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2017 ; 18
(9
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Morphological Evaluation of Tumor-Infiltrating Lymphocytes (TILs) to Investigate
Invasive Breast Cancer Immunogenicity, Reveal Lymphocytic Networks and Help
Relapse Prediction: A Retrospective Study
#MMPMID28885584
Romagnoli G
; Wiedermann M
; Hübner F
; Wenners A
; Mathiak M
; Röcken C
; Maass N
; Klapper W
; Alkatout I
Int J Mol Sci
2017[Sep]; 18
(9
): ä PMID28885584
show ga
Tumor-infiltrating lymphocytes (TILs) in breast cancer are a key representative
of the tumor immune microenvironment and have been shown to provide prognostic
and predictive biomarkers. The extent of lymphocytic infiltration in tumor
tissues can be assessed by evaluating hematoxylin and eosin (H&E)-stained
tumor sections. We investigated tissue microarrays of 31 invasive breast cancer
patients, looking at quantity and topological distribution of CD3+, CD8+, CD20+,
Ki67+, FoxP3+ TILs and CD3+/FoxP3+, CD8+/FoxP3+ cell ratios. We separately
evaluated TILs at the invasive edge and at the center of the tumor, to find any
clinical implications of tumor heterogeneity. No statistically significant
difference was found in quantity and distribution of both TIL subsets and TIL
ratios, by comparing patients who suffered from a local or distant recurrence of
the tumor (relapse group: 13 patients) with patients not showing cancer relapse
(non-relapse group: 18 patients). In the whole sample, we observed three main
statistically significant positive correlations: (1) between CD3+ and CD8+
T-cells; (2) between FoxP3+ and Ki67+ lymphocyte infiltration; (3) between
CD3+/FoxP3+ cell ratio (C3FR) and CD8+/FoxP3+ cell ratio (C8FR). Tumor
heterogeneity and stronger positive TIL associations were found in the
non-relapse group, where both CD3-CD8 and FoxP3-Ki67 inter-correlations were
found to be significant at the center of the tumor, while the correlation between
C3FR and C8FR was significant at the invasive edge. No correlations between TIL
subsets were detected in the relapse group. Our findings suggest the existence of
stronger inter-subtype lymphocytic networks in invasive breast cancer not showing
recurrence. Further evaluations of clinical and topological correlations between
and within TIL subsets are needed, in addition to the assessment of TIL
quantification and distribution, in order to follow up on whether morphological
evaluation of TILs might reveal the underlying lymphocytic functional
connectivity and help relapse prediction.