Kai Keita, Masuda Masanori, Aishima Shinichi
Keita Kai, Shinichi Aishima, Department of Pathology, Saga University Hospital, Saga 849-8501, Japan.
World J Clin Cases. 2017 Jan 16;5(1):1-8. doi: 10.12998/wjcc.v5.i1.1.
To investigated the association between the tumor cells' expression of E-cadherin and the numbers of several types of inflammatory cells infiltrating into the invasive portion of gallbladder cancer (GBC).
We analyzed 50 GBC cases for which a sufficient amount of tumor tissues for tissue microarray (TMA) had been saved. Three tissue cores (3.0 mm) of invasive lesion from each case were used for the TMA. The 4-μm cut sections on slides were immunostained using primary antibodies including E-cadherin for cancer cells, leukocyte common antigen for leukocyte, myeloperoxidase for neutrophils, CD3 for T cells, CD4 for helper T cells, CD8 for killer T cells, CD20 for B cells and CD68 for macrophages. The immunostained slides were digitally analyzed by imaging analysis software.
A significant inverse correlation between the number of infiltrating CD8 cells at invasive areas and the expression of E-cadherin by cancer cells was observed ( = 0.0001), although the degree of this correlation was relatively weak ( = 0.32). The number of CD8 cells and the cancer cells' E-cadherin expression were also significantly correlated with tumor differentiation (well-differentiated poorly differentiated) ( = 0.0467 and = 0.0294, respectively). Inverse correlation of T-stage and the number of CD8 cell infiltration was observed with statistical significance in comparison of T2 and T3 cases ( = 0.0324).
Our findings indicate an inverse correlation of CD8 T cell infiltration and cancer cells' E-cadherin expression at invasive areas of GBC. Further analyses are essential to test these findings.
研究胆囊癌(GBC)浸润部位肿瘤细胞E-钙黏蛋白的表达与几种炎性细胞浸润数量之间的关系。
我们分析了50例保存有足够数量用于组织芯片(TMA)的肿瘤组织的GBC病例。从每个病例的浸润性病变中取3个组织芯(3.0毫米)用于TMA。玻片上4微米厚的切片使用包括针对癌细胞的E-钙黏蛋白、针对白细胞的白细胞共同抗原、针对中性粒细胞的髓过氧化物酶、针对T细胞的CD3、针对辅助性T细胞的CD4、针对杀伤性T细胞的CD8、针对B细胞的CD20以及针对巨噬细胞的CD68的一抗进行免疫染色。通过成像分析软件对免疫染色的玻片进行数字分析。
尽管这种相关性的程度相对较弱(r = 0.32),但在浸润区域观察到浸润性CD8细胞数量与癌细胞E-钙黏蛋白表达之间存在显著的负相关(r = 0.0001)。CD8细胞数量和癌细胞E-钙黏蛋白表达也与肿瘤分化(高分化与低分化)显著相关(分别为r = 0.0467和r = 0.0294)。在比较T2和T3病例时,观察到T分期与CD8细胞浸润数量呈负相关,具有统计学意义(r = 0.0324)。
我们的研究结果表明,在GBC浸润区域,CD8 T细胞浸润与癌细胞E-钙黏蛋白表达呈负相关。进一步分析对于验证这些发现至关重要。