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胰腺癌联合免疫表型、分子和形态学分析中出现的临床情况:好的、坏的和糟糕的情况。

Clinical Scenarios Emerging from Combined Immunophenotypic, Molecular and Morphologic Analysis of Pancreatic Cancer: The Good, the Bad and the Ugly Scenario.

作者信息

Karamitopoulou Eva, Gloor Beat

机构信息

Pancreatic Cancer Research Group, Institute of Pathology, University of Bern, Murtenstrasse 31, CH-3008 Bern, Switzerland.

Department of Visceral Surgery, Insel University Hospital, University of Bern, Freiburgstrasse 18, CH-3010 Bern, Switzerland.

出版信息

Cancers (Basel). 2019 Jul 10;11(7):968. doi: 10.3390/cancers11070968.

DOI:10.3390/cancers11070968
PMID:31295960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6678850/
Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a devastating disease with increasing incidence and dismal prognosis. The composition of the immune cell infiltrates in the tumor microenvironment (TME) and the dynamic interplay between cancer- and immune cells can influence and/or be influenced by tumor-intrinsic characteristics like molecular profiles and tumor cell morphology. The combined analyses of pancreatic cancer by using morphologic, genetic, and immunologic features help us understand the significant heterogeneity of the TME and recognize the different mechanisms of immune evasion. Moreover, this information may lead to the identification of novel biomarkers for more precise patient stratification and therapy guidance.

摘要

胰腺导管腺癌(PDAC)是一种发病率不断上升且预后极差的毁灭性疾病。肿瘤微环境(TME)中免疫细胞浸润的组成以及癌细胞与免疫细胞之间的动态相互作用,可受到诸如分子谱和肿瘤细胞形态等肿瘤内在特征的影响,同时也能对这些特征产生影响。通过结合形态学、遗传学和免疫学特征对胰腺癌进行综合分析,有助于我们了解TME的显著异质性,并认识到不同的免疫逃逸机制。此外,这些信息可能会促成新型生物标志物的识别,以实现更精确的患者分层和治疗指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/9bbd99e6f762/cancers-11-00968-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/6f14ff2fa400/cancers-11-00968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/bf4ba4345621/cancers-11-00968-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/9bbd99e6f762/cancers-11-00968-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/6f14ff2fa400/cancers-11-00968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/bf4ba4345621/cancers-11-00968-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef6/6678850/9bbd99e6f762/cancers-11-00968-g003.jpg

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本文引用的文献

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Cancer Immunol Res. 2019 Jun;7(6):886-895. doi: 10.1158/2326-6066.CIR-18-0822. Epub 2019 May 1.
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Broadening the Impact of Immunotherapy to Pancreatic Cancer: Challenges and Opportunities.拓宽免疫疗法在胰腺癌中的应用:挑战与机遇。
Gastroenterology. 2019 May;156(7):2056-2072. doi: 10.1053/j.gastro.2018.12.038. Epub 2019 Jan 18.
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Experimental microdissection enables functional harmonisation of pancreatic cancer subtypes.
实验性显微解剖可实现胰腺癌亚型的功能协调。
Gut. 2019 Jun;68(6):1034-1043. doi: 10.1136/gutjnl-2018-317706. Epub 2019 Jan 18.
4
FOLFIRINOX or Gemcitabine as Adjuvant Therapy for Pancreatic Cancer.FOLFIRINOX 或吉西他滨作为胰腺癌的辅助治疗。
N Engl J Med. 2018 Dec 20;379(25):2395-2406. doi: 10.1056/NEJMoa1809775.
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Immune Cell and Stromal Signature Associated With Progression-Free Survival of Patients With Resected Pancreatic Ductal Adenocarcinoma.与接受手术切除的胰腺导管腺癌患者无进展生存期相关的免疫细胞和基质特征。
Gastroenterology. 2018 Nov;155(5):1625-1639.e2. doi: 10.1053/j.gastro.2018.08.009. Epub 2018 Aug 6.
6
Prevalence of PDL1 Amplification and Preliminary Response to Immune Checkpoint Blockade in Solid Tumors.实体瘤中 PDL1 扩增的流行率和免疫检查点阻断的初步反应。
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