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肿瘤组织中程序化细胞死亡受体 1 及其配体在外周 T 细胞淋巴瘤中的表达及临床意义。

The expression and clinical significance of programmed cell death receptor 1 and its ligand in tumor tissues of patients with extranodal nasal NK/T cell lymphoma.

机构信息

Department of Hematology/Hematology Research Laboratory, West China Hospital, Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, China.

Department of Traditional Chinese Medicine, The Public Health Clinical Center of Chengdu, Chengdu, China.

出版信息

Sci Rep. 2022 Jan 7;12(1):36. doi: 10.1038/s41598-021-02515-5.

Abstract

Appropriate biomarkers may help distinguish the biological behavior of different types of lymphoma and their response to traditional chemotherapy. Extranodal natural killer/T-cell lymphoma (ENKTL) and diffuse large B-cell lymphoma (DLBCL) belong to different subtypes of non-Hodgkin's lymphoma, the biological behavior and prognosis of them are very different, programmed cell death receptor 1 (PD-1) and its ligand (PD-L1) have been investigated in these two types of diseases. However, few studies addressed the difference of PD-1/PD-L1 levels between ENKTL and DLBCL, in order to find out the difference and related clinical application value, the clinical data and tumor tissue paraffin sections of 24 newly diagnosed ENKTL patients and 42 newly diagnosed diffuse large B-cell lymphoma (DLBCL) were collected. PD-1/PD-L1 levels in tumor tissues were detected by immunohistochemical staining. The relationship between the PD-1/PD-L1 levels and clinical data of patients with ENKTL patients was analyzed. Both patient groups showed PD-1 level in tumor tissue of ENKTL patients was significantly lower than that of DLBCL patients (P < 0.05), while the PD-L1 level in tumor tissues of ENKTL patients was not different from DLBCL (P < 0.05). In addition, the ENKTL patients with B symptoms, elevated lactate dehydrogenase (LDH) levels and decreased hemoglobin (HGB) concentrations had lower level of PD-1 in tumor tissue. PD-L1 level in tumor tissues, the LDH level, Epstein-Barr genome (EBV-DNA) copy and Ki-67 index may affect the outcomes of ENKTL patients (P < 0.05), but they were not independent factors. PD-L1 levels in tumor tissues has clinical significance in ENKTL patients, which suggested that the PD-1/PD-L1 signal pathway may be involved in the immune escape of ENKTL and play different roles in different lymphoma subtypes.

摘要

适当的生物标志物可能有助于区分不同类型淋巴瘤的生物学行为及其对传统化疗的反应。结外自然杀伤/T 细胞淋巴瘤(ENKTL)和弥漫性大 B 细胞淋巴瘤(DLBCL)属于不同类型的非霍奇金淋巴瘤,它们的生物学行为和预后差异很大,程序性细胞死亡受体 1(PD-1)及其配体(PD-L1)已在这两种疾病中进行了研究。然而,很少有研究探讨 PD-1/PD-L1 水平在 ENKTL 和 DLBCL 之间的差异,为了找出差异及其相关的临床应用价值,收集了 24 例新诊断的 ENKTL 患者和 42 例新诊断的弥漫性大 B 细胞淋巴瘤(DLBCL)患者的临床资料和肿瘤组织石蜡切片。采用免疫组织化学染色法检测肿瘤组织中 PD-1/PD-L1 水平。分析了 ENKTL 患者 PD-1/PD-L1 水平与患者临床资料的关系。两组患者的 ENKTL 患者肿瘤组织中 PD-1 水平均显著低于 DLBCL 患者(P<0.05),而肿瘤组织中 PD-L1 水平与 DLBCL 患者无差异(P<0.05)。此外,伴有 B 症状、乳酸脱氢酶(LDH)水平升高和血红蛋白(HGB)浓度降低的 ENKTL 患者肿瘤组织中 PD-1 水平较低。肿瘤组织中 PD-L1 水平、LDH 水平、Epstein-Barr 基因组(EBV-DNA)拷贝数和 Ki-67 指数可能影响 ENKTL 患者的结局(P<0.05),但不是独立因素。肿瘤组织中 PD-L1 水平在 ENKTL 患者中有临床意义,提示 PD-1/PD-L1 信号通路可能参与了 ENKTL 的免疫逃逸,在不同的淋巴瘤亚型中发挥不同的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af78/8742095/c7e902726e2c/41598_2021_2515_Fig1_HTML.jpg

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