新辅助化疗对口腔状细胞癌的临床结果和免疫微环境的影响
Zhu You1, Tianqi Zhang2, Mingyang Liu1
1Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, China; Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan, 250021, China.
概括
对口腔状细胞癌 (OSCC) 的新辅助化疗 (NAC) 没有影响整体存活率,但改善了瘤下降阶段. NAC增加了CD8+PDL1+免疫细胞,表明OSCC治疗中联合化疗-免疫疗法的潜力.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 癌症研究 癌症研究
背景情况:
- 新辅助化疗 (NAC) 对口腔状细胞癌 (OSCC) 至关重要,但其免疫效应尚不清楚.
- 了解NAC对免疫检查点和瘤相关免疫细胞的影响对于优化OSCC治疗策略至关重要.
研究的目的:
- 评估NAC对OSCC免疫学概况的影响.
- 在OSCC患者的NAC治疗前后,对免疫检查点和瘤相关免疫细胞的变化进行表征.
主要方法:
- 在OSCC治疗中,NAC (16例) 与单独手术 (18例) 的比较分析.
- 多重体免疫光用于分析12名OSCC患者 (6名NAC,6名对照) 的瘤样本中的免疫标记 (POXPE3,CD4,CD8,CD68,PD-1,PD-L1,CTLA-4,CD66b,CD16,CD19,Caspase-3,GSDMD).
主要成果:
- 在NAC和对照组之间,整体存活率没有显著差异.
- 在8名患者中,NAC治疗导致CD8+PDL1+表达下降,CD8+PDL1+表达增加 (P<0.05).
- 在NAC治疗的OSCC中观察到PD1+,PD1+,CTLA4+,Caspase+,CD8+PD1+,CD8+PDL1+和CD68+PDL1+细胞的密度增加;CD68+,CD16+,CD19+,CD66b+和GSDMD+细胞的密度减少.
结论:
- 通过减少瘤阶段,并使更具侵略性的手术能够在没有明显危害的情况下提高OSCC的临床结果.
- 在NAC后增加的CD8+PDL1+细胞表明增强了免疫反应途径,支持进一步研究将化疗与OSCC的免疫疗法结合起来.
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