1. Prediction of treatment response from the microenvironment of tumor immunity in cervical cancer patients treated with chemoradiotherapy.
- Author
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Someya M, Tsuchiya T, Fukushima Y, Hasegawa T, Hori M, Kitagawa M, Gocho T, Mafune S, Ikeuchi Y, Hirohashi Y, Torigoe T, Iwasaki M, Matsuura M, Saito T, Matsumoto Y, and Sakata KI
- Subjects
- Adult, Aged, Aged, 80 and over, B7-H1 Antigen genetics, CD8 Antigens genetics, DNA-Binding Proteins genetics, Female, Forkhead Transcription Factors genetics, Humans, Japan, Middle Aged, Prognosis, Retrospective Studies, Uterine Cervical Neoplasms genetics, Uterine Cervical Neoplasms immunology, Uterine Cervical Neoplasms metabolism, Chemoradiotherapy, Gene Expression Regulation, Neoplastic, Inflammation, Tumor Microenvironment immunology, Uterine Cervical Neoplasms therapy
- Abstract
To supplement clinical decision-making in the management of cervical cancer, various prognostic factors, including tumor immune microenvironments, were examined in patients with cervical cancer treated with definitive chemoradiotherapy. We retrospectively analyzed the expression of CD8, FoxP3, HLA-1, PD-L1, and XRCC4 in 100 cases of cervical cancer. The observed tumor immune microenvironments were also classified into three types: inflamed, excluded, and cold type. Less FoxP3+ T cells and cold-type tumor were found to be poor prognostic factors in addition to non-SCC, large pre-treatment tumor volume, and three or less cycles of concurrent chemotherapy based on multivariate analysis. Cold-type tumors had significantly worse prognoses than the other two types, whereas inflamed- and excluded-type tumors showed similar 5-year disease-specific survival (P < 0.001; 0% vs. 60.3% vs. 72.3%). Radiotherapy could overcome the inhibitory immune microenvironment that occurs in excluded type. Individualized combination therapy adapted to pre-treatment tumor immunity may be necessary to improve radiotherapy outcomes in cervical cancer., (© 2021. The Japanese Society for Clinical Molecular Morphology.)
- Published
- 2021
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