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原发性中枢神经系统淋巴瘤肿瘤微环境中 CD8 CTLs、CD163 TAMs 和 PDL1 表达的预后价值。

The prognostic value of CD8 CTLs, CD163 TAMs, and PDL1 expression in the tumor microenvironment of primary central nervous system lymphoma.

机构信息

Department of Hematology, Lanzhou University Second Hospital, Lanzhou, China.

Department of Pathology, Lanzhou University Second Hospital, Lanzhou, China.

出版信息

Leuk Lymphoma. 2024 Apr;65(4):472-480. doi: 10.1080/10428194.2023.2296364. Epub 2024 Jan 10.

Abstract

To explore immune cell infiltration and PDL1 expression in the tumor microenvironment (TME) of primary central nervous system lymphoma (PCNSL), we performed immunohistochemical staining on paraffin-embedded tumor tissues from 34 patients diagnosed with PCNSL. CD8 and CD163 positive cells were manually counted, and PDL1 expression was quantified by the H-score scoring method in the tumor center and around the tumor. The Kaplan-Meier method was used to analyze the prognostic value of the TME. We found obvious infiltration of CD8 CTLs and CD163 TAMs in the TME of PCNSL patients. And PDL1 was expressed in the tumor center as well as around the tumor. Survival analysis showed that high CD8 CTLs levels and high intratumoral PDL1 expression were significantly correlated with longer OS. High CD8 CTLs and CD163 TAMs levels were associated with longer PFS.

摘要

为了探索原发性中枢神经系统淋巴瘤(PCNSL)肿瘤微环境(TME)中的免疫细胞浸润和 PDL1 表达,我们对 34 例 PCNSL 患者的石蜡包埋肿瘤组织进行了免疫组织化学染色。手动计数 CD8 和 CD163 阳性细胞,并采用 H 评分法对肿瘤中心和肿瘤周围的 PDL1 表达进行定量分析。采用 Kaplan-Meier 法分析 TME 的预后价值。我们发现 PCNSL 患者的 TME 中存在明显的 CD8 CTL 和 CD163 TAM 浸润,并且肿瘤中心和肿瘤周围都有 PDL1 表达。生存分析表明,高 CD8 CTL 水平和肿瘤内高 PDL1 表达与 OS 延长显著相关。高 CD8 CTL 和 CD163 TAMs 水平与更长的 PFS 相关。

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