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Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy
Background: A comprehensive investigation into immune cell infiltration provides more accurate and reliable prognostic information for patients with colorectal liver oligometastases (CLO) after liver metastasectomy. Methods: Simultaneous detection of the immune constituents CD3(+), CD8(+), Foxp3(+)...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966431/ https://www.ncbi.nlm.nih.gov/pubmed/31810350 http://dx.doi.org/10.3390/cancers11121922 |
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author | Peng, Jianhong Wang, Yongchun Zhang, Rongxin Deng, Yuxiang Xiao, Binyi Ou, Qingjian Sui, Qiaoqi Xu, Jing Qin, Jiayi Lin, Junzhong Pan, Zhizhong |
author_facet | Peng, Jianhong Wang, Yongchun Zhang, Rongxin Deng, Yuxiang Xiao, Binyi Ou, Qingjian Sui, Qiaoqi Xu, Jing Qin, Jiayi Lin, Junzhong Pan, Zhizhong |
author_sort | Peng, Jianhong |
collection | PubMed |
description | Background: A comprehensive investigation into immune cell infiltration provides more accurate and reliable prognostic information for patients with colorectal liver oligometastases (CLO) after liver metastasectomy. Methods: Simultaneous detection of the immune constituents CD3(+), CD8(+), Foxp3(+) T, and α-SMA(+) cells in the liver oligometastasis of 133 patients was conducted using a four-colour immunohistochemical multiplex technique. Immune cells were quantified, and tumour-infiltrating lymphocyte (TIL) ratios were subsequently calculated. Correlation analysis was performed using Pearson’s correlation. Recurrence-free survival (RFS) and overall survival (OS) for TIL ratios were analysed using the Kaplan–Meier method and Cox regression models. Results: Significantly fewer CD3(+), CD8(+), and Foxp3(+) T cells were observed in the intratumoural region than in the peritumoural region of liver metastases. CD3(+), CD8(+), Foxp3(+) T, and α-SMA(+) cells showed significantly positive correlations with each other both in the intratumoural and peritumoural regions of liver metastases. Only the CD8/CD3 TIL ratio demonstrated a positive correlation between intratumoural and peritumoural regions of liver metastases (r = 0.541, p < 0.001). Patients with high intratumoural CD8/CD3 ratios had significantly longer 3-year RFS (59.0% vs. 47.4%, p = 0.035) and 3-year OS rates (83.3% vs. 65.8%, p = 0.007) than those with low intratumoural CD8/CD3 ratios. Multivariate analyses revealed that the intratumoural CD8/CD3 ratio was independently associated with RFS (HR = 0.593; 95% CI = 0.357–0.985; p = 0.043) and OS (HR = 0.391; 95% CI = 0.193–0.794; p = 0.009). Conclusion: These findings offer a better understanding of the prognostic value of immune cell infiltration on liver oligometastasis from colorectal cancer. |
format | Online Article Text |
id | pubmed-6966431 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-69664312020-01-27 Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy Peng, Jianhong Wang, Yongchun Zhang, Rongxin Deng, Yuxiang Xiao, Binyi Ou, Qingjian Sui, Qiaoqi Xu, Jing Qin, Jiayi Lin, Junzhong Pan, Zhizhong Cancers (Basel) Article Background: A comprehensive investigation into immune cell infiltration provides more accurate and reliable prognostic information for patients with colorectal liver oligometastases (CLO) after liver metastasectomy. Methods: Simultaneous detection of the immune constituents CD3(+), CD8(+), Foxp3(+) T, and α-SMA(+) cells in the liver oligometastasis of 133 patients was conducted using a four-colour immunohistochemical multiplex technique. Immune cells were quantified, and tumour-infiltrating lymphocyte (TIL) ratios were subsequently calculated. Correlation analysis was performed using Pearson’s correlation. Recurrence-free survival (RFS) and overall survival (OS) for TIL ratios were analysed using the Kaplan–Meier method and Cox regression models. Results: Significantly fewer CD3(+), CD8(+), and Foxp3(+) T cells were observed in the intratumoural region than in the peritumoural region of liver metastases. CD3(+), CD8(+), Foxp3(+) T, and α-SMA(+) cells showed significantly positive correlations with each other both in the intratumoural and peritumoural regions of liver metastases. Only the CD8/CD3 TIL ratio demonstrated a positive correlation between intratumoural and peritumoural regions of liver metastases (r = 0.541, p < 0.001). Patients with high intratumoural CD8/CD3 ratios had significantly longer 3-year RFS (59.0% vs. 47.4%, p = 0.035) and 3-year OS rates (83.3% vs. 65.8%, p = 0.007) than those with low intratumoural CD8/CD3 ratios. Multivariate analyses revealed that the intratumoural CD8/CD3 ratio was independently associated with RFS (HR = 0.593; 95% CI = 0.357–0.985; p = 0.043) and OS (HR = 0.391; 95% CI = 0.193–0.794; p = 0.009). Conclusion: These findings offer a better understanding of the prognostic value of immune cell infiltration on liver oligometastasis from colorectal cancer. MDPI 2019-12-02 /pmc/articles/PMC6966431/ /pubmed/31810350 http://dx.doi.org/10.3390/cancers11121922 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Peng, Jianhong Wang, Yongchun Zhang, Rongxin Deng, Yuxiang Xiao, Binyi Ou, Qingjian Sui, Qiaoqi Xu, Jing Qin, Jiayi Lin, Junzhong Pan, Zhizhong Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy |
title | Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy |
title_full | Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy |
title_fullStr | Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy |
title_full_unstemmed | Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy |
title_short | Immune Cell Infiltration in the Microenvironment of Liver Oligometastasis from Colorectal Cancer: Intratumoural CD8/CD3 Ratio Is a Valuable Prognostic Index for Patients Undergoing Liver Metastasectomy |
title_sort | immune cell infiltration in the microenvironment of liver oligometastasis from colorectal cancer: intratumoural cd8/cd3 ratio is a valuable prognostic index for patients undergoing liver metastasectomy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966431/ https://www.ncbi.nlm.nih.gov/pubmed/31810350 http://dx.doi.org/10.3390/cancers11121922 |
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