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CD276(B7-H3)在肾上腺皮质癌中的表达的临床病理和预后特征。

Clinicopathological and Prognostic Characteristics of CD276 (B7-H3) Expression in Adrenocortical Carcinoma.

机构信息

Institute of Urology, Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China.

出版信息

Dis Markers. 2020 Jan 11;2020:5354825. doi: 10.1155/2020/5354825. eCollection 2020.

Abstract

BACKGROUND

Adrenocortical carcinoma (ACC) is a rare malignant endocrine tumor with a high tumor recurrence rate and poor postoperative survival. Recent studies suggest that CD276- (B7-H3) targeted therapy represents a promising therapeutic option for solid tumors. However, little is known about the expression status of CD276 or its association with progression and prognosis of ACC.

METHODS

Clinical data were retrospectively analyzed from patients who underwent resection of ACC at our institution ( = 48). Archived, formalin-fixed, and paraffin-embedded samples were collected for immunohistochemical analysis, and the correlation between CD276 expression and clinicopathological parameters was evaluated. Kaplan-Meier and univariate/multivariate Cox regression methods were implemented to identify any prognostic effects. Data from The Cancer Genome Atlas (TCGA) ACC cohort ( = 48). Archived, formalin-fixed, and paraffin-embedded samples were collected for immunohistochemical analysis, and the correlation between CD276 expression and clinicopathological parameters was evaluated. Kaplan-Meier and univariate/multivariate Cox regression methods were implemented to identify any prognostic effects. Data from The Cancer Genome Atlas (TCGA) ACC cohort (.

RESULTS

Positive expression of CD276 was detected on the cell membrane and in the cytoplasm of cancer cells or tumor-associated vascular cells in 91.67% (44/48) of ACCs. Vascular expression of CD276 was associated with local aggression (higher T stage, = 0.029) and advanced ENSAT stage ( = 0.029) and advanced ENSAT stage ( = 0.029) and advanced ENSAT stage ( = 0.029) and advanced ENSAT stage ( = 0.029) and advanced ENSAT stage ( = 0.029) and advanced ENSAT stage (.

CONCLUSION

These findings highlight the immune checkpoint factor CD276 as an independent prognostic factor and a potential therapeutic target in ACC.

摘要

背景

肾上腺皮质癌(ACC)是一种罕见的恶性内分泌肿瘤,其肿瘤复发率高,术后生存率低。最近的研究表明,CD276-(B7-H3)靶向治疗代表了实体瘤有前途的治疗选择。然而,对于 CD276 的表达状态及其与 ACC 的进展和预后的关系知之甚少。

方法

回顾性分析了在我院接受 ACC 切除术的患者的临床资料(n=48)。收集存档的福尔马林固定、石蜡包埋样本进行免疫组织化学分析,并评估 CD276 表达与临床病理参数之间的相关性。采用 Kaplan-Meier 和单因素/多因素 Cox 回归方法确定任何预后影响。收集来自癌症基因组图谱(TCGA)ACC 队列(n=48)的存档的福尔马林固定、石蜡包埋样本进行免疫组织化学分析,并评估 CD276 表达与临床病理参数之间的相关性。采用 Kaplan-Meier 和单因素/多因素 Cox 回归方法确定任何预后影响。

结果

在 91.67%(44/48)的 ACC 中,细胞膜和肿瘤相关血管细胞的细胞质中检测到 CD276 的阳性表达。CD276 的血管表达与局部侵袭性(较高的 T 分期,p=0.029)和高级 ENSAT 分期(p=0.029)有关,与肿瘤分级(p=0.114)、Ki-67 增殖指数(p=0.157)、无复发生存率(p=0.114)和总生存率(p=0.157)无关。

结论

这些发现强调了免疫检查点因子 CD276 作为 ACC 的独立预后因素和潜在治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/6977319/6fd9fc87afdc/DM2020-5354825.001.jpg

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