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Erschienen in: Annals of Hematology 2/2019

30.10.2018 | Original Article

Novel risk stratification of de novo diffuse large B cell lymphoma based on tumour-infiltrating T lymphocytes evaluated by flow cytometry

verfasst von: Zihang Chen, Xueqin Deng, Yunxia Ye, Limin Gao, Wenyan Zhang, Weiping Liu, Sha Zhao

Erschienen in: Annals of Hematology | Ausgabe 2/2019

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Abstract

The prognostic value of tumour-infiltrating T lymphocytes (TIL-Ts) has been demonstrated in many solid tumours but remained unclear in diffuse large B cell lymphoma (DLBCL). We conducted a retrospective cohort study reviewing the TIL-Ts proportion and CD4:CD8 of 66 de novo DLBCL by flow cytometry to construct a risk stratification based on TIL-Ts-related prognostic factors. In univariate analysis, low TIL-Ts (< 14%) was significantly related to shorter survival (HR = 2.58, 95% CI 1.11–5.99, p = 0.028). In multivariate analysis, low TIL-Ts (HR = 6.48, 95% CI 2.16–19.46, p = 0.001) and high CD4:CD8 (> 1.2) (HR = 4.22, 95% CI 1.43–12.35, p = 0.009) were independent risk factors. For the risk stratification, three groups were defined based on TIL-Ts-related risk factors: low-risk group (high TIL-Ts and low CD4:CD8), intermediate risk group (low TIL-Ts, low CD4:CD8 or high TIL-Ts, high CD4:CD8) and high-risk group (low TIL-Ts and high CD4:CD8). The patients in high-risk group have significantly shorter survival than that in intermediate risk group (p = 0.025) and low-risk group (p = 0.002). This new risk stratification which is independent of performance status and age of the patients could hint the prognosis and may guide treatment of DLBCL.
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Literatur
1.
Zurück zum Zitat Swerdlow SH, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, Advani R, Ghielmini M, Salles GA, Zelenetz AD, Jaffe ES (2016) The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood 127(20):2375–2390CrossRefPubMedPubMedCentral Swerdlow SH, Campo E, Pileri SA, Harris NL, Stein H, Siebert R, Advani R, Ghielmini M, Salles GA, Zelenetz AD, Jaffe ES (2016) The 2016 revision of the World Health Organization classification of lymphoid neoplasms. Blood 127(20):2375–2390CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Yang QP, Zhang WY, Yu JB, Zhao S, Xu H, Wang WY, Bi CF, Zuo Z, Wang XQ, Huang J, Dai L, Liu WP (2011) Subtype distribution of lymphomas in Southwest China: analysis of 6,382 cases using WHO classification in a single institution. Diagn Pathol 6:77CrossRefPubMedPubMedCentral Yang QP, Zhang WY, Yu JB, Zhao S, Xu H, Wang WY, Bi CF, Zuo Z, Wang XQ, Huang J, Dai L, Liu WP (2011) Subtype distribution of lymphomas in Southwest China: analysis of 6,382 cases using WHO classification in a single institution. Diagn Pathol 6:77CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Miyaoka M, Kikuti YY, Carreras J et al (2017) Clinicopathological and genomic analysis of double-hit follicular lymphoma: comparison with high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements. Mod Pathol Miyaoka M, Kikuti YY, Carreras J et al (2017) Clinicopathological and genomic analysis of double-hit follicular lymphoma: comparison with high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements. Mod Pathol
4.
Zurück zum Zitat Reagan PM, Davies A (2017) Current treatment of double hit and double expressor lymphoma. Hematology Am Soc Hematol Educ Program 2017(1):295–297CrossRef Reagan PM, Davies A (2017) Current treatment of double hit and double expressor lymphoma. Hematology Am Soc Hematol Educ Program 2017(1):295–297CrossRef
5.
Zurück zum Zitat Ichiki A, Carreras J, Miyaoka M, Kikuti YY, Jibiki T, Tazume K, Watanabe S, Sasao T, Obayashi Y, Onizuka M, Ohmachi K, Yoshiba F, Shirasugi Y, Ogawa Y, Kawada H, Nakamura N, Ando K (2017) Clinicopathological analysis of 320 cases of diffuse large B-cell lymphoma using the Hans classifier. J Clin Exp Hematop. 57(2):54–63CrossRefPubMedPubMedCentral Ichiki A, Carreras J, Miyaoka M, Kikuti YY, Jibiki T, Tazume K, Watanabe S, Sasao T, Obayashi Y, Onizuka M, Ohmachi K, Yoshiba F, Shirasugi Y, Ogawa Y, Kawada H, Nakamura N, Ando K (2017) Clinicopathological analysis of 320 cases of diffuse large B-cell lymphoma using the Hans classifier. J Clin Exp Hematop. 57(2):54–63CrossRefPubMedPubMedCentral
6.
7.
Zurück zum Zitat Chetaille B, Bertucci F, Finetti P, Esterni B, Stamatoullas A, Picquenot JM, Copin MC, Morschhauser F, Casasnovas O, Petrella T, Molina T, Vekhoff A, Feugier P, Bouabdallah R, Birnbaum D, Olive D, Xerri L (2009) Molecular profiling of classical Hodgkin lymphoma tissues uncovers variations in the tumour microenvironment and correlations with EBV infection and outcome. Blood 113(12):2765–3775CrossRefPubMed Chetaille B, Bertucci F, Finetti P, Esterni B, Stamatoullas A, Picquenot JM, Copin MC, Morschhauser F, Casasnovas O, Petrella T, Molina T, Vekhoff A, Feugier P, Bouabdallah R, Birnbaum D, Olive D, Xerri L (2009) Molecular profiling of classical Hodgkin lymphoma tissues uncovers variations in the tumour microenvironment and correlations with EBV infection and outcome. Blood 113(12):2765–3775CrossRefPubMed
8.
Zurück zum Zitat García M, Bellosillo B, Sánchez-González B, García-Payarols F, Seoane A, Ferrer AM, Gimeno E, Barranco LE, Torner A, Solé F, Besses C, Serrano S, Salar A (2012) Study of regulatory T-cells in patients with gastric malt lymphoma: influence on treatment response and outcome. PLoS One 7(12):e51681CrossRefPubMedPubMedCentral García M, Bellosillo B, Sánchez-González B, García-Payarols F, Seoane A, Ferrer AM, Gimeno E, Barranco LE, Torner A, Solé F, Besses C, Serrano S, Salar A (2012) Study of regulatory T-cells in patients with gastric malt lymphoma: influence on treatment response and outcome. PLoS One 7(12):e51681CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Xu Y, Kroft SH, McKenna RW, Aquino DB (2001) Prognostic significance of tumour-infiltrating T lymphocytes and T-cell subsets in de novo diffuse large B-cell lymphoma: a multiparameter flow cytometry study. Br J Haematol 112(4):945–949CrossRefPubMed Xu Y, Kroft SH, McKenna RW, Aquino DB (2001) Prognostic significance of tumour-infiltrating T lymphocytes and T-cell subsets in de novo diffuse large B-cell lymphoma: a multiparameter flow cytometry study. Br J Haematol 112(4):945–949CrossRefPubMed
10.
Zurück zum Zitat Rajnai H, Heyning FH, Koens L, Sebestyén A, Andrikovics H, Hogendoorn PCW, Matolcsy A, Szepesi Á (2014) The density of CD8+ T-cell infiltration and expression of BCL2 predicts outcome of primary diffuse large B-cell lymphoma of bone. Virchows Arch 464(2):229–239CrossRefPubMed Rajnai H, Heyning FH, Koens L, Sebestyén A, Andrikovics H, Hogendoorn PCW, Matolcsy A, Szepesi Á (2014) The density of CD8+ T-cell infiltration and expression of BCL2 predicts outcome of primary diffuse large B-cell lymphoma of bone. Virchows Arch 464(2):229–239CrossRefPubMed
11.
Zurück zum Zitat Yang ZZ, Novak AJ, Stenson MJ, Witzig TE, Ansell SM (2006) Intratumoural CD4+CD25+ regulatory T-cell-mediated suppression of infiltrating CD4+ T cells in B-cell non-Hodgkin lymphoma. Blood 107(9):3639–3646CrossRefPubMedPubMedCentral Yang ZZ, Novak AJ, Stenson MJ, Witzig TE, Ansell SM (2006) Intratumoural CD4+CD25+ regulatory T-cell-mediated suppression of infiltrating CD4+ T cells in B-cell non-Hodgkin lymphoma. Blood 107(9):3639–3646CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Hasselblom S, Sigurdadottir M, Hansson U, Nilsson-Ehle H, Ridell B, Andersson PO (2007) The number of tumour-infiltrating TIA-1+ cytotoxic T cells but not FOXP3+ regulatory T cells predicts outcome in diffuse large B-cell lymphoma. Br J Haematol 137(4):364–373CrossRefPubMed Hasselblom S, Sigurdadottir M, Hansson U, Nilsson-Ehle H, Ridell B, Andersson PO (2007) The number of tumour-infiltrating TIA-1+ cytotoxic T cells but not FOXP3+ regulatory T cells predicts outcome in diffuse large B-cell lymphoma. Br J Haematol 137(4):364–373CrossRefPubMed
13.
Zurück zum Zitat Tzankov A, Meier C, Hirschmann P, Went P, Pileri SA, Dirnhofer S (2008) Correlation of high numbers of intratumoural FOXP3+ regulatory T cells with improved survival in germinal center-like diffuse large B-cell lymphoma, follicular lymphoma and classical Hodgkin's lymphoma. Haematologica 93(2):193–200CrossRefPubMed Tzankov A, Meier C, Hirschmann P, Went P, Pileri SA, Dirnhofer S (2008) Correlation of high numbers of intratumoural FOXP3+ regulatory T cells with improved survival in germinal center-like diffuse large B-cell lymphoma, follicular lymphoma and classical Hodgkin's lymphoma. Haematologica 93(2):193–200CrossRefPubMed
14.
Zurück zum Zitat De Biasi S, Gibellini L, Feletti A et al (2017) High speed flow cytometry allows the detection of circulating endothelial cells in hemangioblastoma patients. Methods De Biasi S, Gibellini L, Feletti A et al (2017) High speed flow cytometry allows the detection of circulating endothelial cells in hemangioblastoma patients. Methods
15.
Zurück zum Zitat Ridit analysis (1968) N Engl J Med 279(26):1453–1454 Ridit analysis (1968) N Engl J Med 279(26):1453–1454
16.
Zurück zum Zitat Gomez-Gelvez JC, Salama ME, Perkins SL, Leavitt M, Inamdar KV (2016) Prognostic impact of tumour microenvironment in diffuse large B-cell lymphoma uniformly treated with R-CHOP chemotherapy. Am J Clin Pathol 145(4):514–523CrossRefPubMed Gomez-Gelvez JC, Salama ME, Perkins SL, Leavitt M, Inamdar KV (2016) Prognostic impact of tumour microenvironment in diffuse large B-cell lymphoma uniformly treated with R-CHOP chemotherapy. Am J Clin Pathol 145(4):514–523CrossRefPubMed
17.
Zurück zum Zitat Harjes U (2017) Immunotherapy: burning fences. Nat Rev Cancer Harjes U (2017) Immunotherapy: burning fences. Nat Rev Cancer
18.
Zurück zum Zitat Lyon J (2017) NIH partners with drug makers to advance cancer immunotherapy. JAMA 318(20):1967PubMed Lyon J (2017) NIH partners with drug makers to advance cancer immunotherapy. JAMA 318(20):1967PubMed
19.
Zurück zum Zitat Zhang L, Conejo-Garcia JR, Katsaros D, Gimotty PA, Massobrio M, Regnani G, Makrigiannakis A, Gray H, Schlienger K, Liebman MN, Rubin SC, Coukos G (2003) Intratumoural T cells, recurrence, and survival in epithelial ovarian cancer. N Engl J Med 348(3):203–213CrossRef Zhang L, Conejo-Garcia JR, Katsaros D, Gimotty PA, Massobrio M, Regnani G, Makrigiannakis A, Gray H, Schlienger K, Liebman MN, Rubin SC, Coukos G (2003) Intratumoural T cells, recurrence, and survival in epithelial ovarian cancer. N Engl J Med 348(3):203–213CrossRef
20.
Zurück zum Zitat Sharma P, Allison JP (2015) The future of immune checkpoint therapy. Science 348(6230):56–61CrossRefPubMed Sharma P, Allison JP (2015) The future of immune checkpoint therapy. Science 348(6230):56–61CrossRefPubMed
21.
Zurück zum Zitat Zheng X, Song X, Shao Y, Xu B, Chen L, Zhou Q, Hu W, Zhang D, Wu C, Tao M, Zhu Y, Jiang J (2017) Prognostic role of tumour-infiltrating lymphocytes in gastric cancer: a meta-analysis. Oncotarget 8(34):57386–57398PubMedPubMedCentral Zheng X, Song X, Shao Y, Xu B, Chen L, Zhou Q, Hu W, Zhang D, Wu C, Tao M, Zhu Y, Jiang J (2017) Prognostic role of tumour-infiltrating lymphocytes in gastric cancer: a meta-analysis. Oncotarget 8(34):57386–57398PubMedPubMedCentral
22.
Zurück zum Zitat Xu T, He BS, Liu XX, Hu XX, Lin K, Pan YQ, Sun HL, Peng HX, Chen XX, Wang SK (2017) The predictive and prognostic role of stromal tumour-infiltrating lymphocytes in HER2-positive breast cancer with trastuzumab-based treatment: a meta-analysis and systematic review. J Cancer 8(18):3838–3848CrossRefPubMedPubMedCentral Xu T, He BS, Liu XX, Hu XX, Lin K, Pan YQ, Sun HL, Peng HX, Chen XX, Wang SK (2017) The predictive and prognostic role of stromal tumour-infiltrating lymphocytes in HER2-positive breast cancer with trastuzumab-based treatment: a meta-analysis and systematic review. J Cancer 8(18):3838–3848CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Chang KC, Huang GC, Jones D, Lin YH (2007) Distribution patterns of dendritic cells and T cells in diffuse large B-cell lymphomas correlate with prognoses. Clin Cancer Res 13(22 Pt 1):6666–6672CrossRefPubMed Chang KC, Huang GC, Jones D, Lin YH (2007) Distribution patterns of dendritic cells and T cells in diffuse large B-cell lymphomas correlate with prognoses. Clin Cancer Res 13(22 Pt 1):6666–6672CrossRefPubMed
24.
Zurück zum Zitat Hendry S, Salgado R, Gevaert T, Russell PA, John T, Thapa B, Christie M, van de Vijver K, Estrada MV, Gonzalez-Ericsson PI, Sanders M, Solomon B, Solinas C, van den Eynden G, Allory Y, Preusser M, Hainfellner J, Pruneri G, Vingiani A, Demaria S, Symmans F, Nuciforo P, Comerma L, Thompson EA, Lakhani S, Kim SR, Schnitt S, Colpaert C, Sotiriou C, Scherer SJ, Ignatiadis M, Badve S, Pierce RH, Viale G, Sirtaine N, Penault-Llorca F, Sugie T, Fineberg S, Paik S, Srinivasan A, Richardson A, Wang Y, Chmielik E, Brock J, Johnson DB, Balko J, Wienert S, Bossuyt V, Michiels S, Ternes N, Burchardi N, Luen SJ, Savas P, Klauschen F, Watson PH, Nelson BH, Criscitiello C, O'Toole S, Larsimont D, de Wind R, Curigliano G, André F, Lacroix-Triki M, van de Vijver M, Rojo F, Floris G, Bedri S, Sparano J, Rimm D, Nielsen T, Kos Z, Hewitt S, Singh B, Farshid G, Loibl S, Allison KH, Tung N, Adams S, Willard-Gallo K, Horlings HM, Gandhi L, Moreira A, Hirsch F, Dieci MV, Urbanowicz M, Brcic I, Korski K, Gaire F, Koeppen H, Lo A, Giltnane J, Rebelatto MC, Steele KE, Zha J, Emancipator K, Juco JW, Denkert C, Reis-Filho J, Loi S, Fox SB (2017) Assessing tumour-infiltrating lymphocytes in solid tumours: a practical review for pathologists and proposal for a standardized method from the international immuno-oncology biomarkers working group: part 2: TILs in melanoma, gastrointestinal tract carcinomas, non-small cell lung carcinoma and mesothelioma, endometrial and ovarian carcinomas, squamous cell carcinoma of the head and neck, genitourinary carcinomas, and primary brain tumours. Adv Anat Pathol 24(6):311–335CrossRefPubMedPubMedCentral Hendry S, Salgado R, Gevaert T, Russell PA, John T, Thapa B, Christie M, van de Vijver K, Estrada MV, Gonzalez-Ericsson PI, Sanders M, Solomon B, Solinas C, van den Eynden G, Allory Y, Preusser M, Hainfellner J, Pruneri G, Vingiani A, Demaria S, Symmans F, Nuciforo P, Comerma L, Thompson EA, Lakhani S, Kim SR, Schnitt S, Colpaert C, Sotiriou C, Scherer SJ, Ignatiadis M, Badve S, Pierce RH, Viale G, Sirtaine N, Penault-Llorca F, Sugie T, Fineberg S, Paik S, Srinivasan A, Richardson A, Wang Y, Chmielik E, Brock J, Johnson DB, Balko J, Wienert S, Bossuyt V, Michiels S, Ternes N, Burchardi N, Luen SJ, Savas P, Klauschen F, Watson PH, Nelson BH, Criscitiello C, O'Toole S, Larsimont D, de Wind R, Curigliano G, André F, Lacroix-Triki M, van de Vijver M, Rojo F, Floris G, Bedri S, Sparano J, Rimm D, Nielsen T, Kos Z, Hewitt S, Singh B, Farshid G, Loibl S, Allison KH, Tung N, Adams S, Willard-Gallo K, Horlings HM, Gandhi L, Moreira A, Hirsch F, Dieci MV, Urbanowicz M, Brcic I, Korski K, Gaire F, Koeppen H, Lo A, Giltnane J, Rebelatto MC, Steele KE, Zha J, Emancipator K, Juco JW, Denkert C, Reis-Filho J, Loi S, Fox SB (2017) Assessing tumour-infiltrating lymphocytes in solid tumours: a practical review for pathologists and proposal for a standardized method from the international immuno-oncology biomarkers working group: part 2: TILs in melanoma, gastrointestinal tract carcinomas, non-small cell lung carcinoma and mesothelioma, endometrial and ovarian carcinomas, squamous cell carcinoma of the head and neck, genitourinary carcinomas, and primary brain tumours. Adv Anat Pathol 24(6):311–335CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Hendry S, Salgado R, Gevaert T, Russell PA, John T, Thapa B, Christie M, van de Vijver K, Estrada MV, Gonzalez-Ericsson PI, Sanders M, Solomon B, Solinas C, van den Eynden G, Allory Y, Preusser M, Hainfellner J, Pruneri G, Vingiani A, Demaria S, Symmans F, Nuciforo P, Comerma L, Thompson EA, Lakhani S, Kim SR, Schnitt S, Colpaert C, Sotiriou C, Scherer SJ, Ignatiadis M, Badve S, Pierce RH, Viale G, Sirtaine N, Penault-Llorca F, Sugie T, Fineberg S, Paik S, Srinivasan A, Richardson A, Wang Y, Chmielik E, Brock J, Johnson DB, Balko J, Wienert S, Bossuyt V, Michiels S, Ternes N, Burchardi N, Luen SJ, Savas P, Klauschen F, Watson PH, Nelson BH, Criscitiello C, O'Toole S, Larsimont D, de Wind R, Curigliano G, André F, Lacroix-Triki M, van de Vijver M, Rojo F, Floris G, Bedri S, Sparano J, Rimm D, Nielsen T, Kos Z, Hewitt S, Singh B, Farshid G, Loibl S, Allison KH, Tung N, Adams S, Willard-Gallo K, Horlings HM, Gandhi L, Moreira A, Hirsch F, Dieci MV, Urbanowicz M, Brcic I, Korski K, Gaire F, Koeppen H, Lo A, Giltnane J, Rebelatto MC, Steele KE, Zha J, Emancipator K, Juco JW, Denkert C, Reis-Filho J, Loi S, Fox SB (2017) Assessing tumour-infiltrating lymphocytes in solid tumours: a practical review for pathologists and proposal for a standardized method from the international immunooncology biomarkers working group: part 1: assessing the host immune response, TILs in invasive breast carcinoma and ductal carcinoma in situ, metastatic tumour deposits and areas for further research. Adv Anat Pathol 24(5):235–251CrossRefPubMedPubMedCentral Hendry S, Salgado R, Gevaert T, Russell PA, John T, Thapa B, Christie M, van de Vijver K, Estrada MV, Gonzalez-Ericsson PI, Sanders M, Solomon B, Solinas C, van den Eynden G, Allory Y, Preusser M, Hainfellner J, Pruneri G, Vingiani A, Demaria S, Symmans F, Nuciforo P, Comerma L, Thompson EA, Lakhani S, Kim SR, Schnitt S, Colpaert C, Sotiriou C, Scherer SJ, Ignatiadis M, Badve S, Pierce RH, Viale G, Sirtaine N, Penault-Llorca F, Sugie T, Fineberg S, Paik S, Srinivasan A, Richardson A, Wang Y, Chmielik E, Brock J, Johnson DB, Balko J, Wienert S, Bossuyt V, Michiels S, Ternes N, Burchardi N, Luen SJ, Savas P, Klauschen F, Watson PH, Nelson BH, Criscitiello C, O'Toole S, Larsimont D, de Wind R, Curigliano G, André F, Lacroix-Triki M, van de Vijver M, Rojo F, Floris G, Bedri S, Sparano J, Rimm D, Nielsen T, Kos Z, Hewitt S, Singh B, Farshid G, Loibl S, Allison KH, Tung N, Adams S, Willard-Gallo K, Horlings HM, Gandhi L, Moreira A, Hirsch F, Dieci MV, Urbanowicz M, Brcic I, Korski K, Gaire F, Koeppen H, Lo A, Giltnane J, Rebelatto MC, Steele KE, Zha J, Emancipator K, Juco JW, Denkert C, Reis-Filho J, Loi S, Fox SB (2017) Assessing tumour-infiltrating lymphocytes in solid tumours: a practical review for pathologists and proposal for a standardized method from the international immunooncology biomarkers working group: part 1: assessing the host immune response, TILs in invasive breast carcinoma and ductal carcinoma in situ, metastatic tumour deposits and areas for further research. Adv Anat Pathol 24(5):235–251CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Katou F, Ohtani H, Watanabe Y, Nakayama T, Yoshie O, Hashimoto K (2007) Differing phenotypes between intraepithelial and stromal lymphocytes in early-stage tongue cancer. Cancer Res 67(23):11195–11201CrossRefPubMed Katou F, Ohtani H, Watanabe Y, Nakayama T, Yoshie O, Hashimoto K (2007) Differing phenotypes between intraepithelial and stromal lymphocytes in early-stage tongue cancer. Cancer Res 67(23):11195–11201CrossRefPubMed
27.
Zurück zum Zitat Kumagai K, Hamada Y, Gotoh A, Kobayashi H, Kawaguchi K, Horie A, Yamada H, Suzuki S, Suzuki R (2010) Evidence for the changes of antitumour immune response during lymph node metastasis in head and neck squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110(3):341–350CrossRefPubMed Kumagai K, Hamada Y, Gotoh A, Kobayashi H, Kawaguchi K, Horie A, Yamada H, Suzuki S, Suzuki R (2010) Evidence for the changes of antitumour immune response during lymph node metastasis in head and neck squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110(3):341–350CrossRefPubMed
28.
Zurück zum Zitat dos aPJ, da CMMC, Guedes QLM, da SÉJ (2014) Analysis of CD8+ and CD4+ cells in oral squamous cell carcinoma and their association with lymph node metastasis and histologic grade of malignancy. Appl Immunohistochem Mol Morphol 22(3):200–205CrossRef dos aPJ, da CMMC, Guedes QLM, da SÉJ (2014) Analysis of CD8+ and CD4+ cells in oral squamous cell carcinoma and their association with lymph node metastasis and histologic grade of malignancy. Appl Immunohistochem Mol Morphol 22(3):200–205CrossRef
29.
Zurück zum Zitat de Vos van Steenwijk PJ, Ramwadhdoebe TH, Goedemans R et al (2013) Tumour-infiltrating CD14-positive myeloid cells and CD8-positive T-cells prolong survival in patients with cervical carcinoma. Int J Cancer 133(12):2884–2894PubMed de Vos van Steenwijk PJ, Ramwadhdoebe TH, Goedemans R et al (2013) Tumour-infiltrating CD14-positive myeloid cells and CD8-positive T-cells prolong survival in patients with cervical carcinoma. Int J Cancer 133(12):2884–2894PubMed
30.
Zurück zum Zitat Huang Y, Ma C, Zhang Q, Ye J, Wang F, Zhang Y, Hunborg P, Varvares MA, Hoft DF, Hsueh EC, Peng G (2015) CD4+ and CD8+ T cells have opposing roles in breast cancer progression and outcome. Oncotarget 6(19):17462–17478PubMedPubMedCentral Huang Y, Ma C, Zhang Q, Ye J, Wang F, Zhang Y, Hunborg P, Varvares MA, Hoft DF, Hsueh EC, Peng G (2015) CD4+ and CD8+ T cells have opposing roles in breast cancer progression and outcome. Oncotarget 6(19):17462–17478PubMedPubMedCentral
31.
Zurück zum Zitat Tang Y, Xu X, Guo S, Zhang C, Tang Y, Tian Y, Ni B, Lu B, Wang H (2014) An increased abundance of tumour-infiltrating regulatory T cells is correlated with the progression and prognosis of pancreatic ductal adenocarcinoma. PLoS One 9(3):e91551CrossRefPubMedPubMedCentral Tang Y, Xu X, Guo S, Zhang C, Tang Y, Tian Y, Ni B, Lu B, Wang H (2014) An increased abundance of tumour-infiltrating regulatory T cells is correlated with the progression and prognosis of pancreatic ductal adenocarcinoma. PLoS One 9(3):e91551CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Ansell SM, Stenson M, Habermann TM, Jelinek DF, Witzig TE (2001) Cd4+ T-cell immune response to large B-cell non-Hodgkin’s lymphoma predicts patient outcome. J Clin Oncol 19(3):720–726CrossRefPubMed Ansell SM, Stenson M, Habermann TM, Jelinek DF, Witzig TE (2001) Cd4+ T-cell immune response to large B-cell non-Hodgkin’s lymphoma predicts patient outcome. J Clin Oncol 19(3):720–726CrossRefPubMed
33.
Zurück zum Zitat Keane C, Gill D, Vari F, Cross D, Griffiths L, Gandhi M (2013) CD4(+) tumour infiltrating lymphocytes are prognostic and independent of R-IPI in patients with DLBCL receiving R-CHOP chemo-immunotherapy. Am J Hematol 88(4):273–276CrossRefPubMed Keane C, Gill D, Vari F, Cross D, Griffiths L, Gandhi M (2013) CD4(+) tumour infiltrating lymphocytes are prognostic and independent of R-IPI in patients with DLBCL receiving R-CHOP chemo-immunotherapy. Am J Hematol 88(4):273–276CrossRefPubMed
34.
Zurück zum Zitat Joshi NS, Akama-Garren EH, Lu Y, Lee DY, Chang GP, Li A, DuPage M, Tammela T, Kerper NR, Farago AF, Robbins R, Crowley DM, Bronson RT, Jacks T (2015) Regulatory T cells in tumour-associated tertiary lymphoid structures suppress anti-tumour T cell responses. Immunity 43(3):579–590CrossRefPubMedPubMedCentral Joshi NS, Akama-Garren EH, Lu Y, Lee DY, Chang GP, Li A, DuPage M, Tammela T, Kerper NR, Farago AF, Robbins R, Crowley DM, Bronson RT, Jacks T (2015) Regulatory T cells in tumour-associated tertiary lymphoid structures suppress anti-tumour T cell responses. Immunity 43(3):579–590CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat (2016) Two FOXP3+CD4+ T cell subpopulations distinctly control the prognosis of colorectal cancers prognosis of colorectal cancers. Nat Med 22(6):679–684 (2016) Two FOXP3+CD4+ T cell subpopulations distinctly control the prognosis of colorectal cancers prognosis of colorectal cancers. Nat Med 22(6):679–684
36.
Zurück zum Zitat Spiegel JY, Cheung MC, Guirguis HR, Buckstein R (2017) Validation of the NCCN-IPI in both de novo and transformed diffuse large B cell lymphoma. Leuk Lymphoma 58(1):214–217CrossRefPubMed Spiegel JY, Cheung MC, Guirguis HR, Buckstein R (2017) Validation of the NCCN-IPI in both de novo and transformed diffuse large B cell lymphoma. Leuk Lymphoma 58(1):214–217CrossRefPubMed
37.
Zurück zum Zitat El-Galaly TC, Villa D, Alzahrani M et al (2015) Outcome prediction by extranodal involvement, IPI, R-IPI, and NCCN-IPI in the PET/CT and rituximab era: a Danish-Canadian study of 443 patients with diffuse-large B-cell lymphoma. Am J Hematol 90(11):1041–1046CrossRefPubMed El-Galaly TC, Villa D, Alzahrani M et al (2015) Outcome prediction by extranodal involvement, IPI, R-IPI, and NCCN-IPI in the PET/CT and rituximab era: a Danish-Canadian study of 443 patients with diffuse-large B-cell lymphoma. Am J Hematol 90(11):1041–1046CrossRefPubMed
38.
Zurück zum Zitat Plonquet A, Haioun C, Jais JP, Debard AL, Salles G, Bene MC, Feugier P, Rabian C, Casasnovas O, Labalette M, Kuhlein E, Farcet JP, Emile JF, Gisselbrecht C, Delfau-Larue MH, On behalf of GELA (Groupe d’etude des lymphomes de l’adulte) (2007) Peripheral blood natural killer cell count is associated with clinical outcome in patients with aaIPI 2-3 diffuse large B-cell lymphoma. Ann Oncol 18(7):1209–1215CrossRefPubMed Plonquet A, Haioun C, Jais JP, Debard AL, Salles G, Bene MC, Feugier P, Rabian C, Casasnovas O, Labalette M, Kuhlein E, Farcet JP, Emile JF, Gisselbrecht C, Delfau-Larue MH, On behalf of GELA (Groupe d’etude des lymphomes de l’adulte) (2007) Peripheral blood natural killer cell count is associated with clinical outcome in patients with aaIPI 2-3 diffuse large B-cell lymphoma. Ann Oncol 18(7):1209–1215CrossRefPubMed
39.
Zurück zum Zitat Craig VJ, Cogliatti SB, Arnold I, Gerke C, Balandat JE, Wündisch T, Müller A (2010) B-cell receptor signaling and CD40 ligand-independent T cell help cooperate in Helicobacter-induced MALT lymphomagenesis. Leukemia 24(6):1186–1196CrossRefPubMed Craig VJ, Cogliatti SB, Arnold I, Gerke C, Balandat JE, Wündisch T, Müller A (2010) B-cell receptor signaling and CD40 ligand-independent T cell help cooperate in Helicobacter-induced MALT lymphomagenesis. Leukemia 24(6):1186–1196CrossRefPubMed
40.
Zurück zum Zitat Smolders J, Remmerswaal EB, Schuurman KG et al (2013) Characteristics of differentiated CD8(+) and CD4 (+) T cells present in the human brain. Acta Neuropathol 126(4):525–535CrossRefPubMed Smolders J, Remmerswaal EB, Schuurman KG et al (2013) Characteristics of differentiated CD8(+) and CD4 (+) T cells present in the human brain. Acta Neuropathol 126(4):525–535CrossRefPubMed
41.
Zurück zum Zitat McMurray RW, Sharp GC, Braley-Mullen H (1994) Intrathyroidal cell phenotype in murine lymphocytic and granulomatous experimental autoimmune thyroiditis. Autoimmunity 18(2):93–102CrossRefPubMed McMurray RW, Sharp GC, Braley-Mullen H (1994) Intrathyroidal cell phenotype in murine lymphocytic and granulomatous experimental autoimmune thyroiditis. Autoimmunity 18(2):93–102CrossRefPubMed
Metadaten
Titel
Novel risk stratification of de novo diffuse large B cell lymphoma based on tumour-infiltrating T lymphocytes evaluated by flow cytometry
verfasst von
Zihang Chen
Xueqin Deng
Yunxia Ye
Limin Gao
Wenyan Zhang
Weiping Liu
Sha Zhao
Publikationsdatum
30.10.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Annals of Hematology / Ausgabe 2/2019
Print ISSN: 0939-5555
Elektronische ISSN: 1432-0584
DOI
https://doi.org/10.1007/s00277-018-3534-z

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