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调节性T细胞而非肿瘤浸润淋巴细胞与基底细胞癌的肿瘤浸润深度相关。

Regulatory T Cells but Not Tumour-Infiltrating Lymphocytes Correlate with Tumour Invasion Depth in Basal Cell Carcinoma.

作者信息

Ferronika Paranita, Dhiyani Safira Alya, Budiarti Tri, Widodo Irianiwati, Rinonce Hanggoro Tri, Anwar Sumadi Lukman

机构信息

Department of Anatomical Pathology, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito Hospital, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.

Department of Surgery, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito Hospital, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.

出版信息

Diagnostics (Basel). 2022 Nov 29;12(12):2987. doi: 10.3390/diagnostics12122987.

Abstract

Basal cell carcinoma (BCC) is the most common skin malignancy worldwide. Current evidence suggests tumour-infiltrating lymphocytes (TILs) may influence the clinical outcomes of patients with BCC. The present study aimed to profile the infiltrative characteristics of stromal TILs and regulatory T cells (Treg cells) in the tumour centre (TC), tumour periphery (TP), and normal adjacent tissue (NAT) of BCC. A total of 111 samples from 43 cutaneous BCC cases were examined for TIL (CD3+) and Treg cell (FOXP3+/CD3+) expression using immunohistochemical techniques. The correlations of Treg cells with TILs, invasion depth, and tumour morphological risk were analysed. We identified a high mean proportion of Treg cells within the tumour (TC = 46.9%, TP = 56.1%, NAT = 51.8%) despite a relatively low median of TILs (TC = 12.7%, TP = 10.3%, NAT = 3.6%), supporting the classification of BCC as a cold tumour. A significant positive correlation was observed between the proportion of Treg cells and sTILs (ρ = 0.325, p < 0.001), suggesting a predominant role of TILs in the infiltration of Treg cells. An inverse correlation discovered between Treg cells and tumour invasion depth (r = −0.36, p = 0.017) might indicate Treg cells’ anti-tumour capacity in BCC.

摘要

基底细胞癌(BCC)是全球最常见的皮肤恶性肿瘤。目前的证据表明,肿瘤浸润淋巴细胞(TILs)可能会影响BCC患者的临床结局。本研究旨在剖析BCC肿瘤中心(TC)、肿瘤周边(TP)和正常相邻组织(NAT)中基质TILs和调节性T细胞(Treg细胞)的浸润特征。使用免疫组织化学技术对43例皮肤BCC病例的111份样本进行TIL(CD3 +)和Treg细胞(FOXP3 + / CD3 +)表达检测。分析Treg细胞与TILs、浸润深度和肿瘤形态学风险的相关性。尽管TILs的中位数相对较低(TC = 12.7%,TP = 10.3%,NAT = 3.6%),但我们发现肿瘤内Treg细胞的平均比例较高(TC = 46.9%,TP = 56.1%,NAT = 51.8%),这支持将BCC归类为冷肿瘤。观察到Treg细胞比例与sTILs之间存在显著正相关(ρ = 0.325,p < 0.001),表明TILs在Treg细胞浸润中起主要作用。Treg细胞与肿瘤浸润深度之间发现的负相关(r = -0.36,p = 0.017)可能表明Treg细胞在BCC中的抗肿瘤能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9a6/9776706/3d6ca3e9949d/diagnostics-12-02987-g001.jpg

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