Department of Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Zhaotong Healthy Vocational College, Zhaotong, Yunnan, China.
PeerJ. 2023 May 2;11:e15261. doi: 10.7717/peerj.15261. eCollection 2023.
The status of human epidermal growth factor receptor 2 (HER2) for the prognosis in colorectal cancer (CRC) is controversial, and the characteristics of the somatic mutation spectrum, tumor-infiltrating leukocytes, tertiary lymphoid structures and PD-L1 protein are unknown in HER2-amplified colorectal cancer (HACC). In order to explore these characteristics along with their correlation with clinicopathological factors and prognosis in HACC. Samples of 812 CRC patients was collected. After immunohistochemistry (IHC), 59 of 812 were found to be HER2-positive, then 26 of 59 samples were further determined to be HER2 amplification by fluorescence in situ hybridization (FISH). Somatic mutation profiling of HACC was analysed using whole exome sequencing (WES). Multiplex fluorescence immunohistochemistry (mIHC) was used for tumor-infiltrating leukocytes and tertiary lymphoid structures (TLSs), while PD-L1 protein was detected by IHC. Our results indicate that the detection rates of HER2 positivity by IHC and FISH were 7.3% and 3.2% respectively, and HER2 amplification is correlated with distant tumour metastasis. The somatic mutation profiling revealed no differences between HACC and HER2-negative CRC. However, TP 53 strongly correlated with poor prognosis in HACC. Furthermore, tumor-infiltrating T cells and TLSs in the tumor immune microenvironment, as well as PD-L1 expression, were higher in HACC than in HER2-negative controls. However, none of them were associated with the prognosis of HACC. In all, HER2 amplification is correlated with distant metastasis and TP53 gene mutation may be a potential protective mechanism of HACC.
人类表皮生长因子受体 2(HER2)在结直肠癌(CRC)中的预后地位存在争议,HER2 扩增结直肠癌(HACC)中体细胞突变谱、肿瘤浸润性白细胞、三级淋巴结构和 PD-L1 蛋白的特征尚不清楚。为了探讨这些特征及其与 HACC 临床病理因素和预后的关系,收集了 812 例 CRC 患者的样本。经免疫组织化学(IHC)检测,812 例中有 59 例为 HER2 阳性,然后进一步用荧光原位杂交(FISH)检测其中 26 例为 HER2 扩增。采用全外显子测序(WES)分析 HACC 的体细胞突变谱。采用多重荧光免疫组织化学(mIHC)检测肿瘤浸润性白细胞和三级淋巴结构(TLS),并用免疫组织化学检测 PD-L1 蛋白。结果显示,IHC 和 FISH 检测 HER2 阳性的检出率分别为 7.3%和 3.2%,HER2 扩增与远处肿瘤转移相关。体细胞突变谱分析显示,HACC 与 HER2 阴性 CRC 之间无差异。然而,TP53 与 HACC 的不良预后密切相关。此外,肿瘤免疫微环境中的肿瘤浸润性 T 细胞和 TLSs 以及 PD-L1 表达在 HACC 中均高于 HER2 阴性对照组。然而,它们均与 HACC 的预后无关。总之,HER2 扩增与远处转移相关,TP53 基因突变可能是 HACC 的一种潜在保护机制。
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