文章摘要

Tc17 细胞在食管鳞状细胞癌患者肿瘤微环境中的表达 及其预后的影响

作者: 1宋丽, 2尹海兵, 1张珣磊, 3许峰, 1王燕, 1杨磊
1 南通市肿瘤医院肿瘤内科,江苏 南通 226300
2 南通市肿瘤医院病理科,江苏 南通 226300
3 南通市肿瘤医院肿瘤外科,江苏 南通 226300
通讯: 杨磊 Email: leiyang.53@163.com
DOI: 10.3978/j.issn.2095-6959.2018.07.007
基金: 南通市卫生和计划生育委员会青年基金(WQ2016064)。

摘要

目的: 观察CD8+IL - 1 7 +淋巴细胞(Tc17细胞) 在食管鳞状细胞癌(esophagea l squamous cel l carcinoma,ESCC)患者肿瘤微环境中的表达情况及其对预后的影响。方法:收集69例ESCC 患者的癌组织及相应的癌旁组织,采用免疫组织化学双染色法检测CD8+IL -17+细胞的表达情 况,结合患者临床及随访资料分析其表达水平与患者的临床病理特征的关系及对预后的影响。 结果:与癌旁间质中相比,ESCC癌巢中Tc17细胞表达水平增高(P<0.001);Tc17细胞表达水平与患 者性别、年龄、肿块大小、发生部位、分化程度、浸润深度、淋巴结迁移及TNM分期无明显相关 性(P>0.05)。生存分析显示Tc17高表达组总体生存期高于低表达组(P<0.05),早期ESCC中Tc17高 表达组总体生存期高于低表达组(P=0.017),而在晚期ESCC中Tc17高表达组总体生存期虽高于低表 达组,但差异无统计学意义(P=0.0742)。结论:Tcl7细胞在ESCC癌巢中表达增加,与预后呈正相 关,尤其是在早期ESCC中,可作为ESCC潜在的预后分子标志物。
关键词: 食管鳞状细胞癌;Tcl7细胞;微环境

Expression of Tc17 cells in tumor microenvironment in patients with esophageal squamous cell carcinoma and its effect on prognosis

Authors: 1SONG Li, 2YIN Haibing, 1ZHANG Xunlei, 3XU Feng, 1WANG Yan, 1YANG Lei
1 Department of Medical Oncology, Nantong Tumor Hospital, Nantong Jiangsu 226300, China
2 Department of Pathology, Nantong Tumor Hospital, Nantong Jiangsu 226300, China
3 Department of Oncological Surgery, Nantong Tumor Hospital, Nantong Jiangsu 226300, China

CorrespondingAuthor: YANG Lei Email: leiyang.53@163.com

DOI: 10.3978/j.issn.2095-6959.2018.07.007

Foundation: This work was supported by the Nantong Health and Family Planning Commission Youth Foundation, China (WQ2016064).

Abstract

Objective: To evaluate the relationship between expression of Tc17 cells in tumor microenvironment and prognosis in patients with esophageal squamous cell carcinoma (ESCC). Methods: The expression of Tc17 cells were examined by immunohistochemistry in 69 specimens of ESCC tissues. The relationship of expression of Tc17 cells with clinicopathological characteristics and its effect on prognosis were analyzed by combining clinical and follow-up visit data. Results: The expression of Tc17 cells in ESCC nests was significantly higher than that in the paracancerous stroma (P<0.001). But there was no significant correlation between the expression levels of Tc17 cells and patients’ gender, age, tumor size, tumor site, tumor differentiation grade, infiltration depth, lymph node metastasis, and TNM stage (P>0.05). The survival analysis demonstrated that patients with higher expression of Tc17 cells were associated with better overall survival (P<0.05). Further analysis showed that patients in early ESCC with higher expression of Tc17 cells was significantly associated with better survival (P=0.017). Although patients in advanced ESCC with higher expression of Tc17 cells displayed better survival, there was no statistically significant (P=0.0742).Conclusion: The expression of Tc17 cells increases in tumor microenvironment and prolonges overall survival of ESCC patients, especially in the early stage, which may be used as a potential predictive molecular marker for ESCC.
Keywords: esophageal squamous cell carcinoma; Tc17 cells; microenvironment

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