对新辅助化疗反应的预测因素:三阴性乳腺癌的炎症和免疫标志物
Hiroki Kusama1, Nobuyoshi Kittaka2, Ai Soma1
1Department of Breast and Endocrine Surgery, Osaka International Cancer Institute, 3-1-69 Otemae Chuo-Ku, Osaka, 541-8567, Japan.
Breast cancer (Tokyo, Japan)
|October 2, 2023
概括
瘤透性淋巴细胞 (TIL),中性粒细胞与淋巴细胞比率 (NLR) 和血小板与淋巴细胞比率 (PLR) 预测三阴性乳腺癌 (TNBC) 中新辅助化疗 (NAC) 反应. 在预测治疗疗效方面,NLR可以作为TILs的替代标记.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 瘤透淋巴细胞 (TILs) 对于预测三阴性乳腺癌 (TNBC) 中的新辅助化疗 (NAC) 反应至关重要.
- 评估TIL水平仅限于专业设施.
- 中性粒细胞与淋巴细胞的比率 (NLR) 和血小板与淋巴细胞的比率 (PLR) 提供了可访问的,客观的替代品,这些替代品来自完整的血液计数.
研究的目的:
- 调查TILs,NLR和PLR对TNBC患者NAC疗效的预测价值.
- 确定NLR和PLR是否可以在这种情况下作为TILs的替代标记.
主要方法:
- 追溯分析66名TNBC患者,这些患者接受了基于人环素和税的NAC,随后进行了手术.
- 评估TILs,NLR和PLR作为病理完整反应 (pCR) 的预测指标.
- 利用接收机运行特征 (ROC) 曲线来确定TIL (20%),NLR (2.6) 和PLR (180) 的最佳切断值.
主要成果:
- 高TIL水平与较低的NLR (P=0.01) 和PLR (P=0.01) 相相关.
- 高TIL (OR4.28),低NLR (OR5.51) 和低PLR (OR3.29) 与pCR显著相关.
- 低NLR独立预测的pCR (OR6.59,P=0.01). 这是一个很好的方法.
结论:
- TIL,NLR和PLR是TNBC中NAC疗效的有效预测指标.
- TIL水平与NLR和PLR有显著的关联.
- 在预测PCR方面,NLR成为一个独立的预测因素和TIL的潜在替代品.
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