polarization of macrophages is their support of chronic inflammation in cancer tissues and, thus, the development of pro-inflammatory M1 phenotype in macrophages. Further studies are needed to obtain more unambiguous conclusions.
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