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Title:
Spatial organization of B lymphocytes and prognosis prediction in patients with gastric cancer | Gastric Cancer
Description:
Background Within the tumor microenvironment (TME), the association of B lymphocytes (B cells) with prognosis and therapy response in gastric cancer (GC) remains poorly characterized. We investigated the predictive and prognostic value of B cells, including their spatial organization within the TME, in one of the largest multi-cohort studies to date. Methods Using CD20 immunohistochemistry, we evaluated B cell density in resection specimens from 977 patients with resectable GC across three cohorts, including the randomized phase III Korean CLASSIC trial. The relationship between CD20 density, clinicopathological characteristics, and overall survival (OS) was analyzed. Digital spatial profiling of 1063 regions of interest from 15 patients was performed to characterize B cell distribution within different regions of interest (ROIs) using the NanoString GeoMx platform. Results CD20 density was significantly higher in diffuse-type GC compared to intestinal-type (p = 0.000012). Patients with CD20-low diffuse-type GC had the shortest OS in the CLASSIC trial (median OS: 49 vs 62 months, HR: 1.9, 95% CI: 1.2–3.0, p = 0.003) and in a Japanese cohort (median OS: 49 vs 67 months, HR: 2.2, 95% CI: 1.2–4.0, p = 0.011). This survival difference was not seen in patients treated with adjuvant chemotherapy (median OS: 62 vs 63 months, HR: 1.8, 95% CI: 0.88–3.5, p = 0.108). Spatial profiling revealed significant B cell enrichment within tumor ROIs compared to the stroma, particularly in diffuse-type GC. Conclusions Low CD20 positivity, especially in diffuse-type GC, is linked to poor prognosis and may identify patients who could benefit from chemotherapy. These findings underscore the role of B cells in GC.
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cells, cancer, cell, patients, pubmed, gastric, article, survival, tumor, diffusetype, density, singapore, analysis, google, scholar, cohort, cas, cohorts, classic, fig, national, immune, correlation, study, research, spatial, clinicopathological, regions, data, central, prognosis, samples, university, higher, trial, performed, significantly, compared, cdlow, chemotherapy, supplementary, characteristics, analyses, department, distribution, adjuvant, surgery, profiling, intestinaltype, histological,
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/nanostring-biostats/cellprofilelibrary/tree/master/human duke-nus medical school haematoxylin/eosin-stained tma core b-cell proportions determined article download pdf cd20-low diffuse-type gc cd20-low diffuse-type group multi-modal experimental approach cd20-low diffuse-type patients nuhsro/2024/008/ro5+6/seed-sep23/01 b-cell signatures stage i-iii gc intestinal-type gastric cancer called intestinal-type carcinoma cox-proportional hazards model cd20-low diffuse-type cd20-low diffuse- type rna-seq transcripts mapping digital spatial profiling phase 3 open-label diffuse-type gc compared intestinal-type gc compared fluorouracil-based adjuvant chemotherapy abundant iga + plasma cells b-cell proportion previous pan-cancer analysis subtype-specific expression programs b-cell distribution spatial transcriptomic analysis largest multi-cohort studies archival tissue specimens anti-tumor immune response kaplan–meier method log-rank test gene expression data multi-modality approach full access gene expression analysis myeong-cherl kook gene expression profiles advanced gastric cancer randomized control trial computational image analysis jae-ho cheong privacy choices/manage cookies rna-seq data bulk-rnaseq analyses found article tay young-woo kim kanagawa cancer center
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headline:Spatial organization of B lymphocytes and prognosis prediction in patients with gastric cancer
description:Within the tumor microenvironment (TME), the association of B lymphocytes (B cells) with prognosis and therapy response in gastric cancer (GC) remains poorly characterized. We investigated the predictive and prognostic value of B cells, including their spatial organization within the TME, in one of the largest multi-cohort studies to date. Using CD20 immunohistochemistry, we evaluated B cell density in resection specimens from 977 patients with resectable GC across three cohorts, including the randomized phase III Korean CLASSIC trial. The relationship between CD20 density, clinicopathological characteristics, and overall survival (OS) was analyzed. Digital spatial profiling of 1063 regions of interest from 15 patients was performed to characterize B cell distribution within different regions of interest (ROIs) using the NanoString GeoMx platform. CD20 density was significantly higher in diffuse-type GC compared to intestinal-type (p = 0.000012). Patients with CD20-low diffuse-type GC had the shortest OS in the CLASSIC trial (median OS: 49 vs 62 months, HR: 1.9, 95% CI: 1.2–3.0, p = 0.003) and in a Japanese cohort (median OS: 49 vs 67 months, HR: 2.2, 95% CI: 1.2–4.0, p = 0.011). This survival difference was not seen in patients treated with adjuvant chemotherapy (median OS: 62 vs 63 months, HR: 1.8, 95% CI: 0.88–3.5, p = 0.108). Spatial profiling revealed significant B cell enrichment within tumor ROIs compared to the stroma, particularly in diffuse-type GC. Low CD20 positivity, especially in diffuse-type GC, is linked to poor prognosis and may identify patients who could benefit from chemotherapy. These findings underscore the role of B cells in GC.
datePublished:2025-02-19T00:00:00Z
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Gastric cancer
B lymphocytes
Tumor microenvironment
Immunohistochemistry
Digital Spatial Profiling
Surgical Oncology
Oncology
Abdominal Surgery
Gastroenterology
Cancer Research
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headline:Spatial organization of B lymphocytes and prognosis prediction in patients with gastric cancer
description:Within the tumor microenvironment (TME), the association of B lymphocytes (B cells) with prognosis and therapy response in gastric cancer (GC) remains poorly characterized. We investigated the predictive and prognostic value of B cells, including their spatial organization within the TME, in one of the largest multi-cohort studies to date. Using CD20 immunohistochemistry, we evaluated B cell density in resection specimens from 977 patients with resectable GC across three cohorts, including the randomized phase III Korean CLASSIC trial. The relationship between CD20 density, clinicopathological characteristics, and overall survival (OS) was analyzed. Digital spatial profiling of 1063 regions of interest from 15 patients was performed to characterize B cell distribution within different regions of interest (ROIs) using the NanoString GeoMx platform. CD20 density was significantly higher in diffuse-type GC compared to intestinal-type (p = 0.000012). Patients with CD20-low diffuse-type GC had the shortest OS in the CLASSIC trial (median OS: 49 vs 62 months, HR: 1.9, 95% CI: 1.2–3.0, p = 0.003) and in a Japanese cohort (median OS: 49 vs 67 months, HR: 2.2, 95% CI: 1.2–4.0, p = 0.011). This survival difference was not seen in patients treated with adjuvant chemotherapy (median OS: 62 vs 63 months, HR: 1.8, 95% CI: 0.88–3.5, p = 0.108). Spatial profiling revealed significant B cell enrichment within tumor ROIs compared to the stroma, particularly in diffuse-type GC. Low CD20 positivity, especially in diffuse-type GC, is linked to poor prognosis and may identify patients who could benefit from chemotherapy. These findings underscore the role of B cells in GC.
datePublished:2025-02-19T00:00:00Z
dateModified:2025-05-16T00:00:00Z
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Gastric cancer
B lymphocytes
Tumor microenvironment
Immunohistochemistry
Digital Spatial Profiling
Surgical Oncology
Oncology
Abdominal Surgery
Gastroenterology
Cancer Research
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- https://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=search&term=Tomio%20Arai's total income per month
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