通过Opal/TSA多重免疫荧光分析影响三阴性乳腺癌预后的基质B淋巴细胞

IF 2.5 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
International Journal of Women's Health Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI:10.2147/IJWH.S444202
Min Fang, Wei Yin, Chunyan Qiu, Tao Song, Baihua Lin, Ying Wang, Hanchu Xiong, Shixiu Wu
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引用次数: 0

摘要

目的:免疫细胞在肿瘤微环境中发挥着关键作用:免疫细胞在肿瘤微环境中起着关键作用。本研究旨在探讨免疫细胞在三阴性乳腺癌微环境中的浸润和临床指征,包括其综合预后价值:方法:我们对浙江省人民医院2003年至2017年间的100例三阴性乳腺癌患者进行了欧泊/翠兰信号放大多谱段免疫荧光检查。对三阴性乳腺癌的瘤内和基质免疫细胞进行分类和定量分析。采用Kaplan-Meier法比较生存结果,并进一步进行多变量分析:结果:单变量分析显示,基质B淋巴细胞、基质和瘤内CD8+ T细胞、基质CD4+ T细胞、基质PD-L1和瘤内肿瘤相关巨噬细胞2的浸润水平是影响无病生存率和总生存率的独立因素。在多变量分析中,基质B淋巴细胞、T分期、N分期和病理类型是DFS和OS的独立预测因素。我们首先发现,B淋巴细胞丰富亚型患者的预后优于T淋巴细胞丰富亚型和肿瘤相关巨噬细胞丰富亚型患者:本研究发现了一系列免疫靶点和亚型,可在未来针对三阴性乳腺癌患者的免疫/化疗联合策略中加以利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stromal B Lymphocytes Affecting Prognosis in Triple-Negative Breast Cancer by Opal/TSA Multiplexed Immunofluorescence.

Objective: Immune cells play a key role in tumor microenvironment. The purpose of this study was to investigate the infiltration and clinical indication of immune cells including their combined prognostic value in microenvironment of triple negative breast cancer.

Methods: We investigated 100 patients with triple negative breast cancer by Opal/Tyramide Signal Amplification multispectral immunofluorescence between 2003 and 2017 at Zhejiang Provincial people's Hospital. Intratumoral and stromal immune cells of triple negative breast cancer were classified and quantitatively analyzed. Survival outcomes were compared using the Kaplan-Meier method and further analyzed with multivariate analysis.

Results: Infiltration level of stromal B lymphocytes, stromal and intratumoral CD8+ T cells, stromal CD4+ T cells, stromal PD-L1 and intratumoral tumor associated macrophages 2 cells were shown as independent factors affecting disease-free survival and overall survival in univariate analysis. Stromal B lymphocytes, T stage, N stage and pathological type were independent predictive factors for both DFS and OS in multivariate analysis. We firstly found that patients with B lymphocytes-enriched subtypes have a better prognosis than those with T lymphocytes-enriched subtypes and tumor-associated macrophage-enriched subtypes.

Conclusion: The present study identified a bunch of immune targets and subtypes, which could be exploited in future combined immunotherapy/chemotherapy strategies for triple negative breast cancer patients.

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来源期刊
International Journal of Women's Health
International Journal of Women's Health OBSTETRICS & GYNECOLOGY-
CiteScore
3.70
自引率
0.00%
发文量
194
审稿时长
16 weeks
期刊介绍: International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.
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