Brunner, Stefan M. and Hahn, Ulrich and Jeiter, Tonia and Kesselring, Rebecca and Rubner, Christoph and Ruemmele, Petra and Sziklavari, Zsolt and Hofmann, Hans S. and Schlitt, Hans J. and Fichtner-Feigl, Stefan (2016) Immune Architecture of Colorectal Lung Metastases and Implications for Patient Survival. EUROPEAN SURGICAL RESEARCH, 57 (3-4). pp. 186-196. ISSN 0014-312X, 1421-9921
Full text not available from this repository. (Request a copy)Abstract
Background: Pulmonary metastases occur in 10-20% of patients with colorectal cancer and significantly influence long-term survival. In this study, the immunological architecture of colorectal lung in comparison to liver metastases and its impact on patient survival were examined. Methods: Specimens of patients with colorectal lung and liver metastases were stained for HE, CD4, CD8, CD20, CD68 and CD45RO. Besides histomorphological evaluation, immunohistochemical stainings were analyzed for the respective cell numbers separately for tumor area, infiltrative margin and distant lung or liver stroma. These findings were correlated with clinical data and patient outcome. Results: In colorectal lung (n = 69) in comparison to liver (n = 222) metastases, the immunological focus is located in the tumor region. A high CD4(+) cell infiltration of this area is associated with prolonged survival of patients after resection of colorectal lung metastases [103 +/- 33 (high) vs. 37 +/- 6 months (low); p = 0.0246]. Patients who were treated with preoperative chemotherapy did not show differences in immune infiltrates compared to chemotherapy-naive patients. Conclusion: Colorectal lung and liver metastases showed a distinct immunological architecture. A dense cell infiltration of colorectal lung metastases by CD4(+) cells was related to prolonged patient survival. Preoperative chemotherapy did not influence cellular immune infiltrates. (C) 2016 S. Karger AG, Basel
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LIVER RESECTION; CANCER; INFILTRATION; CELLS; CLASSIFICATION; METAANALYSIS; IMPACT; TUMORS; Immune infiltrate; Tumor microenvironment; Cellular infiltration; Prognostic parameters |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Mar 2019 06:56 |
| Last Modified: | 14 Mar 2019 06:56 |
| URI: | https://pred.uni-regensburg.de/id/eprint/2627 |
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