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The prognostic significance of peritumoral tertiary lymphoid structures in breast cancer | Cancer Immunology, Immunotherapy
Description:
Tumors and their surrounding area represent spatially organized “ecosystems”, where tumor cells and the immune contextures of the different compartments are in a dynamic interplay, with potential clinical impact. Here, we aimed to investigate the prognostic significance of peritumoral tertiary lymphoid structures (TLS) either alone or jointly with the intratumoral densities and spatial distribution of CD8 + and CD163 + cells in breast cancer (BCa) patients. TLS were identified peritumorally, within the area distancing up to 5 mm from the infiltrative tumor border, counted and further characterized as adjacent or distal, in formalin-fixed, paraffin-embedded tumor tissue samples from a cohort of 167 patients, with histologically confirmed invasive ductal BCa. TLS and tumor-infiltrating immune cells were determined by H&E and immunohistochemistry. Clinical follow-up was available for 112 of these patients. Patients with peritumoral TLS exhibited worse disease-free survival (DFS) and overall survival (OS) as compared to patients lacking TLS. Moreover, the density of peritumoral TLS was found to be crucial for prognosis, since patients with abundant TLS exhibited the worst DFS and OS. By combining the density of adjacent TLS (aTLS) with our recently published intratumoral signatures based on the differential distribution of CD8 + and CD163 + in the tumor center and invasive margin, we created two improved immune signatures with superior prognostic strength and higher patient population coverage. Our observations strengthen the notion for the fundamental role of the dynamic interplay between the immune cells within the tumor microenvironment (center/invasive margin) and the tumor surrounding area (peritumoral TLS) on the clinical outcome of BCa patients.
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pubmed, article, cancer, google, scholar, lymphoid, cas, tertiary, structures, central, breast, prognostic, immune, patients, cells, van, tumor, immunol, tls, data, research, fridman, study, analysis, significance, clinical, access, sautesfridman, immunology, immunotherapy, peritumoral, tumorinfiltrating, cell, structure, front, httpsdoiorgfimmu, res, clin, contributed, privacy, cookies, content, consent, manuscript, sofopoulos, fortis, perez, baxevanis, berger, httpsdoiorgs,
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t-cell infiltration month download article/chapter triple-negative breast cancer article cancer immunology immune cell infiltration bravo-san pedro jm structured tumor-immune microenvironment improved immune signatures greek–german bilateral cooperation tumor-infiltrating immune cells tumor-infiltrating lymphocyte subsets van lent-van vliet early-stage colorectal cancer dieu-nosjean mc early-stage colorectal cancers tumour-infiltrating lymphocytes full article pdf tertiary lymphoid tissue tumor surrounding area related subjects cd8 + tumor-infiltrating lymphocytes tertiary lymphoid structures operable breast cancer springer international publishing lymphoid organ development ectopic lymphoid structures privacy choices/manage cookies tertiary lymphoid organs immune contexture integrative prognostic analysis tumor immune microenvironment negative breast cancers primary cutaneous melanoma abundant tls exhibited human breast cancer high endothelial venules tumor-infiltrating lymphocyte central players demos medical publishing article sofopoulos tumor–infiltrating lymphocytes tumor-infiltrating lymphocytes higher tumor grade extra-tumoral areas tumour stage superior prognostic strength check access instant access van den eynde tumor progenitor cells
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- Colbeck EJ, Ager A, Gallimore A, Jones GW (2017) Tertiary lymphoid structures in cancer: drivers of antitumor immunity, immunosuppression, or bystander sentinels in disease?
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headline:The prognostic significance of peritumoral tertiary lymphoid structures in breast cancer
description:Tumors and their surrounding area represent spatially organized “ecosystems”, where tumor cells and the immune contextures of the different compartments are in a dynamic interplay, with potential clinical impact. Here, we aimed to investigate the prognostic significance of peritumoral tertiary lymphoid structures (TLS) either alone or jointly with the intratumoral densities and spatial distribution of CD8 + and CD163 + cells in breast cancer (BCa) patients. TLS were identified peritumorally, within the area distancing up to 5 mm from the infiltrative tumor border, counted and further characterized as adjacent or distal, in formalin-fixed, paraffin-embedded tumor tissue samples from a cohort of 167 patients, with histologically confirmed invasive ductal BCa. TLS and tumor-infiltrating immune cells were determined by H&E and immunohistochemistry. Clinical follow-up was available for 112 of these patients. Patients with peritumoral TLS exhibited worse disease-free survival (DFS) and overall survival (OS) as compared to patients lacking TLS. Moreover, the density of peritumoral TLS was found to be crucial for prognosis, since patients with abundant TLS exhibited the worst DFS and OS. By combining the density of adjacent TLS (aTLS) with our recently published intratumoral signatures based on the differential distribution of CD8 + and CD163 + in the tumor center and invasive margin, we created two improved immune signatures with superior prognostic strength and higher patient population coverage. Our observations strengthen the notion for the fundamental role of the dynamic interplay between the immune cells within the tumor microenvironment (center/invasive margin) and the tumor surrounding area (peritumoral TLS) on the clinical outcome of BCa patients.
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Tertiary lymphoid structure
Tumor infiltration
Immune contexture
Prognostic signatures
Oncology
Immunology
Cancer Research
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headline:The prognostic significance of peritumoral tertiary lymphoid structures in breast cancer
description:Tumors and their surrounding area represent spatially organized “ecosystems”, where tumor cells and the immune contextures of the different compartments are in a dynamic interplay, with potential clinical impact. Here, we aimed to investigate the prognostic significance of peritumoral tertiary lymphoid structures (TLS) either alone or jointly with the intratumoral densities and spatial distribution of CD8 + and CD163 + cells in breast cancer (BCa) patients. TLS were identified peritumorally, within the area distancing up to 5 mm from the infiltrative tumor border, counted and further characterized as adjacent or distal, in formalin-fixed, paraffin-embedded tumor tissue samples from a cohort of 167 patients, with histologically confirmed invasive ductal BCa. TLS and tumor-infiltrating immune cells were determined by H&E and immunohistochemistry. Clinical follow-up was available for 112 of these patients. Patients with peritumoral TLS exhibited worse disease-free survival (DFS) and overall survival (OS) as compared to patients lacking TLS. Moreover, the density of peritumoral TLS was found to be crucial for prognosis, since patients with abundant TLS exhibited the worst DFS and OS. By combining the density of adjacent TLS (aTLS) with our recently published intratumoral signatures based on the differential distribution of CD8 + and CD163 + in the tumor center and invasive margin, we created two improved immune signatures with superior prognostic strength and higher patient population coverage. Our observations strengthen the notion for the fundamental role of the dynamic interplay between the immune cells within the tumor microenvironment (center/invasive margin) and the tumor surrounding area (peritumoral TLS) on the clinical outcome of BCa patients.
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Tertiary lymphoid structure
Tumor infiltration
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Oncology
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Cancer Research
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