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Computer-assisted image analysis of the tumor microenvironment on an oral tongue squamous cell carcinoma tissue microarray.

作者信息

Lee Sangjune Laurence, Cabanero Michael, Hyrcza Martin, Butler Marcus, Liu Fei-Fei, Hansen Aaron, Huang Shao Hui, Tsao Ming-Sound, Song Yuyao, Lu Lin, Xu Wei, Chepeha Douglas B, Goldstein David P, Weinreb Ilan, Bratman Scott V

机构信息

Department of Radiation Oncology, University of Toronto, Canada.

Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada.

出版信息

Clin Transl Radiat Oncol. 2019 May 18;17:32-39. doi: 10.1016/j.ctro.2019.05.001. eCollection 2019 Jul.


DOI:10.1016/j.ctro.2019.05.001
PMID:31193592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6536490/
Abstract

Oral tongue squamous cell carcinoma (OTSCC) displays variable levels of immune cells within the tumor microenvironment. The quantity and localization of tumor infiltrating lymphocytes (TILs), specific functional TIL subsets (e.g., CD8+), and biomarker-expressing cells (e.g., PD-L1+) may have prognostic and predictive value. The purpose of this study was to evaluate the robustness and utility of computer-assisted image analysis tools to quantify and localize immunohistochemistry-based biomarkers within the tumor microenvironment on a tissue microarray (TMA). We stained a 91-patient OTSCC TMA with antibodies targeting CD3, CD4, CD8, FOXP3, IDO, and PD-L1. Cell populations were segmented into epithelial (tumor) or stromal compartments according to a mask derived from a pan-cytokeratin stain. Definiens Tissue Studio was used to enumerate marker-positive cells or to quantify the staining intensity. Automated methods were validated against manual tissue segmentation, cell count, and stain intensity quantification. Univariate associations of cell count and stain intensity with smoking status, stage, overall survival (OS), and disease-free survival (DFS) were determined. Our results revealed that the accuracy of automated tissue segmentation was dependent on the distance of the tissue section from the cytokeratin mask and the proportion of the tissue containing tumor vs. stroma. Automated and manual cell counts and stain intensities were highly correlated (Pearson coefficient range: 0.46-0.90; p < 0.001). Within this OTSCC cohort, smokers had significantly stronger PD-L1 stain intensity and higher numbers of CD3+, CD4+ and FOXP3+ TILs. In the subset of patients who had received adjuvant radiotherapy, a higher number of CD8+ TILs was associated with inferior OS and DFS. Taken together, this proof-of-principle study demonstrates the robustness and utility of computer-assisted image analysis for high-throughput assessment of multiple IHC markers on TMAs, with potential implications for studies on prognostic and predictive biomarkers.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/04580b61cd29/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/91ce935830e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/865c90e66636/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/9bd8df34c9e6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/5d8aff6f5108/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/bd2ffbefb5b8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/12a27d3796c5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/04580b61cd29/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/91ce935830e6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/865c90e66636/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/9bd8df34c9e6/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/5d8aff6f5108/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/bd2ffbefb5b8/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/12a27d3796c5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0125/6536490/04580b61cd29/gr7.jpg

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[2]
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[3]
The Prognostic Role of the Immune Microenvironment in Sinonasal Intestinal-Type Adenocarcinoma: A Computer-Assisted Image Analysis of CD3 and CD8 Tumor-Infiltrating Lymphocytes.

J Pers Med. 2023-4-25

[4]
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Saudi Dent J. 2022-3

[5]
Multiplex Immunofluorescence and the Digital Image Analysis Workflow for Evaluation of the Tumor Immune Environment in Translational Research.

Front Oncol. 2022-6-27

[6]
The Microenvironment of Tongue Cancer.

Adv Exp Med Biol. 2020

[7]
Comparative analysis of post-transplant lymphoproliferative disorders after solid organ and hematopoietic stem cell transplantation reveals differences in the tumor microenvironment.

Virchows Arch. 2021-6

[8]
Digital Image Analysis of CD8+ and CD3+ Tumor-Infiltrating Lymphocytes in Tongue Squamous Cell Carcinoma.

Cancer Manag Res. 2020-9-9

[9]
Identification of an Immune Score-Based Gene Panel with Prognostic Power for Oral Squamous Cell Carcinoma.

Med Sci Monit. 2020-6-12

[10]
The promise of immunotherapy in the treatment of young adults with oral tongue cancer.

Laryngoscope Investig Otolaryngol. 2020-2-21

本文引用的文献

[1]
Tumor-infiltrating CD8 T-cell density is an independent prognostic marker for oral squamous cell carcinoma.

Cancer Med. 2019-1-1

[2]
International validation of the consensus Immunoscore for the classification of colon cancer: a prognostic and accuracy study.

Lancet. 2018-5-10

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Density and location of CD3 and CD8 tumor-infiltrating lymphocytes correlate with prognosis of oral squamous cell carcinoma.

J Oral Pathol Med. 2018-3-12

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Br J Oral Maxillofac Surg. 2018-1

[5]
PD-1 Expression in Head and Neck Squamous Cell Carcinomas Derives Primarily from Functionally Anergic CD4 TILs in the Presence of PD-L1 TAMs.

Cancer Res. 2017-11-15

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J Natl Compr Canc Netw. 2017-6

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PD-L1 expression on immune cells, but not on tumor cells, is a favorable prognostic factor for head and neck cancer patients.

Sci Rep. 2016-11-14

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The head and neck cancer immune landscape and its immunotherapeutic implications.

JCI Insight. 2016-10-20

[9]
High PD-L1 Expression Correlates with Metastasis and Poor Prognosis in Oral Squamous Cell Carcinoma.

PLoS One. 2015-11-12

[10]
Quantitative Assessment of the Heterogeneity of PD-L1 Expression in Non-Small-Cell Lung Cancer.

JAMA Oncol. 2016-1

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