ITGAE Defines CD8+ Tumor-Infiltrating Lymphocytes Predicting a better Prognostic Survival in Colorectal Cancer.

ITGAE Defines CD8+ Tumor-Infiltrating Lymphocytes Predicting a better Prognostic Survival in Colorectal Cancer.
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DOI:
10.1016/j.ebiom.2018.08.003
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发表时间:
2018-09
期刊:
影响因子:
11.1
通讯作者:
Cai SJ
Cai SJ
中科院分区:
医学1区
文献类型:
--
作者:
Hu X;Li YQ;Li QG;Ma YL;Peng JJ;Cai SJ

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结直肠肿瘤组织中的肿瘤浸润淋巴细胞(tumor-浸润淋巴细胞,TIL)与良好预后显著相关,如CD8+淋巴细胞,也称为肿瘤反应性淋巴细胞。然而,并不是所有的肿瘤浸润性T细胞都对患者有益。因此,鉴定一种生物标志物来区分这些肿瘤反应性淋巴细胞是非常有益的。我们研究了ITGAE是否可以用于区分结直肠癌(CRC)中的反应性CD8+淋巴细胞。本研究使用TCGA结直肠癌数据集(n1 = 492,n2 = 386)和FUSCC数据集(n3 = 276)。进一步研究了ITGAE+细胞的表型和机制基础。在TCGA的训练和测试集中,ITGAE表达与细胞毒性T细胞标志物(CD8/CD3/PD1)密切相关,独立预测更长的无病生存期(DFS)和总生存期(OS)。与此相一致,ITGAE+淋巴细胞与生存率之间的关联已在FUSCC队列中得到证实(P = .026)。与CD8共染色的ITGAE +细胞优先位于肿瘤中。有趣的是,ITGAE+淋巴细胞倾向于与上皮-间质转化(EMT)相关,伴随着Snail表达减少和E-cadherin表达增加。最后,基因集富集分析显示,高ITGAE+ TIL组免疫激活显著富集,同时emt相关通路富集。由于肿瘤反应性CD8+ t细胞的特异性表达,ITGAE可能是快速识别CRC中免疫浸润的有希望的生物标志物。ITGAE表达独立预测结直肠癌患者更长的无病生存期(DFS)和总生存期(OS)。我们首次在结直肠癌中证明ITGAE+ CD8+淋巴细胞浸润在抗肿瘤免疫应答中起着至关重要的作用,ITGAE已被确定为肿瘤反应性CD8+ TIL的生物标志物。在机制上,ITGAE+淋巴细胞甚至可能与干扰素反应趋化因子和EMT信号相关联,从而作为结直肠癌的独立预测因子。
Tumor-infiltrating lymphocytes (TIL) in colorectal tumor tissue are significantly correlated with a favorable prognosis, such as CD8+ lymphocytes, which are also called tumor-reactive lymphocytes. However, not all tumor-infiltrating T cells confer benefit to patients. Therefore, it is of substantial benefit to identify a biomarker to demarcate these tumor-reactive lymphocytes. We investigated whether ITGAE could be used to discriminate reactive CD8+ lymphocytes in colorectal cancer (CRC). TCGA colorectal cancer data sets (n1 = 492, n2 = 386) and FUSCC set (n3 = 276) were used in this study. Further phenotyping of ITGAE+ cells and the mechanistic basis were investigated. In the training and testing sets from TCGA, ITGAE expression, which is strongly correlated with cytotoxic T cell markers (CD8/CD3/PD1), independently predicted longer disease-free survival (DFS) and overall survival (OS). In line with this, the association between ITGAE+ lymphocytes and survival has been confirmed in the FUSCC cohort for validation (P = .026). ITGAE + cells in the series always co-stained with CD8 were preferentially located in the tumor. Interestingly, ITGAE+ lymphocytes tended to associate with the epithelial–mesenchymal transition (EMT) with decreased Snail and increased E-cadherin expression accompanied. Finally, gene set enrichment analysis showed that immune activation was significantly enriched in the high ITGAE+ TIL group, accompanied by enriched EMT-related pathways. Because of the specified expression of tumor-reactive CD8+ T-cells, ITGAE may be a promising biomarker for the rapid identification of immune infiltration in CRC. ITGAE expression independently predicted longer disease-free survival (DFS) and overall survival (OS) in colorectal cancers. ITGAE could be used to discriminate CD8+ TIL populations We demonstrate here in colorectal cancers for the first time that ITGAE+ CD8+ lymphocytes infiltration plays a vital role in the antitumor immune response and ITGAE has been identified as a biomarker of tumor-reactive CD8+ TIL. In mechanism, ITGAE+ lymphocytes may even associate with interferon-response chemokines and EMT signaling, then serves as an independent predictor in colorectal cancers.
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