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Mamilos, Andreas ; Lein, Alexander ; Winter, Lina ; Ettl, Tobias ; Künzel, Julian ; Reichert, Torsten E. ; Spanier, Gerrit ; Brochhausen, Christoph

Tumor Immune Microenvironment Heterogeneity at the Invasion Front and Tumor Center in Oral Squamous Cell Carcinoma as a Perspective of Managing This Cancer Entity

Mamilos, Andreas , Lein, Alexander, Winter, Lina, Ettl, Tobias , Künzel, Julian , Reichert, Torsten E., Spanier, Gerrit and Brochhausen, Christoph (2023) Tumor Immune Microenvironment Heterogeneity at the Invasion Front and Tumor Center in Oral Squamous Cell Carcinoma as a Perspective of Managing This Cancer Entity. Journal of Clinical Medicine 12 (4), p. 1704.

Date of publication of this fulltext: 06 Mar 2023 16:16
Article
DOI to cite this document: 10.5283/epub.53898


Abstract

Background: Evaluating the tumor microenvironment and its influence on clinical management and therapy response is becoming increasingly important. However, only a few studies deal with the spatial distribution of immune cells within the tumor. This study aimed to describe the topology of immune cells in the microenvironment of oral squamous cell carcinoma (OSCC) sectioned by tumor invasion front ...

Background: Evaluating the tumor microenvironment and its influence on clinical management and therapy response is becoming increasingly important. However, only a few studies deal with the spatial distribution of immune cells within the tumor. This study aimed to describe the topology of immune cells in the microenvironment of oral squamous cell carcinoma (OSCC) sectioned by tumor invasion front and tumor center and to test their prognostic relevance regarding patient survival. Methods: A total of 55 OSCC patient specimens were collected retrospectively. The cancer tissue was immunohistochemically stained using an automated tissue stainer Ventana Benchmark Ultra (Roche) and analyzed using discrete expression marker profiles on immune cells. We investigated CD4+ lymphocytes, CD8+ lymphocytes, CD68+ macrophages, CD163+ macrophages, and M1 macrophages regarding their spatial distribution. Results: The statistical analysis revealed that the quantity and distribution of CD4+ (p = 0.007), CD8+ (p < 0.001), CD68+ (p < 0.001), CD163+ cells (p = 0.004), and M1 (p < 0.001) macrophages were significantly higher at the invasion front compared to the tumor center in all observed cases. However, high and low immune cell counts in the tumor center and invasion front were not associated with overall survival. Conclusion: Our results show two distinct immune microenvironments of the tumor center compared to the invasion front. Future studies are needed to explore how these results can be leveraged to improve patient therapy and outcome.



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Details

Item typeArticle
Journal or Publication TitleJournal of Clinical Medicine
Publisher:MDPI
Open Access Type:Gold (with APC)
Place of Publication:BASEL
Volume:12
Number of Issue or Book Chapter:4
Page Range:p. 1704
Date20 February 2023
InstitutionsMedicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie
Medicine > Lehrstuhl für Pathologie
Identification Number
ValueType
10.3390/jcm12041704DOI
KeywordsINFILTRATING LYMPHOCYTES; HEAD; NECK; MACROPHAGES; RECURRENT; SURVIVAL; CAVITY; POLARIZATION; TILS; head and neck cancer; OSCC; immune microenvironment; pathology; immunohistochemistry; spatial distribution; topology
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-538984
Item ID53898

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