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Hülsen, Sabine; Lippolis, Eleonora; Ferrazzi, Fulvia; Otto, Wolfgang; Distel, Luitpold; Fietkau, Rainer; Denzinger, Stefan; Breyer, Johannes; Burger, Maximilian; Bertz, Simone; Eckstein, Markus; Ebner, Annette; Hartmann, Arndt; Geppert, Carol-I
International journal of molecular sciences, 11/2020, Letnik: 21, Številka: 21Journal Article
Stage pT1 bladder cancer (BC) shows highly diverse outcomes. Predictive markers are required to stratify patients for personalized treatment. The present study aimed to validate immune response quantification as a prognostic marker. Patients with pT1 BC ( = 167) treated by transurethral resection of the bladder (TURB) were enrolled. Formaldehyde-fixed paraffin-embedded material was stained for CD3 and CD8. Corresponding T cells were counted in three regions with the highest immune response. Numbers of tertiary lymphoid structures (TLS) and lymphocyte aggregates (LA) were quantified. High CD3 stroma T-cell infiltration was associated with improved survival ( = 0.045), especially in the G3 subgroup ( = 0.01). Cluster with higher immune response showed less recurrence ( = 0.034) and favorable overall survival (OS) ( = 0.019). In contrast, higher CD3 and CD8 tumor T-cell infiltration seemed to have a negative impact on prognosis. TLS and LA were more frequently observed in G3 tumors, indicating an increased anti-tumoral immune response. We proved the role of immune cell infiltration and showed that higher infiltration numbers of CD3 (not CD8 ) lymphocytes in the stroma are associated with favorable outcome. Immune cell quantification could be used as a marker to help stratify patients' risk and therefore, to optimize patients' management and follow-up examination as well as possible therapies.
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Vir: Osebne bibliografije
in: SICRIS
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