ImmunOvar Research Group, Laboratory of Tumor Immunology and Immunotherapy, Department of Oncology, KU Leuven, 3000 Leuven, Belgium.
Oncoinvent AS, 0484 Oslo, Norway.
Cells. 2020 Jan 27;9(2):305. doi: 10.3390/cells9020305.
The role of the innate immune system in ovarian cancer is gaining importance. The relevance of tumor-associated macrophages (TAM) is insufficiently understood. In this pilot project, comprising the immunofluorescent staining of 30 biopsies taken from 24 patients with ovarian cancer, we evaluated the presence of total TAM (cluster of differentiation (CD) 68 expression), M1 (major histocompatibility complex (MHC) II expression), and M2 (anti-mannose receptor C type 1 (MRC1) expression), and the blood vessel diameter. We observed a high M1/M2 ratio in low-grade ovarian cancer compared to high-grade tumors, more total TAM and M2 in metastatic biopsies, and a further increase in total TAM and M2 at interval debulking, without beneficial effects of bevacizumab. The blood vessel diameter was indicative for M2 tumor infiltration (Spearman correlation coefficient of 0.65). These data mainly reveal an immune beneficial environment in low-grade ovarian cancer in contrast to high-grade serous ovarian cancer, where immune suppression is not altered by neoadjuvant therapy.
先天免疫系统在卵巢癌中的作用正变得越来越重要。肿瘤相关巨噬细胞(TAM)的相关性尚未得到充分理解。在这个包含 24 名卵巢癌患者 30 份活检的初步研究中,我们通过免疫荧光染色评估了总 TAM(CD68 表达)、M1(主要组织相容性复合体(MHC)II 表达)和 M2(抗甘露糖受体 C 型 1(MRC1)表达)的存在情况,以及血管直径。与高级别肿瘤相比,低级别卵巢癌中观察到高 M1/M2 比值,转移性活检中总 TAM 和 M2 更多,间隔减瘤时总 TAM 和 M2 进一步增加,而贝伐单抗没有获益。血管直径提示 M2 肿瘤浸润(Spearman 相关系数为 0.65)。这些数据主要揭示了低级别卵巢癌中有利的免疫环境,而高级别浆液性卵巢癌中免疫抑制未因新辅助治疗而改变。