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犬口腔黑色素瘤瘤内 T 淋巴细胞亚群及其与临床和组织病理学参数的关系。

Intratumoral T-Lymphocyte Subsets in Canine Oral Melanoma and Their Association With Clinical and Histopathological Parameters.

机构信息

28133University of São Paulo, São Paulo, Brazil.

42463Paulista University, São Paulo, Brazil.

出版信息

Vet Pathol. 2021 May;58(3):491-502. doi: 10.1177/0300985821999321. Epub 2021 Mar 25.

DOI:10.1177/0300985821999321
PMID:33764216
Abstract

Canine oral melanoma is a common, aggressive tumor with limited treatment options. Tumor-infiltrating lymphocytes (TILs) are important in antitumor immunity. This study used histopathology and immunophenotyping by flow cytometry to evaluate the presence and distribution of TILs in canine oral melanoma, including the frequency of CD8 T cells, CD4 T cells, and regulatory T cells. Fifty samples of oral melanoma from 45 dogs that did not receive treatment prior to surgery were included in the study. The distribution of TILs in the tissue (brisk, nonbrisk, and absent) was evaluated in 48 samples. Twenty-eight (58%) samples had a brisk distribution pattern, 10 (21%) samples had a nonbrisk pattern, and 10 (21%) samples had an absent TIL pattern. Comparing the histological evaluation and the immunophenotyping data, it was observed that samples with a brisk TIL pattern had a higher frequency of CD8 T lymphocytes ( = .05) and a lower frequency of CD4/CD25/FoxP3 Tregs ( = .03), compared to the samples with nonbrisk and absent infiltrate patterns. Patients with a higher survival rate had higher TIL scores ( = .002), a brisk or nonbrisk TIL pattern ( = .001), and an increased frequency of CD8 T lymphocytes infiltrating the tumor ( = .003). Our analysis suggests that the evaluation of TILs in canine oral melanoma is relevant to predict tumor aggressiveness and patient prognosis.

摘要

犬口腔黑色素瘤是一种常见且侵袭性强的肿瘤,治疗选择有限。肿瘤浸润淋巴细胞(TIL)在抗肿瘤免疫中具有重要作用。本研究采用组织病理学和流式细胞术免疫表型分析评估犬口腔黑色素瘤中 TIL 的存在和分布,包括 CD8 T 细胞、CD4 T 细胞和调节性 T 细胞的频率。该研究纳入了 45 只未接受手术前治疗的犬的 50 份口腔黑色素瘤样本。在 48 份样本中评估了 TIL 在组织中的分布(活跃、不活跃和不存在)。28 份(58%)样本具有活跃的分布模式,10 份(21%)样本具有不活跃的模式,10 份(21%)样本不存在 TIL 模式。比较组织学评估和免疫表型数据,观察到具有活跃 TIL 模式的样本具有更高频率的 CD8 T 淋巴细胞(= 0.05)和更低频率的 CD4/CD25/FoxP3 Tregs(= 0.03),与不活跃和不存在浸润模式的样本相比。存活率较高的患者具有更高的 TIL 评分(= 0.002)、活跃或不活跃的 TIL 模式(= 0.001)以及肿瘤浸润的 CD8 T 淋巴细胞频率增加(= 0.003)。我们的分析表明,犬口腔黑色素瘤中 TIL 的评估与预测肿瘤侵袭性和患者预后相关。

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