Immune profile by multiplexed immunohistochemistry associated with recurrence after chemoradiation in rectal cancer

Background and Aim Evidence has emerged that a pretreatment immune profile in rectal cancer is associated with response to chemoradiotherapy (CRT) and recurrence after CRT. However, few studies have evaluated the immune profile differences after CRT regarding recurrence and nonrecurrence. Methods We...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2022-03, Vol.37 (3), p.542-550
Hauptverfasser: Hong, Seung Wook, Lee, Seohyun, Kim, Yun Jae, Ahn, Soyeon, Park, In Ja, Hong, Seung‐Mo, Hwang, Sung Wook, Park, Sang Hyoung, Yang, Dong‐Hoon, Ye, Byong Duk, Byeon, Jeong‐Sik, Yang, Suk‐Kyun, Kim, Jaeil, Kim, Sang‐Yeob, Myung, Seung‐Jae
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container_end_page 550
container_issue 3
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container_title Journal of gastroenterology and hepatology
container_volume 37
creator Hong, Seung Wook
Lee, Seohyun
Kim, Yun Jae
Ahn, Soyeon
Park, In Ja
Hong, Seung‐Mo
Hwang, Sung Wook
Park, Sang Hyoung
Yang, Dong‐Hoon
Ye, Byong Duk
Byeon, Jeong‐Sik
Yang, Suk‐Kyun
Kim, Jaeil
Kim, Sang‐Yeob
Myung, Seung‐Jae
description Background and Aim Evidence has emerged that a pretreatment immune profile in rectal cancer is associated with response to chemoradiotherapy (CRT) and recurrence after CRT. However, few studies have evaluated the immune profile differences after CRT regarding recurrence and nonrecurrence. Methods We included patients with advanced rectal cancer treated with CRT and surgery with recurrence within 1 year in a recurrence group. After sex and age matching with the recurrence group, patients with no recurrence for 3 years after CRT were included in a nonrecurrence group. We extracted the immune profile, including CD3 and CD8, from the surgical specimen after CRT using multispectral fluorescence immunohistochemistry and compared the two groups. Results The immune profiles of 65 patients with rectal cancer were assessed; 30 were included in the recurrence group and 35 were included in the nonrecurrence group. CD3+ and CD8+ T lymphocyte densities were significantly higher in the nonrecurrence group than in the recurrence group (CD3+; P 
doi_str_mv 10.1111/jgh.15773
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However, few studies have evaluated the immune profile differences after CRT regarding recurrence and nonrecurrence. Methods We included patients with advanced rectal cancer treated with CRT and surgery with recurrence within 1 year in a recurrence group. After sex and age matching with the recurrence group, patients with no recurrence for 3 years after CRT were included in a nonrecurrence group. We extracted the immune profile, including CD3 and CD8, from the surgical specimen after CRT using multispectral fluorescence immunohistochemistry and compared the two groups. Results The immune profiles of 65 patients with rectal cancer were assessed; 30 were included in the recurrence group and 35 were included in the nonrecurrence group. CD3+ and CD8+ T lymphocyte densities were significantly higher in the nonrecurrence group than in the recurrence group (CD3+; P &lt; 0.001, CD8+; P = 0.003) in the primary tumor. Consistent results were found in epithelial and stromal cells. Compared with the recurrence group, the distinct profiles of co‐expressed immune markers in the nonrecurrence group were revealed (CD3+CD8+, P = 0.001; CD3+CD8+PD‐L1−, P = 0.001; CD3+CD8+ FOXP3− PD‐L1−, P = 0.001). Conclusions Vigorous CD3+ and CD8+ T cell priming post‐CRT was prominent in the nonrecurrence group compared with that of the recurrence group. This finding suggests that differences in immune profiles may have clinical significance even after CRT.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.15773</identifier><identifier>PMID: 34993983</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Cancer ; CD3 antigen ; CD8 antigen ; Chemoradiotherapy ; Colorectal cancer ; Female ; Foxp3 protein ; Humans ; Immunohistochemistry ; Lymphocytes T ; Lymphocytes, tumor ; Male ; Neoplasm Recurrence, Local ; Patients ; PD-L1 protein ; Rectal neoplasms ; Rectal Neoplasms - metabolism ; Rectal Neoplasms - pathology ; Rectal Neoplasms - therapy ; Rectum ; Stromal cells ; Treatment Outcome ; Tumors</subject><ispartof>Journal of gastroenterology and hepatology, 2022-03, Vol.37 (3), p.542-550</ispartof><rights>2022 Journal of Gastroenterology and Hepatology Foundation and John Wiley &amp; Sons Australia, Ltd</rights><rights>2022 Journal of Gastroenterology and Hepatology Foundation and John Wiley &amp; Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3533-216426c23a7624cd3f4b6923cbbdf589fe3247a2848ad75ece8ba68d1b4b9c2d3</citedby><cites>FETCH-LOGICAL-c3533-216426c23a7624cd3f4b6923cbbdf589fe3247a2848ad75ece8ba68d1b4b9c2d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgh.15773$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgh.15773$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34993983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hong, Seung Wook</creatorcontrib><creatorcontrib>Lee, Seohyun</creatorcontrib><creatorcontrib>Kim, Yun Jae</creatorcontrib><creatorcontrib>Ahn, Soyeon</creatorcontrib><creatorcontrib>Park, In Ja</creatorcontrib><creatorcontrib>Hong, Seung‐Mo</creatorcontrib><creatorcontrib>Hwang, Sung Wook</creatorcontrib><creatorcontrib>Park, Sang Hyoung</creatorcontrib><creatorcontrib>Yang, Dong‐Hoon</creatorcontrib><creatorcontrib>Ye, Byong Duk</creatorcontrib><creatorcontrib>Byeon, Jeong‐Sik</creatorcontrib><creatorcontrib>Yang, Suk‐Kyun</creatorcontrib><creatorcontrib>Kim, Jaeil</creatorcontrib><creatorcontrib>Kim, Sang‐Yeob</creatorcontrib><creatorcontrib>Myung, Seung‐Jae</creatorcontrib><title>Immune profile by multiplexed immunohistochemistry associated with recurrence after chemoradiation in rectal cancer</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim Evidence has emerged that a pretreatment immune profile in rectal cancer is associated with response to chemoradiotherapy (CRT) and recurrence after CRT. However, few studies have evaluated the immune profile differences after CRT regarding recurrence and nonrecurrence. Methods We included patients with advanced rectal cancer treated with CRT and surgery with recurrence within 1 year in a recurrence group. After sex and age matching with the recurrence group, patients with no recurrence for 3 years after CRT were included in a nonrecurrence group. We extracted the immune profile, including CD3 and CD8, from the surgical specimen after CRT using multispectral fluorescence immunohistochemistry and compared the two groups. Results The immune profiles of 65 patients with rectal cancer were assessed; 30 were included in the recurrence group and 35 were included in the nonrecurrence group. CD3+ and CD8+ T lymphocyte densities were significantly higher in the nonrecurrence group than in the recurrence group (CD3+; P &lt; 0.001, CD8+; P = 0.003) in the primary tumor. Consistent results were found in epithelial and stromal cells. Compared with the recurrence group, the distinct profiles of co‐expressed immune markers in the nonrecurrence group were revealed (CD3+CD8+, P = 0.001; CD3+CD8+PD‐L1−, P = 0.001; CD3+CD8+ FOXP3− PD‐L1−, P = 0.001). Conclusions Vigorous CD3+ and CD8+ T cell priming post‐CRT was prominent in the nonrecurrence group compared with that of the recurrence group. 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However, few studies have evaluated the immune profile differences after CRT regarding recurrence and nonrecurrence. Methods We included patients with advanced rectal cancer treated with CRT and surgery with recurrence within 1 year in a recurrence group. After sex and age matching with the recurrence group, patients with no recurrence for 3 years after CRT were included in a nonrecurrence group. We extracted the immune profile, including CD3 and CD8, from the surgical specimen after CRT using multispectral fluorescence immunohistochemistry and compared the two groups. Results The immune profiles of 65 patients with rectal cancer were assessed; 30 were included in the recurrence group and 35 were included in the nonrecurrence group. CD3+ and CD8+ T lymphocyte densities were significantly higher in the nonrecurrence group than in the recurrence group (CD3+; P &lt; 0.001, CD8+; P = 0.003) in the primary tumor. Consistent results were found in epithelial and stromal cells. Compared with the recurrence group, the distinct profiles of co‐expressed immune markers in the nonrecurrence group were revealed (CD3+CD8+, P = 0.001; CD3+CD8+PD‐L1−, P = 0.001; CD3+CD8+ FOXP3− PD‐L1−, P = 0.001). Conclusions Vigorous CD3+ and CD8+ T cell priming post‐CRT was prominent in the nonrecurrence group compared with that of the recurrence group. This finding suggests that differences in immune profiles may have clinical significance even after CRT.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34993983</pmid><doi>10.1111/jgh.15773</doi><tpages>9</tpages></addata></record>
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subjects Cancer
CD3 antigen
CD8 antigen
Chemoradiotherapy
Colorectal cancer
Female
Foxp3 protein
Humans
Immunohistochemistry
Lymphocytes T
Lymphocytes, tumor
Male
Neoplasm Recurrence, Local
Patients
PD-L1 protein
Rectal neoplasms
Rectal Neoplasms - metabolism
Rectal Neoplasms - pathology
Rectal Neoplasms - therapy
Rectum
Stromal cells
Treatment Outcome
Tumors
title Immune profile by multiplexed immunohistochemistry associated with recurrence after chemoradiation in rectal cancer
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