High PTX3 expression is associated with a poor prognosis in diffuse large B‐cell lymphoma

Tumor‐associated macrophages (TAMs) are associated with a poor prognosis of diffuse large B‐cell lymphoma (DLBCL). As macrophages are heterogeneous, the immune polarization and their pathological role warrant further study. We characterized the microenvironment of DLBCL by immunohistochemistry in a...

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Veröffentlicht in:Cancer science 2022-01, Vol.113 (1), p.334-348
Hauptverfasser: Carreras, Joaquim, Kikuti, Yara Yukie, Hiraiwa, Shinichiro, Miyaoka, Masashi, Tomita, Sakura, Ikoma, Haruka, Ito, Atsushi, Kondo, Yusuke, Itoh, Johbu, Roncador, Giovanna, Martinez, Antonio, Colomo, Lluis, Hamoudi, Rifat, Ando, Kiyoshi, Nakamura, Naoya
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container_issue 1
container_start_page 334
container_title Cancer science
container_volume 113
creator Carreras, Joaquim
Kikuti, Yara Yukie
Hiraiwa, Shinichiro
Miyaoka, Masashi
Tomita, Sakura
Ikoma, Haruka
Ito, Atsushi
Kondo, Yusuke
Itoh, Johbu
Roncador, Giovanna
Martinez, Antonio
Colomo, Lluis
Hamoudi, Rifat
Ando, Kiyoshi
Nakamura, Naoya
description Tumor‐associated macrophages (TAMs) are associated with a poor prognosis of diffuse large B‐cell lymphoma (DLBCL). As macrophages are heterogeneous, the immune polarization and their pathological role warrant further study. We characterized the microenvironment of DLBCL by immunohistochemistry in a training set of 132 cases, which included 10 Epstein–Barr virus‐encoded small RNA (EBER)‐positive and five high‐grade B‐cell lymphomas, with gene expression profiling in a representative subset of 37 cases. Diffuse large B‐cell lymphoma had a differential infiltration of TAMs. The high infiltration of CD68 (pan‐macrophages), CD16 (M1‐like), CD163, pentraxin 3 (PTX3), and interleukin (IL)‐10‐positive macrophages (M2c‐like) and low infiltration of FOXP3‐positive regulatory T lymphocytes (Tregs) correlated with poor survival. Activated B cell‐like DLBCL was associated with high CD16, CD163, PTX3, and IL‐10, and EBER‐positive DLBCL with high CD163 and PTX3. Programmed cell death‐ligand 1 positively correlated with CD16, CD163, IL‐10, and RGS1. In a multivariate analysis of overall survival, PTX3 and International Prognostic Index were identified as the most relevant variables. The gene expression analysis showed upregulation of genes involved in innate and adaptive immune responses and macrophage and Toll‐like receptor pathways in high PTX3 cases. The prognostic relevance of PTX3 was confirmed in a validation set of 159 cases. Finally, in a series from Europe and North America (GSE10846, R‐CHOP‐like treatment, n = 233) high gene expression of PTX3 correlated with poor survival, and moderately with CSF1R, CD16, MITF, CD163, MYC, and RGS1. Therefore, the high infiltration of M2c‐like immune regulatory macrophages and low infiltration of FOXP3‐positive Tregs is associated with a poor prognosis in DLBCL, for which PTX3 is a new prognostic biomarker. This research focused on the analysis of several macrophage and regulatory T lymphocyte markers in diffuse large b‐cell lymphoma. We found that high PTX3 expression correlated with poor prognosis of the patients.
doi_str_mv 10.1111/cas.15179
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As macrophages are heterogeneous, the immune polarization and their pathological role warrant further study. We characterized the microenvironment of DLBCL by immunohistochemistry in a training set of 132 cases, which included 10 Epstein–Barr virus‐encoded small RNA (EBER)‐positive and five high‐grade B‐cell lymphomas, with gene expression profiling in a representative subset of 37 cases. Diffuse large B‐cell lymphoma had a differential infiltration of TAMs. The high infiltration of CD68 (pan‐macrophages), CD16 (M1‐like), CD163, pentraxin 3 (PTX3), and interleukin (IL)‐10‐positive macrophages (M2c‐like) and low infiltration of FOXP3‐positive regulatory T lymphocytes (Tregs) correlated with poor survival. Activated B cell‐like DLBCL was associated with high CD16, CD163, PTX3, and IL‐10, and EBER‐positive DLBCL with high CD163 and PTX3. Programmed cell death‐ligand 1 positively correlated with CD16, CD163, IL‐10, and RGS1. In a multivariate analysis of overall survival, PTX3 and International Prognostic Index were identified as the most relevant variables. The gene expression analysis showed upregulation of genes involved in innate and adaptive immune responses and macrophage and Toll‐like receptor pathways in high PTX3 cases. The prognostic relevance of PTX3 was confirmed in a validation set of 159 cases. Finally, in a series from Europe and North America (GSE10846, R‐CHOP‐like treatment, n = 233) high gene expression of PTX3 correlated with poor survival, and moderately with CSF1R, CD16, MITF, CD163, MYC, and RGS1. Therefore, the high infiltration of M2c‐like immune regulatory macrophages and low infiltration of FOXP3‐positive Tregs is associated with a poor prognosis in DLBCL, for which PTX3 is a new prognostic biomarker. This research focused on the analysis of several macrophage and regulatory T lymphocyte markers in diffuse large b‐cell lymphoma. We found that high PTX3 expression correlated with poor prognosis of the patients.</description><identifier>ISSN: 1347-9032</identifier><identifier>EISSN: 1349-7006</identifier><identifier>DOI: 10.1111/cas.15179</identifier><identifier>PMID: 34706126</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Adaptive Immunity ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Apoptosis ; B-cell lymphoma ; C-Reactive Protein - genetics ; CD16 antigen ; CD163 antigen ; Cell death ; Cell survival ; Cytokines ; Dehydrogenases ; diffuse large B‐cell lymphoma ; Epstein-Barr virus ; Epstein-Barr Virus Infections - genetics ; Epstein-Barr Virus Infections - immunology ; Female ; Foxp3 protein ; Gene expression ; Gene Expression Regulation, Neoplastic ; Herpesvirus 4, Human - genetics ; Humans ; IL‐10 ; Immunity, Innate ; Immunohistochemistry ; Infiltration ; Ligands ; Lymphocytes T ; Lymphoma ; Lymphoma, Large B-Cell, Diffuse - genetics ; Lymphoma, Large B-Cell, Diffuse - immunology ; Lymphoma, Large B-Cell, Diffuse - virology ; Macrophages ; Male ; Medical prognosis ; Metastases ; Microenvironments ; Middle Aged ; Multivariate analysis ; Myc protein ; Original ; Pathogenesis ; PD‐L1, CD163 ; Pentraxins ; Prognosis ; Proteins ; PTX3 ; RNA viruses ; RNA, Viral - genetics ; Serum Amyloid P-Component - genetics ; Survival Analysis ; Tumor Microenvironment ; Tumor necrosis factor-TNF ; Tumor-Associated Macrophages - immunology ; Tumors ; Up-Regulation ; Young Adult</subject><ispartof>Cancer science, 2022-01, Vol.113 (1), p.334-348</ispartof><rights>2021 The Authors. published by John Wiley &amp; Sons Australia, Ltd on behalf of Japanese Cancer Association.</rights><rights>2021 The Authors. Cancer Science published by John Wiley &amp; Sons Australia, Ltd on behalf of Japanese Cancer Association.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). 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As macrophages are heterogeneous, the immune polarization and their pathological role warrant further study. We characterized the microenvironment of DLBCL by immunohistochemistry in a training set of 132 cases, which included 10 Epstein–Barr virus‐encoded small RNA (EBER)‐positive and five high‐grade B‐cell lymphomas, with gene expression profiling in a representative subset of 37 cases. Diffuse large B‐cell lymphoma had a differential infiltration of TAMs. The high infiltration of CD68 (pan‐macrophages), CD16 (M1‐like), CD163, pentraxin 3 (PTX3), and interleukin (IL)‐10‐positive macrophages (M2c‐like) and low infiltration of FOXP3‐positive regulatory T lymphocytes (Tregs) correlated with poor survival. Activated B cell‐like DLBCL was associated with high CD16, CD163, PTX3, and IL‐10, and EBER‐positive DLBCL with high CD163 and PTX3. Programmed cell death‐ligand 1 positively correlated with CD16, CD163, IL‐10, and RGS1. In a multivariate analysis of overall survival, PTX3 and International Prognostic Index were identified as the most relevant variables. The gene expression analysis showed upregulation of genes involved in innate and adaptive immune responses and macrophage and Toll‐like receptor pathways in high PTX3 cases. The prognostic relevance of PTX3 was confirmed in a validation set of 159 cases. Finally, in a series from Europe and North America (GSE10846, R‐CHOP‐like treatment, n = 233) high gene expression of PTX3 correlated with poor survival, and moderately with CSF1R, CD16, MITF, CD163, MYC, and RGS1. Therefore, the high infiltration of M2c‐like immune regulatory macrophages and low infiltration of FOXP3‐positive Tregs is associated with a poor prognosis in DLBCL, for which PTX3 is a new prognostic biomarker. This research focused on the analysis of several macrophage and regulatory T lymphocyte markers in diffuse large b‐cell lymphoma. We found that high PTX3 expression correlated with poor prognosis of the patients.</description><subject>Adaptive Immunity</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Apoptosis</subject><subject>B-cell lymphoma</subject><subject>C-Reactive Protein - genetics</subject><subject>CD16 antigen</subject><subject>CD163 antigen</subject><subject>Cell death</subject><subject>Cell survival</subject><subject>Cytokines</subject><subject>Dehydrogenases</subject><subject>diffuse large B‐cell lymphoma</subject><subject>Epstein-Barr virus</subject><subject>Epstein-Barr Virus Infections - genetics</subject><subject>Epstein-Barr Virus Infections - immunology</subject><subject>Female</subject><subject>Foxp3 protein</subject><subject>Gene expression</subject><subject>Gene Expression Regulation, Neoplastic</subject><subject>Herpesvirus 4, Human - genetics</subject><subject>Humans</subject><subject>IL‐10</subject><subject>Immunity, Innate</subject><subject>Immunohistochemistry</subject><subject>Infiltration</subject><subject>Ligands</subject><subject>Lymphocytes T</subject><subject>Lymphoma</subject><subject>Lymphoma, Large B-Cell, Diffuse - 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genetics</topic><topic>CD16 antigen</topic><topic>CD163 antigen</topic><topic>Cell death</topic><topic>Cell survival</topic><topic>Cytokines</topic><topic>Dehydrogenases</topic><topic>diffuse large B‐cell lymphoma</topic><topic>Epstein-Barr virus</topic><topic>Epstein-Barr Virus Infections - genetics</topic><topic>Epstein-Barr Virus Infections - immunology</topic><topic>Female</topic><topic>Foxp3 protein</topic><topic>Gene expression</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Herpesvirus 4, Human - genetics</topic><topic>Humans</topic><topic>IL‐10</topic><topic>Immunity, Innate</topic><topic>Immunohistochemistry</topic><topic>Infiltration</topic><topic>Ligands</topic><topic>Lymphocytes T</topic><topic>Lymphoma</topic><topic>Lymphoma, Large B-Cell, Diffuse - genetics</topic><topic>Lymphoma, Large B-Cell, Diffuse - immunology</topic><topic>Lymphoma, Large B-Cell, Diffuse - virology</topic><topic>Macrophages</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Metastases</topic><topic>Microenvironments</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Myc protein</topic><topic>Original</topic><topic>Pathogenesis</topic><topic>PD‐L1, CD163</topic><topic>Pentraxins</topic><topic>Prognosis</topic><topic>Proteins</topic><topic>PTX3</topic><topic>RNA viruses</topic><topic>RNA, Viral - genetics</topic><topic>Serum Amyloid P-Component - genetics</topic><topic>Survival Analysis</topic><topic>Tumor Microenvironment</topic><topic>Tumor necrosis factor-TNF</topic><topic>Tumor-Associated Macrophages - immunology</topic><topic>Tumors</topic><topic>Up-Regulation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carreras, Joaquim</creatorcontrib><creatorcontrib>Kikuti, Yara Yukie</creatorcontrib><creatorcontrib>Hiraiwa, Shinichiro</creatorcontrib><creatorcontrib>Miyaoka, Masashi</creatorcontrib><creatorcontrib>Tomita, Sakura</creatorcontrib><creatorcontrib>Ikoma, Haruka</creatorcontrib><creatorcontrib>Ito, Atsushi</creatorcontrib><creatorcontrib>Kondo, Yusuke</creatorcontrib><creatorcontrib>Itoh, Johbu</creatorcontrib><creatorcontrib>Roncador, Giovanna</creatorcontrib><creatorcontrib>Martinez, Antonio</creatorcontrib><creatorcontrib>Colomo, Lluis</creatorcontrib><creatorcontrib>Hamoudi, Rifat</creatorcontrib><creatorcontrib>Ando, Kiyoshi</creatorcontrib><creatorcontrib>Nakamura, Naoya</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Biological Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carreras, Joaquim</au><au>Kikuti, Yara Yukie</au><au>Hiraiwa, Shinichiro</au><au>Miyaoka, Masashi</au><au>Tomita, Sakura</au><au>Ikoma, Haruka</au><au>Ito, Atsushi</au><au>Kondo, Yusuke</au><au>Itoh, Johbu</au><au>Roncador, Giovanna</au><au>Martinez, Antonio</au><au>Colomo, Lluis</au><au>Hamoudi, Rifat</au><au>Ando, Kiyoshi</au><au>Nakamura, Naoya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High PTX3 expression is associated with a poor prognosis in diffuse large B‐cell lymphoma</atitle><jtitle>Cancer science</jtitle><addtitle>Cancer Sci</addtitle><date>2022-01</date><risdate>2022</risdate><volume>113</volume><issue>1</issue><spage>334</spage><epage>348</epage><pages>334-348</pages><issn>1347-9032</issn><eissn>1349-7006</eissn><abstract>Tumor‐associated macrophages (TAMs) are associated with a poor prognosis of diffuse large B‐cell lymphoma (DLBCL). As macrophages are heterogeneous, the immune polarization and their pathological role warrant further study. We characterized the microenvironment of DLBCL by immunohistochemistry in a training set of 132 cases, which included 10 Epstein–Barr virus‐encoded small RNA (EBER)‐positive and five high‐grade B‐cell lymphomas, with gene expression profiling in a representative subset of 37 cases. Diffuse large B‐cell lymphoma had a differential infiltration of TAMs. The high infiltration of CD68 (pan‐macrophages), CD16 (M1‐like), CD163, pentraxin 3 (PTX3), and interleukin (IL)‐10‐positive macrophages (M2c‐like) and low infiltration of FOXP3‐positive regulatory T lymphocytes (Tregs) correlated with poor survival. Activated B cell‐like DLBCL was associated with high CD16, CD163, PTX3, and IL‐10, and EBER‐positive DLBCL with high CD163 and PTX3. Programmed cell death‐ligand 1 positively correlated with CD16, CD163, IL‐10, and RGS1. In a multivariate analysis of overall survival, PTX3 and International Prognostic Index were identified as the most relevant variables. The gene expression analysis showed upregulation of genes involved in innate and adaptive immune responses and macrophage and Toll‐like receptor pathways in high PTX3 cases. The prognostic relevance of PTX3 was confirmed in a validation set of 159 cases. Finally, in a series from Europe and North America (GSE10846, R‐CHOP‐like treatment, n = 233) high gene expression of PTX3 correlated with poor survival, and moderately with CSF1R, CD16, MITF, CD163, MYC, and RGS1. Therefore, the high infiltration of M2c‐like immune regulatory macrophages and low infiltration of FOXP3‐positive Tregs is associated with a poor prognosis in DLBCL, for which PTX3 is a new prognostic biomarker. This research focused on the analysis of several macrophage and regulatory T lymphocyte markers in diffuse large b‐cell lymphoma. We found that high PTX3 expression correlated with poor prognosis of the patients.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34706126</pmid><doi>10.1111/cas.15179</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-1402-0868</orcidid><orcidid>https://orcid.org/0000-0003-3358-5845</orcidid><orcidid>https://orcid.org/0000-0002-0650-7609</orcidid><orcidid>https://orcid.org/0000-0003-0790-9017</orcidid><orcidid>https://orcid.org/0000-0003-4332-5254</orcidid><orcidid>https://orcid.org/0000-0002-6129-8299</orcidid><orcidid>https://orcid.org/0000-0001-5236-5085</orcidid><orcidid>https://orcid.org/0000-0002-9807-2875</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1347-9032
ispartof Cancer science, 2022-01, Vol.113 (1), p.334-348
issn 1347-9032
1349-7006
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8748251
source MEDLINE; Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; PubMed Central
subjects Adaptive Immunity
Adolescent
Adult
Aged
Aged, 80 and over
Apoptosis
B-cell lymphoma
C-Reactive Protein - genetics
CD16 antigen
CD163 antigen
Cell death
Cell survival
Cytokines
Dehydrogenases
diffuse large B‐cell lymphoma
Epstein-Barr virus
Epstein-Barr Virus Infections - genetics
Epstein-Barr Virus Infections - immunology
Female
Foxp3 protein
Gene expression
Gene Expression Regulation, Neoplastic
Herpesvirus 4, Human - genetics
Humans
IL‐10
Immunity, Innate
Immunohistochemistry
Infiltration
Ligands
Lymphocytes T
Lymphoma
Lymphoma, Large B-Cell, Diffuse - genetics
Lymphoma, Large B-Cell, Diffuse - immunology
Lymphoma, Large B-Cell, Diffuse - virology
Macrophages
Male
Medical prognosis
Metastases
Microenvironments
Middle Aged
Multivariate analysis
Myc protein
Original
Pathogenesis
PD‐L1, CD163
Pentraxins
Prognosis
Proteins
PTX3
RNA viruses
RNA, Viral - genetics
Serum Amyloid P-Component - genetics
Survival Analysis
Tumor Microenvironment
Tumor necrosis factor-TNF
Tumor-Associated Macrophages - immunology
Tumors
Up-Regulation
Young Adult
title High PTX3 expression is associated with a poor prognosis in diffuse large B‐cell lymphoma
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