lymphocytes, tumor-infiltrating

淋巴细胞,肿瘤浸润
  • 文章类型: Journal Article
    三级淋巴结构(TLSs)是包含各种免疫细胞的二级淋巴器官的类似物。空间分布,TLS的成熟和组成对预后有不同的影响,TLS在胃腺癌(GA)中的作用尚未揭示。
    因此,我们通过分析来自公共数据库的大量RNA测序(RNA-seq)数据,评估了GA中TLS的预后价值,并在复旦大学上海癌症中心(FUSCC)队列的肿瘤样本中验证了我们的发现.空间分布,成熟,通过回顾H&E染色的切片和多重免疫荧光(mIF)染色来分析GA中TLS的组成。
    我们发现TLS,尤其是具有生发中心(GC)的TLS和位于侵入性边缘(IM)的TLS,与总生存期(OS)延长相关。第二,对公开RNA-seq数据的分析显示,高树突状细胞(DC)评分是TLS和GC评分高的GA患者的有利预后因素。在FUSCC队列中,DC-LAMP+DC在具有GC的IM-TLSs中显著富集,表明肿瘤免疫激活环境与DC丰度之间存在潜在的相关性。第三,与没有GC的TLS相比,IM-TLSs中FOXP3+CD8+Treg细胞的比例显著降低,PD1+CD20+B细胞的比例显著增加。
    我们的结果表明,TLS的空间排列和成熟显着影响预后,并表明TLS可能是组织病理学评估的新附加因素。
    UNASSIGNED: Tertiary lymphoid structures (TLSs) are analogues of secondary lymphoid organs that contain various immune cells. The spatial distribution, maturation and composition of TLSs have differential effects on prognosis, and the roles of TLSs in gastric adenocarcinoma (GA) have not been revealed.
    UNASSIGNED: Thus, we evaluated the prognostic value of TLSs in GA through analysis of bulk RNA sequencing(RNA-seq) data from public databases and validated our findings in tumour samples from the Fudan University Shanghai Cancer Center (FUSCC) cohort. The spatial distribution,maturation, and composition of TLSs in GA were analysed by reviewing H&E-stained sections and by multiplex immunofluorescence (mIF) staining.
    UNASSIGNED: We found that TLSs, especially TLSs with germinal centres (GCs) and TLSs located in the invasive margin (IM), were correlated with prolonged overall survival (OS). Second, analysis of public RNA-seq data showed that high dendritic cell (DC) scores were a favourable prognostic factor in GA patients with high scores for both TLSs and GCs. In the FUSCC cohort, DC-LAMP+ DCs weresignificantly enriched in IM-TLSs with GCs, suggesting a potential correlation between the tumour immune activation milieu and the DC abundance. Third, compared to that in TLSs without GCs, the proportion of FOXP3+CD8+ Treg cells was significantly decreased in IM-TLSs with GCs, and the percentage of PD1+CD20+ B cells was significantly increased in TLSs with GCs.
    UNASSIGNED: Our results demonstrate that the spatial arrangement and maturation of TLSs significantly affect prognosis and indicate that TLSs could be a new additional factor for histopathological evaluation.
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  • 文章类型: Journal Article
    背景:在三阴性乳腺癌(TNBC)中,间质瘤浸润淋巴细胞(sTIL)水平升高与治疗结果和预后相关。本研究旨在探讨TNBC的临床病理和超声特征与sTILs水平的关系。
    方法:本研究包括侵袭性TNBC患者手术切除后对sTILs的术后评估。肿瘤形状,margin,定位,回声模式,后部特征,钙化,和血管分布进行回顾性评估。患者分为高sTIL(≥20%)和低sTIL(<20%)水平组。卡方或Fisher精确检验用于评估临床病理和超声特征与sTILs水平的关联。
    结果:171例患者(平均±SD年龄,54.7±10.3年[范围,22-87年])包括低sTIL水平的58.5%(100/171)和高sTIL水平的41.5%(71/171)。高sTILs水平的TNBC肿瘤更有可能是非特殊类型的浸润性癌(p=0.008)。组织学分级较高(p=0.029),较高的Ki-67增殖率(均p<0.05),以及相关DCIS分量的较低频率(p=0.026)。此外,高sTIL水平的TNBC肿瘤更可能是椭圆形或圆形(p=0.001),平行取向(p=0.011),外接或微分叶边缘(p<0.001),复杂的囊性和实性回声模式(p=0.001),后增强(p=0.002),并且不太可能具有异质模式(p=0.001)并且没有后验特征(p=0.002)。
    结论:这项初步研究表明,术前超声特征有助于区分TNBC患者的高sTILs和低sTILs。
    BACKGROUND: Increased level of stromal tumor-infiltrating lymphocytes (sTILs) are associated with therapeutic outcomes and prognosis in triple-negative breast cancer (TNBC). This study aimed to investigate the associations of clinicopathologic and sonographic features with sTILs level in TNBC.
    METHODS: This study included invasive TNBC patients with postoperative evaluation of sTILs after surgical resection. Tumor shape, margin, orientation, echo pattern, posterior features, calcification, and vascularity were retrospectively evaluated. The patients were categorized into high-sTILs (≥ 20%) and low-sTILs (< 20%) level groups. Chi-square or Fisher\'s exact tests were used to assess the association of clinicopathologic and sonographic features with sTILs level.
    RESULTS: The 171 patients (mean ± SD age, 54.7 ± 10.3 years [range, 22‒87 years]) included 58.5% (100/171) with low-sTILs level and 41.5% (71/171) with high-sTILs level. The TNBC tumors with high-sTILs level were more likely to be no special type invasive carcinoma (p = 0.008), higher histologic grade (p = 0.029), higher Ki-67 proliferation rate (all p < 0.05), and lower frequency of associated DCIS component (p = 0.026). In addition, the TNBC tumors with high-sTILs level were more likely to be an oval or round shape (p = 0.001), parallel orientation (p = 0.011), circumscribed or micro-lobulated margins (p < 0.001), complex cystic and solid echo patterns (p = 0.001), posterior enhancement (p = 0.002), and less likely to have a heterogeneous pattern (p = 0.001) and no posterior features (p = 0.002).
    CONCLUSIONS: This preliminary study showed that preoperative sonographic characteristics could be helpful in distinguishing high-sTILs from low-sTILs in TNBC patients.
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  • 文章类型: Journal Article
    PD-L1的补偿和细胞内储存可能会损害靶向细胞表面PD1/PD-L1构象阻断的抗体药物的功效。旨在降低PD-L1的整体细胞丰度的替代疗法因此可能克服对常规免疫检查点阻断的抗性。在这里,我们通过生物信息学分析显示,具有高微卫星不稳定性(MSI-H)的结肠腺癌(COAD)为这种治疗干预提供了最有希望的潜力,总体PD-L1丰度可以通过HSC70介导的溶酶体降解来控制。小鼠COAD与MSI-H原位的蛋白质组学和代谢组学分析揭示了突出的酸性肿瘤微环境。要利用这些特性,一种人造蛋白质,IgPβ,使用pH响应性肽折叠剂进行工程。这具有定制的肽模式和设计的分子功能,以促进肿瘤PD-L1和HSC70之间的相互作用。IgPβ通过HSC70介导的溶酶体降解有效降低肿瘤PD-L1水平,从而持续地恢复肿瘤浸润性CD8+T细胞的作用。值得注意的是,在多种小鼠模型中,基于溶酶体降解的治疗的抗肿瘤效果超过了基于抗体的免疫检查点阻断MSI-HCOAD的效果.所提出的策略扩展了肽折叠剂在发现用于靶向癌症免疫疗法的人造蛋白质药物中的用途。
    Compensation and intracellular storage of PD-L1 may compromise the efficacy of antibody drugs targeting the conformational blockade of PD1/PD-L1 on the cell surface. Alternative therapies aiming to reduce the overall cellular abundance of PD-L1 thus might overcome resistance to conventional immune checkpoint blockade. Here we show by bioinformatics analysis that colon adenocarcinoma (COAD) with high microsatellite instability (MSI-H) presents the most promising potential for this therapeutic intervention, and that overall PD-L1 abundance could be controlled via HSC70-mediated lysosomal degradation. Proteomic and metabolomic analyses of mice COAD with MSI-H in situ unveil a prominent acidic tumor microenvironment. To harness these properties, an artificial protein, IgP β, is engineered using pH-responsive peptidic foldamers. This features customized peptide patterns and designed molecular function to facilitate interaction between neoplastic PD-L1 and HSC70. IgP β effectively reduces neoplastic PD-L1 levels via HSC70-mediated lysosomal degradation, thereby persistently revitalizing the action of tumor-infiltrating CD8 + T cells. Notably, the anti-tumor effect of lysosomal-degradation-based therapy surpasses that of antibody-based immune checkpoint blockade for MSI-H COAD in multiple mouse models. The presented strategy expands the use of peptidic foldamers in discovering artificial protein drugs for targeted cancer immunotherapy.
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  • 文章类型: Journal Article
    In recent years, immunotherapy has been progressing rapidly in tumor treatment, among which, adoptive immunotherapy of immunologically active cells has also gained increasing attention in the treatment of malignant hematological diseases. Tumor-infiltrating lymphocytes are a heterogeneous class of T-cell-based lymphocytes with high heterogeneity. As an important component of the tumor microenvironment, TILs are crucial in the development of malignant tumors. TILs are a new type of immunoreactive cells discovered after lymphokine-activated killer cells, which can show high specificity and efficacy without the need for large amounts of interleukin-2. Tumor immunotherapy with TILs has shown encouraging results and is valuable in determining patient prognosis. In this paper, we review the composition and characteristics of TILs and their progress in malignant hematologic diseases.
    近年来,免疫疗法在肿瘤治疗中进展迅速,其中免疫活性细胞的过继免疫治疗在恶性血液系统疾病的治疗中也越来越受到重视。肿瘤浸润性淋巴细胞(tumor-infiltrating lymphocyte,TIL)是一类以T细胞为主的异型淋巴细胞,具有高度异质性。作为肿瘤微环境的重要组成部分,TIL在恶性肿瘤的发生发展中至关重要。TIL是继淋巴因子激活杀伤细胞之后发现的一种新型免疫活性细胞,在不需要大量IL-2诱导的情况下即可展现出强特异性和有效性。本文就TIL的组成、特点和其在恶性血液系统疾病中的研究进展等进行综述。.
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  • 文章类型: Journal Article
    B细胞淋巴瘤由于其生物学和临床异质性而难以治愈,由于天然的化学抗性。克服癌症诱导的免疫逃避的免疫疗法已成为肿瘤学最新发展的中心。在各种肿瘤中,破坏程序性细胞死亡蛋白1(PD-1)介导的免疫抑制的各种药物的成就强调了这一点。然而,虽然PD-1阻断对许多恶性肿瘤有效,相当比例的癌症,包括B细胞淋巴瘤,对这些治疗策略显示出一定的原发性耐药率。组蛋白去乙酰化酶抑制剂(HDACis)虽然抑制细胞增殖,但仍显示出抗癌活性。诱导分化和触发细胞凋亡。本研究旨在探索B细胞淋巴瘤中结合HDACi(romidepsin)和PD‑1阻断(BMS‑1)的治疗策略,利用构建的B细胞淋巴瘤小鼠模型。两种抑制剂的IC50通过MTT测定证实,它们的抑制作用显示出剂量和时间依赖性。数据表明,romidepsin和BMS-1的联合治疗协同抑制了B细胞淋巴瘤的生长。此外,结果表明,罗米地辛和BMS-1协同触发小鼠B细胞淋巴瘤细胞凋亡。这些药物的协同作用能够激活肿瘤浸润淋巴细胞,特别是CD3+CD4+和CD3+CD8+T细胞。本研究的结果强调了HDAC抑制与PD-1阻断联合作为B细胞淋巴瘤新治疗方法的潜力。强调这两种机制在增强抗肿瘤免疫力方面的协同作用。
    B‑cell lymphoma is difficult to cure because of its biological and clinical heterogeneity, and due to native chemoresistance. Immunotherapies that overcome cancer‑induced immune evasion have been the center of recent developments in oncology. This is emphasized by the accomplishment of various agents that disrupt programmed cell death protein 1 (PD‑1)‑mediated immune suppression in diverse tumors. However, while PD‑1 blockade has been effective in numerous malignancies, a significant proportion of cancers, including B‑cell lymphoma, show certain rates of primary resistance to these therapeutic strategies. Histone deacetylase inhibitors (HDACis) have exhibited anticancer activity though suppressing cell proliferation, inducing differentiation and triggering apoptosis. The present study aimed to explore a therapeutic strategy combining a HDACi (romidepsin) and PD‑1 blockade (BMS‑1) in B‑cell lymphoma, utilizing a constructed mouse model of B‑cell lymphoma. The IC50 of the two inhibitors was confirmed by MTT assay, and their inhibitory effects were revealed to be dose‑ and time‑dependent. The data demonstrated that the combined treatment of romidepsin and BMS‑1 synergistically inhibited the growth of B‑cell lymphoma. Furthermore, it was revealed that romidepsin and BMS‑1 synergistically triggered apoptosis in mouse B‑cell lymphoma. The synergistic effect of these agents was capable of activating tumor‑infiltrating lymphocytes, particularly CD3+CD4+ and CD3+CD8+ T cells. The results of the present study underscore the potential of HDAC inhibition in conjunction with PD‑1 blockade as a novel therapeutic approach for B‑cell lymphoma, highlighting the synergistic effects of these two mechanisms in enhancing antitumor immunity.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    吡咯-5-羧酸还原酶(PYCR)在将吡咯-5-羧酸(P5C)转化为脯氨酸方面至关重要,脯氨酸合成的最后一步。三种亚型,PYCR1、PYCR2和PYCR3在肿瘤发生和发展过程中存在并发挥重要的调节作用。在这项研究中,我们首先通过泛癌症分析评估了PYCRs的分子和免疫特征,特别是关注它们的预后相关性。然后,建立了肾透明细胞癌(KIRC)特异性预后模型,整合pathomics功能以增强预测能力。通过肾癌细胞的体外实验研究了PYCR1和PYCR2的生物学功能和调控机制。PYCRs的表达在不同的肿瘤中升高,与不利的临床结果相关。PYCR在癌症信号通路中富集,与免疫细胞浸润显着相关,肿瘤突变负荷(TMB),和微卫星不稳定性(MSI)。在KIRC,基于PYCR1和PYCR2的预后模型在统计学上得到独立验证.利用H&E染色图像的功能,病理组学特征模型能够可靠地预测患者的预后.体外实验证明PYCR1和PYCR2通过激活mTOR通路增强肾癌细胞的增殖和迁移,至少部分。这项研究强调了PYCRs在各种肿瘤中的关键作用,将它们定位为潜在的预后生物标志物和治疗靶标,特别是像KIRC这样的恶性肿瘤。研究结果强调需要更广泛地探索PYCR在泛癌症环境中的意义。
    Pyrroline-5-carboxylate reductase (PYCR) is pivotal in converting pyrroline-5-carboxylate (P5C) to proline, the final step in proline synthesis. Three isoforms, PYCR1, PYCR2, and PYCR3, existed and played significant regulatory roles in tumor initiation and progression. In this study, we first assessed the molecular and immune characteristics of PYCRs by a pan-cancer analysis, especially focusing on their prognostic relevance. Then, a kidney renal clear cell carcinoma (KIRC)-specific prognostic model was established, incorporating pathomics features to enhance predictive capabilities. The biological functions and regulatory mechanisms of PYCR1 and PYCR2 were investigated by in vitro experiments in renal cancer cells. The PYCRs\' expressions were elevated in diverse tumors, correlating with unfavorable clinical outcomes. PYCRs were enriched in cancer signaling pathways, significantly correlating with immune cell infiltration, tumor mutation burden (TMB), and microsatellite instability (MSI). In KIRC, a prognostic model based on PYCR1 and PYCR2 was independently validated statistically. Leveraging features from H&E-stained images, a pathomics feature model reliably predicted patient prognosis. In vitro experiments demonstrated that PYCR1 and PYCR2 enhanced the proliferation and migration of renal carcinoma cells by activating the mTOR pathway, at least in part. This study underscores PYCRs\' pivotal role in various tumors, positioning them as potential prognostic biomarkers and therapeutic targets, particularly in malignancies like KIRC. The findings emphasize the need for a broader exploration of PYCRs\' implications in pan-cancer contexts.
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  • 文章类型: Journal Article
    HIGD1B(HIG1缺氧诱导域家族成员1B)是与各种疾病的发生和发展有关的蛋白质编码基因。然而,其在胃癌(GC)中的确切功能尚不清楚。
    通过TCGA和GEO数据库确定HIGD1B的表达,并使用实验进行验证。通过Kaplan-Meier(K-M)曲线分析HIGD1B与GC患者预后之间的关联。随后,研究人员利用ROC曲线评估HIGD1B的诊断能力,并利用COX分析调查GC的危险因素.然后对差异表达基因(DEGs)进行功能富集分析,并生成列线图来预测GC患者的生存结局和概率。此外,我们评估了HIGD1B与免疫细胞浸润之间的相互作用,并预测了GC患者对治疗的敏感性。
    HIGD1B在GC组织和细胞系中明显升高,HIGD1B高表达的患者预后较差。此外,HIGD1B与不同的等级有关,阶段,T阶段。HIGD1B和列线图5年的生存ROC曲线分别为0.741和0.735,提示诊断效能水平合适。根据Cox回归分析,HIGD1B代表胃癌预后的单独风险因素(p<0.01)。GSEA分析表明HIGD1B与癌症形成和晚期通路密切相关。此外,HIGD1B高表达的患者表现出更高水平的肿瘤浸润免疫细胞(TIIC),化疗和免疫治疗后更有可能出现免疫逃逸和耐药.
    本研究探讨了HIGD1B在GC中的潜在机制以及诊断和预后用途,以及将HIGD1B鉴定为有价值的生物标志物和可能的GC治疗靶标。
    UNASSIGNED: HIGD1B (HIG1 Hypoxia Inducible Domain Family Member 1B) is a protein-coding gene linked to the occurrence and progression of various illnesses. However, its precise function in gastric cancer (GC) remains unclear.
    UNASSIGNED: The expression of HIGD1B is determined through the TCGA and GEO databases and verified using experiments. The association between HIGD1B and GC patients\' prognosis was analyzed via the Kaplan-Meier (K-M) curve. Subsequently, the researchers utilized ROC curves to assess the diagnostic capacity of HIGD1B and employed COX analysis to investigate risk factors for GC. The differentially expressed genes (DEGs) were then subjected to functional enrichment analysis, and a nomogram was generated to forecast the survival outcome and probability of GC patients. Additionally, we evaluated the interaction between HIGD1B and the immune cell infiltration and predicted the susceptibility of GC patients to therapy.
    UNASSIGNED: HIGD1B is markedly elevated in GC tissue and cell lines, and patients with high HIGD1B expression have a poorer outcome. In addition, HIGD1B is related to distinct grades, stages, and T stages. The survival ROC curves of HIGD1B and nomogram for five years were 0.741 and 0.735, suggesting appropriate levels of diagnostic efficacy. According to Cox regression analysis, HIGD1B represents a separate risk factor for the prognosis of gastric cancer (p<0.01). GSEA analysis demonstrated that the HIGD1B is closely related to cancer formation and advanced pathways. Moreover, patients with high HIGD1B expression exhibited a higher level of Tumor-infiltration immune cells (TIICs) and were more likely to experience immune escape and drug resistance after chemotherapy and immunotherapy.
    UNASSIGNED: This study explored the potential mechanisms and diagnostic and prognostic utility of HIGD1B in GC, as well as identified HIGD1B as a valuable biomarker and possible therapeutic target for GC.
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  • 文章类型: Journal Article
    背景:我们的研究旨在研究Fc受体样A(FCRLA)促进肾细胞癌(RCC)的机制,并探讨其与肿瘤免疫浸润的关系。
    方法:使用癌症基因组图谱(TCGA)探索FCRLA与RCC临床相关数据之间的相关性,然后使用基因表达综合(GEO)基因芯片数据进行验证。对FCRLA及其共表达的基因进行了富集和蛋白质-蛋白质相互作用(PPI)网络分析。在RCC细胞系中敲低FCRLA以评估其对生物学行为的影响。然后通过蛋白质印迹确定FCRLA的潜在下游调节剂,并进行了救援实验进行验证。通过GSEA分析FCRLA与各种免疫细胞的相关性,TIMER,和GEPIA工具。TIDE和ESTIMATE算法用于预测FCRLA在免疫治疗中的作用。
    结果:Fc受体样A与临床分期和T分期相关,可以预测RCC患者的M分期(AUC=0.692)和1-3-5年生存率(AUC=0.823、0.834和0.862)。在TCGA-RCC和GSE167573数据集中,FCLRA的较高表达预测了不利的总体生存期(OS)(p=0.03,p=0.04)。FCRLA通过pERK1/2/-MMP2途径促进RCC细胞的恶性生物学行为,并与RCC中的肿瘤免疫微环境有关。
    结论:Fc受体样A与RCC患者的不良预后呈正相关,并通过pERK1/2-MMP2途径在RCC中起致癌作用。RCC患者可能受益于靶向FCRLA的免疫治疗。
    BACKGROUND: Our study aims to investigate the mechanisms through which Fc receptor-like A (FCRLA) promotes renal cell carcinoma (RCC) and to examine its significance in relation to tumor immune infiltration.
    METHODS: The correlation between FCRLA and data clinically related to RCC was explored using The Cancer Genome Atlas (TCGA), then validated using Gene Expression Omnibus (GEO) gene chip data. Enrichment and protein-protein interaction (PPI) network analyses were performed for FCRLA and its co-expressed genes. FCRLA was knocked down in RCC cell lines to evaluate its impact on biological behavior. Then the potential downstream regulators of FCRLA were determined by western blotting, and rescue experiments were performed for verification. The relevance between FCRLA and various immune cells was analyzed through GSEA, TIMER, and GEPIA tools. TIDE and ESTIMATE algorithms were used to predict the effect of FCRLA in immunotherapy.
    RESULTS: Fc receptor-like A was associated with clinical and T stages and could predict the M stage (AUC = 0.692) and 1-3- and 5-year survival rates (AUC = 0.823, 0.834, and 0.862) of RCC patients. Higher expression of FCLRA predicted an unfavorable overall survival (OS) in TCGA-RCC and GSE167573 datasets (p = 0.03, p = 0.04). FCRLA promoted the malignant biological behavior of RCC cells through the pERK1/2/-MMP2 pathway and was associated with tumor immune microenvironment in RCC.
    CONCLUSIONS: Fc receptor-like A is positively correlated with poor outcomes in RCC patients and plays an oncogenic role in RCC through the pERK1/2-MMP2 pathway. Patients with RCC might benefit from immunotherapy targeting FCRLA.
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  • 文章类型: Journal Article
    背景:HHLA2(人类内源性逆转录病毒-H长末端重复序列相关蛋白2)代表了最近确定的B7免疫检查点家族成员,其特征是在正常组织中表达有限,但在各种癌症类型中明显过表达。然而,精确的功能和与免疫细胞的相互作用仍然知之甚少,尤其是喉鳞状细胞癌(LSCC)。这项研究试图阐明HHLA2在人类LSCC组织的肿瘤微环境中的生物学意义,并描述HHLA2在LSCC发病机理中的临床相关性和功能作用。
    方法:通过对来自LSCC患者(n=72)的组织微阵列进行的多重免疫组织化学分析,进行分析以评估HHLA2的表达水平,CD68HLA-DRCD163-(M1巨噬细胞)的密度和空间模式,CTLA-4+CD4+FoxP3+(CTLA-4+Treg细胞),CTLA-4+CD4+FoxP3-(CTLA-4+Tcon细胞),耗尽的CD8+T细胞,和LSCC组织中终末耗尽的CD8+T细胞。进行生存分析以评估HHLA2和这些免疫检查点或免疫细胞群的预后意义。采用COX回归分析确定独立的预后因素。
    结果:Kaplan-Meier(K-M)存活曲线揭示了LSCC中HHLA2表达与总生存期(OS)之间的显著关联。HHLA2水平升高与患者生存率降低有关。表明其作为预后标志物的潜力(HR:3.230,95CI0.9205-11.34,P=0.0067)。值得注意的是,CD68+细胞(总巨噬细胞)的浸润增加,STING+CD68+HLA-DR+CD163-(STING+M1巨噬细胞),CTLA-4+CD4+FoxP3+,CTLA-4+CD4+FoxP3-,PD-1+LAG-3+CD8+T细胞,PD-1+LAG-3+TIM-3+CD8+T细胞与较差的生存结局密切相关(P<0.05)。在这些免疫细胞群的水平之间观察到明显的趋势,STING+CD68+(STING+总巨噬细胞),CD68+HLA-DR+CD163-,STING+CD68+CD163+HLA-DR-(STING+M2巨噬细胞),PD-1+LAG-3-CD8+T细胞,PD-1+TIM-3+CD8+T细胞,PD-1+LAG-3+TIM-3-CD8+T细胞与预后的关系。重要的是,多因素COX分析确定HHLA2是LSCC患者OS的独立预测因子(HR=3.86,95%CI1.08-13.80,P=0.038)。这强调了HHLA2作为预测LSCC患者预后的关键标志物的潜力。
    结论:HHLA2作为评估LSCC患者OS的一个有害的预后生物标志物出现。相对于其他免疫检查点,HHLA2对LSCC患者的预后表现出更高的预测功效。
    BACKGROUND: HHLA2 (human endogenous retrovirus-H long terminal repeat-associating protein 2) represents a recently identified member of the B7 immune checkpoint family, characterized by limited expression in normal tissues but notable overexpression in various cancer types. Nevertheless, the precise function and interaction with immune cells remain poorly understood, particularly in laryngeal squamous cell carcinoma (LSCC). This investigation endeavored to elucidate the biological significance of HHLA2 within the tumor microenvironment of human LSCC tissues and delineate the clinical relevance and functional roles of HHLA2 in LSCC pathogenesis.
    METHODS: Through multiplexed immunohistochemistry analyses conducted on tissue microarrays sourced from LSCC patients (n = 72), the analysis was executed to assess the expression levels of HHLA2, density and spatial patterns of CD68+HLA-DR+CD163- (M1 macrophages), CTLA-4+CD4+FoxP3+ (CTLA-4+Treg cells), CTLA-4+CD4+FoxP3- (CTLA-4+Tcon cells), exhausted CD8+T cells, and terminally exhausted CD8+T cells in LSCC tissues. Survival analysis was conducted to evaluate the prognostic significance of HHLA2 and these immune checkpoints or immune cell populations, employing COX regression analysis to identify independent prognostic factors.
    RESULTS: Kaplan-Meier (K-M) survival curves revealed a significant association between HHLA2 expression and overall survival (OS) in LSCC. Elevated levels of HHLA2 were linked to reduced patient survival, indicating its potential as a prognostic marker (HR: 3.230, 95%CI 0.9205-11.34, P = 0.0067). Notably, increased infiltration of CD68+ cells (total macrophages), STING+CD68+HLA-DR+CD163- (STING+M1 macrophages), CTLA-4+CD4+FoxP3+, CTLA-4+CD4+FoxP3-, PD-1+LAG-3+CD8+T cells, and PD-1+LAG-3+TIM-3+CD8+T cells strongly linked to poorer survival outcomes (P < 0.05). A discernible trend was observed between the levels of these immune cell populations, STING+CD68+ (STING+ total macrophages), CD68+HLA-DR+CD163-, STING+CD68+CD163+HLA-DR- (STING+M2 macrophages), PD-1+LAG-3-CD8+T cells, PD-1+TIM-3+CD8+T cells, and PD-1+LAG-3+TIM-3-CD8+T cells and prognosis. Importantly, multivariate COX analysis identified HHLA2 as an independent predictive factor for OS in LSCC patients (HR = 3.86, 95% CI 1.08-13.80, P = 0.038). This underscored the potential of HHLA2 as a critical marker for predicting patient outcomes in LSCC.
    CONCLUSIONS: HHLA2 emerged as a detrimental prognostic biomarker for assessing OS in LSCC patients. Relative to other immune checkpoints, HHLA2 exhibited heightened predictive efficacy for the prognosis of LSCC patients.
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