Introduction Ground glass opacity featured lung adenocarcinomas (GGO-LUAD) display more indolent biological behavior than solid nodule featured lung adenocarcinomas (SN-LUAD) and have an excellent prognosis. However, the cellular immune characteristics of GGO-LUAD remain poorly understood. Methods Immunohistochemistry technique was performed to stain related immune markers (CD8, CD103, CD20, CD138, CD4, FOXP3, CD68, CD163, PD-1 and PD-L1) and TGF-beta from 15 patients with pure GGO-LUAD and 15 patients with SN-LUAD tissue sections (Paired cohort), and then, the related markers with significant differences were verified on 10 patients (Verified cohort) with both pure GGO-LUAD and SN-LUAD. For localization analysis of CD68 + tumor-associated macrophages (TAMs) and FOXP3 + Terg cells in tumor areas, pure GGO-LUAD and SN-LUAD were also stained for simultaneous detection of pan-CK, CD68 and FOXP3 by multiplex immunofluorescence. Results In the Paired cohort, compared with SN-LUAD, only the infiltration of TAMs and Treg cells was significantly lower in GGO-LUAD. The infiltration of the remaining immune cells including CD8 + T cells, CD4 + T cells, CD103 + T cells, CD20 + B cells and CD138 + Plasma cells in GGO-LUAD, although relatively low, was not significantly different. Meanwhile, the expression of TGF-beta was significantly higher in SN-LUAD. And the above results have also been confirmed in the Verified cohort. Moreover, there was no significantly difference in PD-L1 expression in GGO-LUAD compared to SN-LUAD both in the Paired cohort and Verified cohort. Conclusions GGO-LUAD demonstrates an overall less active immune landscape as compared with SN-LUAD. TAMs and TGF-beta may play an important role in the progression of GGO-LUAD. More importantly, PD-L1 expression in GGO-LUAD is comparable to that in SN-LUAD, indicating that there may be other reasons for the insensitivity of GGO-LUAD to immunotherapy.
基金:
Tongji Hospital Clinical Research Flagship Program [2019CR107]
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Thorac Surg Lab,Dept Thorac Surg, 1095 Jiefang Ave, Wuhan 430030, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Qu Rirong,Ye Fan,Hu Shaojie,et al.Distinct cellular immune profiles in lung adenocarcinoma manifesting as pure ground glass opacity versus solid nodules[J].JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY.2023,149(7):3775-3788.doi:10.1007/s00432-022-04289-3.
APA:
Qu, Rirong,Ye, Fan,Hu, Shaojie,Wang, Boyu,Qin, Shenghui...&Cai, Yixin.(2023).Distinct cellular immune profiles in lung adenocarcinoma manifesting as pure ground glass opacity versus solid nodules.JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY,149,(7)
MLA:
Qu, Rirong,et al."Distinct cellular immune profiles in lung adenocarcinoma manifesting as pure ground glass opacity versus solid nodules".JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY 149..7(2023):3775-3788