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肿瘤驻留记忆 T 细胞在食管鳞癌转移性淋巴结中的预后相关性。

Prognostic relevance of tumor-resident memory T cells in metastatic lymph nodes of esophageal squamous cell carcinoma.

机构信息

Department of Gastroenterological Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

出版信息

Cancer Sci. 2023 May;114(5):1846-1858. doi: 10.1111/cas.15750. Epub 2023 Feb 21.

DOI:10.1111/cas.15750
PMID:36748311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10154829/
Abstract

Tumor-resident memory T (T ) cells in primary tumors are reportedly associated with a favorable prognosis in several malignancies. However, the behaviors and functions of T cells in regional lymph nodes (LNs) of esophageal cancer remain poorly understood. The aim of this study was to elucidate the effects of T cells in regional LNs of esophageal cancer on clinicopathological findings and prognosis. Specimens of esophageal cancer and primary metastatic LNs (recurrent nerve LNs) were obtained from 84 patients who underwent radical esophagectomy between 2011 and 2017. We performed immunohistochemistry to enumerate and analyze T cells, and used flow cytometry to investigate the function of T cells. T cells were observed in both metastatic LNs and primary tumors. T cell-rich specimens exhibited reduced lymphatic invasion and LN metastasis and prolonged survival compared with T cell-poor specimens. T cells in metastatic LNs were more significantly associated with enhanced survival than T cells in primary tumors. T cells expressed high levels of granzyme B as a cytotoxicity marker. Our results suggested that high T cell infiltration in metastatic LNs improves survival even though LN metastasis is commonly associated with poor prognosis. T cells possibly contribute to antitumor immunity in regional LNs.

摘要

肿瘤驻留记忆 T(T)细胞在几种恶性肿瘤中与预后良好有关。然而,食管癌区域淋巴结(LNs)中 T 细胞的行为和功能仍知之甚少。本研究旨在阐明食管癌区域 LNs 中 T 细胞对临床病理发现和预后的影响。收集了 2011 年至 2017 年间接受根治性食管切除术的 84 例食管癌患者的食管癌和原发性转移性 LNs(神经 LN)标本。我们进行了免疫组织化学计数和分析 T 细胞,并使用流式细胞术研究 T 细胞的功能。转移性 LNs 和原发性肿瘤中均观察到 T 细胞。与 T 细胞稀少的标本相比,T 细胞丰富的标本表现出淋巴管浸润和 LN 转移减少,生存时间延长。转移性 LNs 中的 T 细胞与生存时间的改善更显著相关,而原发性肿瘤中的 T 细胞则不然。T 细胞表达高水平的颗粒酶 B 作为细胞毒性标志物。我们的结果表明,转移性 LNs 中高 T 细胞浸润可改善生存,尽管 LN 转移通常与预后不良相关。T 细胞可能有助于区域 LNs 中的抗肿瘤免疫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/3394c9c2000d/CAS-114-1846-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/9311c048546d/CAS-114-1846-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/2c721d85611e/CAS-114-1846-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/c7dd95082f6f/CAS-114-1846-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/24b348f61581/CAS-114-1846-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/2c7f5718c407/CAS-114-1846-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/3394c9c2000d/CAS-114-1846-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/9311c048546d/CAS-114-1846-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/2c721d85611e/CAS-114-1846-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/c7dd95082f6f/CAS-114-1846-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/24b348f61581/CAS-114-1846-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/2c7f5718c407/CAS-114-1846-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67c2/10154829/3394c9c2000d/CAS-114-1846-g007.jpg

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