在食道癌的三级淋巴体结构内增加IgG4表达和对预后的影响
Chanjuan Su1, Shuqi Chen1, Xuqing He1
1Provincial Key Laboratory of Molecular Pathology and Personalized Medicine, Center of Collaborative and Creative Center, Department of Pathology and Pathophysiology, Shantou University Medical College, Shantou, Guangdong, China.
Frontiers in immunology
|October 6, 2025
概括
在食道状细胞癌 (ESCC) 中的三级淋巴体结构 (TLS) 与更好的预后有关. 然而,在TLS中的高IgG4表达表明结果较差,突出显示免疫异质性.
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:
- 三级淋巴体结构 (TLS) 是食道状细胞癌 (ESCC) 瘤微环境中的关键免疫中心.
- TLS促进免疫球蛋白 (Ig) 的产生,影响瘤免疫力和患者的预后.
研究的目的:
- 在ESCC中研究TLS相关免疫球蛋白的表达.
- 为了确定TLS和ESCC中的特定Ig亚型的预后意义.
主要方法:
- 对109例ESCC病例的回顾性分析,使用免疫组织化学检测TLS和Ig表达.
- 来自GEO数据库的274个ESCC病例中TLS相关基因的基因表达概况.
主要成果:
- 在63.3%的ESCC病例中存在TLS,与明显更好的预后相关 (P < 0.001).
- 在TLS中IgG4表达升高与预后较差 (P = 0.036) 和免疫细胞组成变化 (减少CD8+T细胞,增加CD4+T细胞和树突细胞) 相相关.
- 在接受化疗的患者中,TLS存在和低IgG4表达预测了改善的生存率.
结论:
- 免疫球蛋白在TLS中的差异表达调节了其在ESCC瘤微环境中的功能.
- 超越仅仅存在的TLS免疫异质性,对于个性化瘤免疫疗法评估至关重要.
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