肿瘤边缘区的巨噬细胞数量可预测临床预后。

Macrophage numbers in the marginal area of sarcomas predict clinical prognosis.

机构信息

Department of Cellular and Organ Pathology, Graduate School of Medicine, Akita University, 1-1-1 Hondo, Akita, 010-8543, Japan.

Department of Orthopedic Surgery, Graduate School of Medicine, Akita University, Akita, Japan.

出版信息

Sci Rep. 2023 Jan 23;13(1):1290. doi: 10.1038/s41598-023-28024-1.

Abstract

Even when treated comprehensively by surgery, chemotherapy, and radiotherapy, soft-tissue sarcoma has an unfavorable outcome. Because soft-tissue sarcoma is rare, it is the subject of fewer clinicopathological studies, which are important for clarifying pathophysiology. Here, we examined tumor-associated macrophages in the intratumoral and marginal areas of sarcomas to increase our knowledge about the pathophysiology. Seventy-five sarcoma specimens (not limited to a single histological type), resected at our institution, were collected, and the number of CD68-, CD163-, and CD204-positive macrophages in the intratumoral and marginal areas was counted. We then performed statistical analysis to examine links between macrophage numbers, clinical factors, and outcomes. A high number of macrophages positive for all markers in both areas was associated with worse disease-free survival (DFS). Next, we divided cases according to the FNCLCC classification (Grade 1 and Grades 2/3). In the Grade 1 group, there was no significant association between macrophage number and DFS. However, in the Grade 2/3 group, high numbers of CD163- and CD204-positive macrophages in the marginal area were associated with poor DFS. By contrast, there was no significant difference between the groups with respect to high or low numbers of CD68-, CD163-, or CD204-positive macrophages in the intratumoral area. Multivariate analysis identified the number of CD163- and CD204-positive macrophages in the marginal area as an independent prognostic factor. Macrophage numbers in the marginal area of soft-tissue sarcoma may better reflect clinical behavior.

摘要

即使通过手术、化疗和放疗进行综合治疗,软组织肉瘤的预后仍不佳。由于软组织肉瘤较为罕见,因此针对其发病机制的临床病理研究较少,而这些研究对于阐明发病机制非常重要。在这里,我们研究了肉瘤瘤内和边缘区域的肿瘤相关巨噬细胞,以增加我们对发病机制的了解。我们收集了我院切除的 75 份肉瘤标本(不限于单一组织学类型),并对瘤内和边缘区域的 CD68+、CD163+和 CD204+巨噬细胞数量进行计数。然后,我们进行了统计分析,以研究巨噬细胞数量与临床因素和预后之间的关系。两个区域中所有标志物均呈阳性的巨噬细胞数量较多与无病生存(DFS)较差相关。接下来,我们根据 FNCLCC 分级(1 级和 2/3 级)对病例进行分组。在 1 级组中,巨噬细胞数量与 DFS 之间无显著关联。然而,在 2/3 级组中,边缘区 CD163+和 CD204+巨噬细胞数量较多与 DFS 较差相关。相比之下,在瘤内区域 CD68+、CD163+或 CD204+巨噬细胞数量较高或较低的组之间无显著差异。多变量分析确定边缘区 CD163+和 CD204+巨噬细胞的数量是独立的预后因素。软组织肉瘤边缘区的巨噬细胞数量可能更好地反映临床行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f7c/9870999/4f14a04fc00e/41598_2023_28024_Fig1_HTML.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索