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The Link between the Multiverse of Immune Microenvironments in Metastases and the Survival of Colorectal Cancer Patients

机译:转移中的免疫微环境多层与结直肠癌患者的存活之间的联系

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摘要

Treatment of metastatic colorectal cancer is based upon the assumption that metastases are homogeneous within a patient. We quantified immune cell types of 603 whole-slide metastases and primary colorectal tumors from 222 patients. Primary lesions, and synchronous and metachronous metastases, had a heterogeneous immune infiltrate and mutational diversity. Small metastases had frequently a low Immunoscore and T and B cell score, while a high Immunoscore was associated with a lower number of metastases. Antiepidermal growth factor receptor treatment modified immune gene expression and significantly increased T cell densities in the metastasis core. The predictive accuracy of the Immunoscore from a single biopsy was superior to the one of programmed cell death ligand 1 (PD-L1). The immune phenotype of the least-infiltrated metastasis had a stronger association with patient outcome than other metastases.
机译:转移性结肠直肠癌的治疗基于患者在患者内均匀的假设。 我们量化了603种全载转移的免疫细胞类型和222名患者的原发性结肠直肠癌。 初级病变和同步和同赤转移,具有异质免疫渗透和突变多样性。 小转移频繁具有低免疫验收和T和B细胞评分,而高免疫摩托与较低的转移相关。 抗癫痫药物生长因子受体治疗改性免疫基因表达,显着增加了转移核心的T细胞密度。 从单个活组织检查的免疫透视的预测精度优于编程的细胞死亡配体1(PD-L1)中的一种。 最少渗透转移的免疫表型与患者结果具有比其他转移更强。

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  • 来源
    《Cancer Cell》 |2018年第6期|共18页
  • 作者单位

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    HEGP AP HP Dept Immunol F-75015 Paris France;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Katholieke Univ Leuven Lab Expt Radiotherapy Dept Oncol B-3000 Leuven Belgium;

    Katholieke Univ Leuven Lab Expt Radiotherapy Dept Oncol B-3000 Leuven Belgium;

    Univ Hosp Leuven Dept Gastroenterol B-3000 Leuven Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    AstraZeneca Cambridge CB2 0AA England;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

    Catholic Univ Louvain Dept Med Oncol Clin Univ St Luc Inst Roi Albert II B-1200 Brussels Belgium;

    Univ Paris Diderot Univ Paris Descartes Sorbonne Paris Cite INSERM Lab Integrat Canc Immunol;

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  • 正文语种 eng
  • 中图分类 肿瘤学;
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