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高内皮微静脉样血管和精原细胞瘤中的淋巴细胞募集。

High endothelial venule-like vessels and lymphocyte recruitment in testicular seminoma.

机构信息

Department of Molecular Pathology, Shinshu University Graduate School of Medicine, Matsumoto, Japan.

出版信息

Andrology. 2014 Mar;2(2):282-9. doi: 10.1111/j.2047-2927.2014.00192.x. Epub 2014 Feb 11.

Abstract

Seminoma, the most common testicular malignant neoplasm, originates from germ cells and is characterized by the presence of numerous tumour-infiltrating lymphocytes (TILs). Although it is widely accepted that TILs function in surveillance and cytotoxicity in various tumours including seminoma, detailed mechanisms governing TIL recruitment are not fully understood. It has been shown that high endothelial venule (HEV)-like vessels are induced in inflamed and neoplastic tissues and contribute to lymphocyte recruitment in a manner similar to the way physiological lymphocyte homing occurs in secondary lymphoid organs. Here, we report that HEV-like vessels, which express MECA-79(+) 6-sulfo sialyl Lewis X-capped structures, are induced in TIL aggregates in seminoma, and that such vessels potentially recruit circulating lymphocytes, as an E-selectin•IgM chimera bound these vessels in a calcium-dependent manner. These HEV-like vessels express intercellular adhesion molecule 1 (ICAM-1), but not vascular cell adhesion molecule 1 (VCAM-1) or mucosal addressin cell adhesion molecule 1 (MAdCAM-1), which likely contributes to lymphocyte firm attachment. We also found that the number of T cells attached to the luminal surface of HEV-like vessels was greater than the number of B cells (p < 0.0001). Interestingly, while CD8(+) cytotoxic T lymphocytes (CTLs) attached to the lumen of HEV-like vessels were scarcely detected, significant numbers of proliferative CTLs were observed outside vessels. These histological findings strongly suggest that TILs, particularly T cells, are recruited to seminoma tissues via HEV-like vessels, and that tumour-infiltrating CTLs then undergo proliferation after transmigration through HEV-like vessels in testicular seminoma.

摘要

精原细胞瘤是最常见的睾丸恶性肿瘤,来源于生殖细胞,其特征是存在大量肿瘤浸润淋巴细胞(TIL)。虽然普遍认为 TIL 在包括精原细胞瘤在内的各种肿瘤中具有监视和细胞毒性作用,但调节 TIL 募集的详细机制尚不完全清楚。已经表明,在炎症和肿瘤组织中诱导了高内皮静脉(HEV)样血管,并以类似于生理淋巴细胞归巢发生在次级淋巴器官的方式促进淋巴细胞募集。在这里,我们报告在精原细胞瘤的 TIL 聚集物中诱导了表达 MECA-79(+) 6-硫酸唾液酸 Lewis X 封端结构的 HEV 样血管,并且这些血管可能募集循环淋巴细胞,因为 E-选择素•IgM 嵌合体以依赖于钙的方式结合这些血管。这些 HEV 样血管表达细胞间黏附分子 1(ICAM-1),但不表达血管细胞黏附分子 1(VCAM-1)或黏膜地址素细胞黏附分子 1(MAdCAM-1),这可能有助于淋巴细胞牢固附着。我们还发现,附着在 HEV 样血管管腔表面的 T 细胞数量多于 B 细胞(p<0.0001)。有趣的是,虽然 CD8(+)细胞毒性 T 淋巴细胞(CTL)很少附着在 HEV 样血管的管腔中,但在血管外观察到大量增殖 CTL。这些组织学发现强烈表明,TIL,特别是 T 细胞,通过 HEV 样血管被募集到精原细胞瘤组织中,并且肿瘤浸润的 CTL 在穿过睾丸精原细胞瘤中的 HEV 样血管后发生增殖。

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