总CD8+ T细胞和瘤内CD8+ T细胞表达与Miller Payne分级和WHO新辅助化疗临床反应相关

S. S. Panigoro, S. C. Maulanisa, A. Kurnia, D. Purwanto, P. Rustamadji, H. Herqutanto, F. Sandra
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摘要

背景:据报道,化疗通过直接激活cd8 + T细胞簇来刺激免疫系统。新辅助化疗(NAC)被认为可以改善局部晚期乳腺癌(LABC)患者的临床反应。然而,LABC患者NAC的免疫反应相关因素评估尚未常规进行。因此,本研究基于Miller Payne分级和世界卫生组织(WHO)标准,评估nac诱导的CD8+ T细胞与化疗反应的相关性。方法:招募LABC患者,获取年龄、性别、肿瘤、淋巴结分期、组织病理分级、雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2 (HER2)和Ki67等数据。收集活检组织和乳房切除术组织,进行苏木精-伊红和CD8免疫组织化学染色。记录和测量肿瘤周围和肿瘤内CD8+ T细胞的表达。分析基于Miller Payne分级和WHO的临床反应,并将其与CD8+ T细胞表达进行相关性分析。结果:总CD8+ T细胞高表达(80%)、瘤内CD8+ T细胞高表达(82.5%)、瘤周CD8+ T细胞高表达(65%)者较多。总CD8+ T细胞表达(p=0.013)和瘤内CD8+ T细胞表达(p=0.015)与Miller Payne分级显著相关,而瘤周CD8+ T细胞表达与Miller Payne分级无显著相关。总CD8+ T细胞表达(p=0.009)和瘤内CD8+ T细胞表达(p=0.001)也与WHO临床反应显著相关。结论:总CD8+ T细胞及瘤内CD8+ T细胞表达与NAC的Miller Payne分级及WHO临床反应相关。因此,总CD8+ T细胞和肿瘤内CD8+ T细胞的表达可以作为NAC临床疗效的预测指标。关键词:乳腺癌,新辅助化疗,CD8,临床反应,Miller Payne,瘤内,瘤周
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Total and Intratumoral CD8+ T Cell Expressions are Correlated with Miller Payne Grading and WHO Clinical Response of Neoadjuvant Chemotherapy
BACKGROUND: Chemotherapy has reported to stimulate immune system through direct activation of cluster of differentiation (CD)8+ T cells. Neoadjuvant chemotherapy (NAC) is known to improve the clinical response of locally advanced breast cancer (LABC) patients. However, the immune response-related factor evaluation of NAC in LABC patients has not been routinely performed. Therefore, current study was conducted to evaluate the correlation of NAC-induced CD8+ T cell with chemotherapy response based on Miller Payne grading and World Health Organization (WHO) criteria.METHODS: LABC patients were recruited and data regarding age, gender, tumor, nodal stages, histopathological grade, estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2) and Ki67 were obtained. Biopsy and mastectomy tissues were collected and processed for hematoxylin-eosin and CD8 immunohistochemical staining. CD8+ T cell expression in peritumoral and intratumoral areas were documented and measured. Clinical responses based on Miller Payne grading and WHO were analyzed and correlated with CD8+ T cell expression.RESULTS: There were more subjects with high expression of total (80%), intratumoral (82.5%) and peritumoral (65%) CD8+ T cell expressions. The total (p=0.013) and intratumoral (p=0.015) CD8+ T cell expression, but not peritumoral CD8+ T cell expression, were significantly correlated with Miller Payne Grading. The total (p=0.009) and intratumoral (p=0.001) CD8+ T cell expressions were also significantly correlated with WHO clinical response.CONCLUSION: Total and intratumoral CD8+ T cell expressions are correlated with Miller Payne grading and WHO clinical response of NAC. Therefore, total and intratumoral CD8+ T cell expressions could be suggested as a predictive marker for clinical response of NAC.KEYWORDS: breast cancer, neoadjuvant chemotherapy, CD8, clinical response, Miller Payne, intratumoral, peritumoral 
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