Tumor Microenvironment in Mixed Neuroendocrine Non-Neuroendocrine Neoplasms: Interaction between Tumors and Immune Cells, and Potential Effects of Neuroendocrine Differentiation on the Tumor Microenvironment

The tumor microenvironment is considered to play a pivotal role in various human malignancies. Neuroendocrine and non-neuroendocrine neoplasms are considered to have different tumor microenvironments. However, owing to differences in the systemic and/or local immune statuses, tumor microenvironments...

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Veröffentlicht in:Cancers 2022-04, Vol.14 (9), p.2152
Hauptverfasser: Tsunokake, Junichi, Fujishima, Fumiyoshi, Watanabe, Hirofumi, Sato, Ikuro, Miura, Koh, Sakamoto, Kazuhiro, Suzuki, Hiroyoshi, Sawai, Takashi, Itakura, Yuko, Hoshi, Tatsuya, Kunimitsu, Atsushi, Yamauchi, Takuro, Akaishi, Ryujiro, Ozawa, Yohei, Fukutomi, Toshiaki, Okamoto, Hiroshi, Sato, Chiaki, Taniyama, Yusuke, Kamei, Takashi, Sasano, Hironobu
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container_issue 9
container_start_page 2152
container_title Cancers
container_volume 14
creator Tsunokake, Junichi
Fujishima, Fumiyoshi
Watanabe, Hirofumi
Sato, Ikuro
Miura, Koh
Sakamoto, Kazuhiro
Suzuki, Hiroyoshi
Sawai, Takashi
Itakura, Yuko
Hoshi, Tatsuya
Kunimitsu, Atsushi
Yamauchi, Takuro
Akaishi, Ryujiro
Ozawa, Yohei
Fukutomi, Toshiaki
Okamoto, Hiroshi
Sato, Chiaki
Taniyama, Yusuke
Kamei, Takashi
Sasano, Hironobu
description The tumor microenvironment is considered to play a pivotal role in various human malignancies. Neuroendocrine and non-neuroendocrine neoplasms are considered to have different tumor microenvironments. However, owing to differences in the systemic and/or local immune statuses, tumor microenvironments in different patients may be difficult to compare. Mixed neuroendocrine non-neuroendocrine neoplasms (MiNENs), although rare, could be useful for exploring the effects of neuroendocrine differentiation on the tumor microenvironment, because both neuroendocrine and non-neuroendocrine components are present in the same tumor. Here, we examined 33 cases of histologically confirmed MiNENs and evaluated the influence of neuroendocrine differentiation on the tumor microenvironment by comparing tumor-infiltrating lymphocytes, tumor-associated macrophages, and other relevant factors in the two components the same tumor. The immunoreactivity of those examined above was evaluated quantitatively. The values of vasohibin-1-positive density (p < 0.0001) and immunoreactivity (p < 0.0001) (representing the neoangiogenesis status) were significantly higher in neuroendocrine as compared to non-neuroendocrine areas of the same tumors. In addition, the Foxp3/CD8 (p = 0.0717) and the PD-1/CD8 ratios (p = 0.0176) (representing tumor immunity suppression) tend to increase in neuroendocrine carcinomas. Immunoreactivity of CD163, a marker of M2-like macrophages, was also higher in the neuroendocrine areas. Our findings indicate that neuroendocrine and non-neuroendocrine tumors differ from each other with respect to the characteristics of both tumor cells and the tumor microenvironment.
doi_str_mv 10.3390/cancers14092152
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Neuroendocrine and non-neuroendocrine neoplasms are considered to have different tumor microenvironments. However, owing to differences in the systemic and/or local immune statuses, tumor microenvironments in different patients may be difficult to compare. Mixed neuroendocrine non-neuroendocrine neoplasms (MiNENs), although rare, could be useful for exploring the effects of neuroendocrine differentiation on the tumor microenvironment, because both neuroendocrine and non-neuroendocrine components are present in the same tumor. Here, we examined 33 cases of histologically confirmed MiNENs and evaluated the influence of neuroendocrine differentiation on the tumor microenvironment by comparing tumor-infiltrating lymphocytes, tumor-associated macrophages, and other relevant factors in the two components the same tumor. The immunoreactivity of those examined above was evaluated quantitatively. The values of vasohibin-1-positive density (p &lt; 0.0001) and immunoreactivity (p &lt; 0.0001) (representing the neoangiogenesis status) were significantly higher in neuroendocrine as compared to non-neuroendocrine areas of the same tumors. In addition, the Foxp3/CD8 (p = 0.0717) and the PD-1/CD8 ratios (p = 0.0176) (representing tumor immunity suppression) tend to increase in neuroendocrine carcinomas. Immunoreactivity of CD163, a marker of M2-like macrophages, was also higher in the neuroendocrine areas. 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source PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Algorithms
Cancer
Carcinoma
CD163 antigen
CD8 antigen
Cell differentiation
Chemotherapy
Foxp3 protein
Growth factors
Hospitals
Immunoreactivity
Lymphocytes
Macrophages
Neoplasia
Neuroendocrine system
Neuroendocrine tumors
Patients
PD-1 protein
Tumor cells
Tumor microenvironment
Tumor-infiltrating lymphocytes
Tumors
title Tumor Microenvironment in Mixed Neuroendocrine Non-Neuroendocrine Neoplasms: Interaction between Tumors and Immune Cells, and Potential Effects of Neuroendocrine Differentiation on the Tumor Microenvironment
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