机构:[1]Fourth Mil Med Univ, State Key Lab Canc Biol, Xian, Shaanxi, Peoples R China;[2]Fourth Mil Med Univ, Inst Digest Dis, Xijing Hosp, Xian, Shaanxi, Peoples R China;[3]Fourth Mil Med Univ, Tangdu Hosp, Dept Infect Dis, Xian, Shaanxi, Peoples R China;[4]Fourth Mil Med Univ, Pathol Dept, Xian, Shaanxi, Peoples R China;[5]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, State Key Lab Digest Dis, Inst Digest Dis, Shenzhen, Guangdong, Peoples R China;[6]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, State Key Lab Digest Dis, Dept Med & Therapeut, Shenzhen, Guangdong, Peoples R China;[7]Chinese Univ Hong Kong, Shenzhen Res Inst, Shenzhen, Guangdong, Peoples R China;[8]Sun Yat Sen Univ, Canc Ctr, Dept Expt Res, Collaborat Innovat Ctr Canc Med,State Key Lab Onc, Guangzhou, Guangdong, Peoples R China临床科室临床研究部/药物临床试验机构中山大学肿瘤防治中心
Epstein-Barr virus-associated gastric cancer (EBVaGC) has been proposed to be a distinct subtype with a specific immune microenvironment. Here, we evaluated tumor-infiltrating T-cell subsets and the expression of programmed cell death protein 1 (PD-1) and programmed death-ligand 1 (PD-L1) in 571 gastric cancers (GCs). Tissue microarrays were stained using EBER in situ hybridization for EBV and using immunohistochemistry for CD4, CD8, Foxp3, PD-1 and PD-L1. GCs were categorized into four types based on CD8(+) infiltration and PD-L1 expression. The 5-year overall survival (OS) was evaluated according to EBV infection, T-cell subsets, PD-1 and PD-L1 expression and immune types. Thirty-two (5.3%) EBVaGCs were identified, which were more prevalent for CD8(+) (p<0.001) and Foxp3(+) (p=0.020) cell infiltration than EBV-negative GCs (EBVnGCs), suggesting a better 5-year OS (p=0.003). CD8(+) (p=0.001) and Foxp3(+) (p=0.018) cell infiltration was associated with better 5-year OS, whereas PD-L1 expression correlated with a poor 5-year OS (p=0.002). EBVaGC and EBVnGC had heterogeneous immune microenvironment, with CD8(+) PD-L1-GC exhibiting the best 5-year OS (p<0.001). GC was an immune ignorant dominant tumor and poor to no T-cell infiltration. An immune type classification algorithm can provide prognostic information and a rational basis for immunotherapy.
基金:
Excellent Innovative Research Team Project from National Natural Science Foundation of China (NSFC)National Natural Science Foundation of China [81421003]
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2017]版:
大类|2 区医学
小类|2 区肿瘤学3 区细胞生物学
最新[2023]版:
无
第一作者:
第一作者机构:[1]Fourth Mil Med Univ, State Key Lab Canc Biol, Xian, Shaanxi, Peoples R China;[2]Fourth Mil Med Univ, Inst Digest Dis, Xijing Hosp, Xian, Shaanxi, Peoples R China;
通讯作者:
通讯机构:[1]Fourth Mil Med Univ, State Key Lab Canc Biol, Xian, Shaanxi, Peoples R China;[2]Fourth Mil Med Univ, Inst Digest Dis, Xijing Hosp, Xian, Shaanxi, Peoples R China;
推荐引用方式(GB/T 7714):
Ma Jing,Li Jianhui,Hao Yiming,et al.Differentiated tumor immune microenvironment of Epstein-Barr virus-associated and negative gastric cancer: implication in prognosis and immunotherapy[J].ONCOTARGET.2017,8(40):67094-67103.doi:10.18632/oncotarget.17945.
APA:
Ma, Jing,Li, Jianhui,Hao, Yiming,Nie, Yongzhan,Li, Zengshan...&Wu, Kaichun.(2017).Differentiated tumor immune microenvironment of Epstein-Barr virus-associated and negative gastric cancer: implication in prognosis and immunotherapy.ONCOTARGET,8,(40)
MLA:
Ma, Jing,et al."Differentiated tumor immune microenvironment of Epstein-Barr virus-associated and negative gastric cancer: implication in prognosis and immunotherapy".ONCOTARGET 8..40(2017):67094-67103