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[肠道菌群对乳腺癌肿瘤浸润淋巴细胞浸润程度的影响]

[Effects of intestinal flora on the degree of infiltration of tumor-infiltrating lymphocytes in breast cancer].

作者信息

Shi J J, Zhang X, Cheng M, Zhang S, Geng C Z

机构信息

Breast Center, Fourth Hospital of Hebei Medical University, Shijiazhuang 050035, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2021 Oct 19;101(38):3164-3167. doi: 10.3760/cma.j.cn112137-20210306-00569.

Abstract

To investigate whether the abundance or diversity of intestinal flora in breast cancer (BC) patients effects on the degree of tumor infiltration lymphocytes in breast cancer tissues. Between March 2017 and October 2017, a total of 80 biopsy-confirmed female patients with BC were enrolled in the present study at the Breast Center of the Fourth Hospital of Hebei Medical University (Shijiazhuang, China), age distribution ranged from 37 to 74 years, which were divided into three groups based on the infiltration of tumor-infiltrating lymphocytes, as follows: high infiltration of TILs (TIL-H) 25 cases, medium infiltration of TILs (TIL-M) 34 cases and low infiltration of TILs (TIL-L) 21 cases. DNA of the intestinal flora was determined by Illumina sequencing and taxonomy of 16S ribosomal RNA genes. Compare the differences in the abundance or diversity of intestinal flora between these three groups. The relationship between tumor-infiltrating lymphocytes and clinical characteristics was analyzed by χ tested, and the relationship with intestinal flora was analyzed by β diversity. There were 3, 174, 2, 996, and 2, 877 different OUTs in the TIL-H, TIL-M, and TIL-L groups. The β-diversity distribution was statistically significant (weighted UniFrac, <0.01; unweighted UniFrac, <0.01) when comparing the three groups (TIL-H vs. TIL-M vs. TIL-L), the differences between TIL-L and TIL-H groups were greatest. The infiltration level of tumor-infiltrating lymphocytes in breast cancer patients was closely related to the diversity of intestinal flora.

摘要

为研究乳腺癌(BC)患者肠道菌群的丰度或多样性是否对乳腺癌组织中肿瘤浸润淋巴细胞的程度产生影响。2017年3月至2017年10月,河北医科大学第四医院乳腺中心(中国石家庄)共纳入80例经活检确诊的女性BC患者,年龄分布在37至74岁之间,根据肿瘤浸润淋巴细胞的浸润情况分为三组,如下:TILs高浸润组(TIL-H)25例,TILs中浸润组(TIL-M)34例,TILs低浸润组(TIL-L)21例。通过Illumina测序和16S核糖体RNA基因分类法测定肠道菌群的DNA。比较这三组肠道菌群在丰度或多样性上的差异。采用χ检验分析肿瘤浸润淋巴细胞与临床特征之间的关系,采用β多样性分析其与肠道菌群的关系。TIL-H组、TIL-M组和TIL-L组分别有3174个、2996个和2877个不同的OUT。比较三组(TIL-H vs. TIL-M vs. TIL-L)时,β多样性分布具有统计学意义(加权UniFrac,<0.01;未加权UniFrac,<0.01),TIL-L组和TIL-H组之间的差异最大。乳腺癌患者肿瘤浸润淋巴细胞的浸润水平与肠道菌群的多样性密切相关。

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