Orrego Enrique, Castaneda Carlos A, Castillo Miluska, Bernabe Luis A, Casavilca Sandro, Chakravarti Arnab, Meng Wei, Garcia-Corrochano Pamela, Villa-Robles Maria R, Zevallos Rocio, Mejia Omar, Deza Pedro, Belmar-Lopez Carolina, Ojeda Luis
Neurosurgery Department, Instituto Nacional de Enfermedades Neoplasicas, Lima, 15038, Peru.
Research Department, Instituto Nacional de Enfermedades Neoplasicas, Lima, 15038, Peru.
CNS Oncol. 2018 Dec 1;7(4):CNS21. doi: 10.2217/cns-2017-0037. Epub 2018 Oct 9.
Evaluation of features related to infiltrating immune cell level in glioblastoma.
Tumor-infiltrating lymphocytes (TILs) through H&E staining, and TILs (CD3, CD4, CD8 and CD20) and macrophage (CD68 and CD163) levels through immunohistochemistry were evaluated through digital analysis.
CD68 (9.1%), CD163 (2.2%), CD3 (1.6%) and CD8 (1.6%) had the highest density. Higher CD4 was associated with unmethylated MGMT (p = 0.016). Higher CD8 was associated with larger tumoral size (p = 0.027). Higher CD163 was associated with higher age (p = 0.044) and recursive partitioning analysis = 4. Women (p < 0.05), total resection (p < 0.05), MGMT-methylation (p < 0.001), radiotherapy (p < 0.001), chemotherapy (p < 0.001) and lower CD4 (p < 0.05) were associated with longer overall survival.
Macrophages are more frequent than TILs. Some subsets are associated with clinical features.
评估胶质母细胞瘤中与浸润性免疫细胞水平相关的特征。
通过苏木精-伊红(H&E)染色评估肿瘤浸润淋巴细胞(TILs),并通过数字分析评估免疫组化检测的TILs(CD3、CD4、CD8和CD20)及巨噬细胞(CD68和CD163)水平。
CD68(9.1%)、CD163(2.2%)、CD3(1.6%)和CD8(1.6%)密度最高。较高的CD4水平与O6-甲基鸟嘌呤-DNA甲基转移酶(MGMT)未甲基化相关(p = 0.016)。较高的CD8水平与肿瘤体积较大相关(p = 0.027)。较高的CD163水平与较高年龄相关(p = 0.044)且递归分区分析=4。女性(p < 0.05)、全切除(p < 0.05)、MGMT甲基化(p < 0.001)、放疗(p < 0.001)、化疗(p < 0.001)及较低的CD4水平(p < 0.05)与总生存期较长相关。
巨噬细胞比TILs更常见。一些亚群与临床特征相关。