肺肠腺癌的临床病理特征和瘤免疫微环境
Lan Yang1, Lingru Chen1, Jiali Gong2
1Department of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou, Zhejiang, China.
Annals of medicine
|June 25, 2025
概括
肺肠腺癌 (PEAC) 是一种罕见的肺癌. 这项研究发现,PEAC瘤在免疫学上是"冷",这表明目前免疫治疗的益处有限. 为了更好的治疗,需要对分子标记物的进一步研究.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 肺肠腺癌 (PEAC) 是一种罕见的肺腺癌亚型,报告数量有限.
- 有效的治疗和预测PEAC的预后需要不断探索分子标记物.
研究的目的:
- 调查PEAC的临床病理特征.
- 在PEAC患者中分析瘤免疫微环境 (TIME).
- 评估PEAC中像LAG-3和PD-L1这样的免疫标记物的表达.
主要方法:
- 10名PEAC患者的回顾性招募.
- 临床病理特征的分析.
- 对LAG-3,PD-L1,MMR蛋白,CD3,CD8A,CD45RO和PanCK的免疫组织化学评估以描述TIME.
主要成果:
- PEAC主要影响中年至老年男性.
- 所有分析的患者都表现出微卫星稳定性 (MSS),PD-L1阴性,LAG-3表达低.
- 时代分析表明"感冒瘤",这表明潜在的不响应免疫疗法.
结论:
- PEAC是一种罕见的肺腺癌变体,具有明显的形态特征.
- 这个队列中的PEAC患者表现出"冷瘤"的特征,免疫细胞透率低,PD-L1表达负.
- 这些发现表明,PEAC患者可能无法从当前的免疫疗法中受益,突出显示了对新型治疗策略的需求.
相关概念视频
The Tumor Microenvironment
6.8K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.8K
Tumor Progression
6.5K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.5K


