Mangiaterra T, Alonso-Alonso R, Rabinovich A, De Dios Soler M, Galluzzo L, Soria M, Colli S, De Matteo E, Rodriguez Pinilla S M, Chabay P
Molecular Biology Laboratory, Pathology Division, Multidisciplinary Institute for Investigation in Pediatric Pathologies (IMIPP), CONICET-GCBA, Ricardo Gutierrez Children's Hospital, Buenos Aires, Argentina.
Pathology Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Cancer Immunol Immunother. 2024 Jan 27;73(2):29. doi: 10.1007/s00262-023-03617-x.
EBV+ diffuse large B cell lymphoma (DLBCL) not otherwise specified (NOS) is a new entity confirmed by the World Health Organization (WHO) in 2017. In this new entity, the virus may contribute to a tolerogenic microenvironment. Traces of the virus have been described in DLBCL with more sensitive methods, in cases that were originally diagnosed as negative. The aim of this study was to analyze the expression of immune response genes in the tumor microenvironment to disclose the role of the virus and its traces in DLBCL. In 48 DLBCL cases, the expression of immune response genes and the presence of molecules that induce tolerance, such as TIM3, LAG3 and PDL1 by immunohistochemistry (IHC), were studied. To broaden the study of the microenvironment, tumor-associated macrophages (TMAs) were also explored. No significant differences were observed in the expression of immune response genes in the EBV+ DLBCL and those cases that were EBV- DLBCL but that exhibited viral traces, assessed by ViewRNA assay. Only the EBV+ DLBCL cases displayed a significantly higher increase in the expression of CD8 and cytotoxic T cells detected by gene expression analysis, and of PDL1 in tumor cells and in the expression of CD68 in the tumor microenvironment detected by IHC, not observed in those cases with viral traces. The increase in CD8 and cytotoxic T cells, PDL1 and CD68 markers only in EBV+ DLBCL may indicate that traces of viral infection might not have influence in immune response markers.
EBV阳性弥漫性大B细胞淋巴瘤(DLBCL),非特指型(NOS)是世界卫生组织(WHO)于2017年确认的一种新实体。在这个新实体中,病毒可能促成一个致耐受性微环境。通过更灵敏的方法,在最初诊断为阴性的DLBCL病例中已发现病毒踪迹。本研究的目的是分析肿瘤微环境中免疫反应基因的表达,以揭示病毒及其踪迹在DLBCL中的作用。在48例DLBCL病例中,研究了免疫反应基因的表达以及通过免疫组织化学(IHC)检测诱导耐受性的分子如TIM3、LAG3和PDL1的存在情况。为拓宽对微环境的研究,还探讨了肿瘤相关巨噬细胞(TMA)。通过ViewRNA检测评估,在EBV阳性DLBCL与EBV阴性但有病毒踪迹的DLBCL病例中,免疫反应基因的表达未观察到显著差异。只有EBV阳性DLBCL病例在基因表达分析检测到的CD8和细胞毒性T细胞表达以及IHC检测到的肿瘤细胞中PDL1表达和肿瘤微环境中CD68表达上有显著更高的增加,而有病毒踪迹的病例未观察到这种情况。仅在EBV阳性DLBCL中CD8、细胞毒性T细胞、PDL1和CD68标志物的增加可能表明病毒感染踪迹可能对免疫反应标志物没有影响。