The Adaptive Immune Landscape of the Colorectal Adenoma–Carcinoma Sequence
Autor: | Fabiana Sousa, Sara Miranda, João Freitas, José Carlos Machado, Carlos Resende, Cecília Durães, Louisa Spaans, Manuela Baptista, José Luis Costa, Lídia Pinho, Diogo Garcia, Dina Leitão, Irene Gullo, Fátima Carneiro, Joana Reis |
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Rok vydání: | 2021 |
Předmět: |
CD4-Positive T-Lymphocytes
Male CD3 Complex Cell Count Tumor initiation Adaptive Immunity CD8-Positive T-Lymphocytes immunogenicity PD-L1 expression B7-H1 Antigen CD57 Antigens Tumor Microenvironment Biology (General) Spectroscopy Aged 80 and over colorectal adenoma tumor immune microenvironment FOXP3 Forkhead Transcription Factors APC germline alterations General Medicine Middle Aged Computer Science Applications Gene Expression Regulation Neoplastic Chemistry colorectal adenocarcinoma Adenomatous Polyposis Coli Colorectal Neoplasms Adult congenital hereditary and neonatal diseases and abnormalities QH301-705.5 chemical and pharmacologic phenomena Context (language use) Colorectal adenoma Adenocarcinoma Article Catalysis Familial adenomatous polyposis Inorganic Chemistry Immune system familial adenomatous polyposis Biomarkers Tumor medicine Humans Cell Lineage Physical and Theoretical Chemistry QD1-999 Molecular Biology Aged Tumor microenvironment business.industry Organic Chemistry medicine.disease digestive system diseases Dysplasia Cancer research business |
Zdroj: | International Journal of Molecular Sciences Volume 22 Issue 18 International Journal of Molecular Sciences, Vol 22, Iss 9791, p 9791 (2021) |
ISSN: | 1422-0067 |
DOI: | 10.3390/ijms22189791 |
Popis: | Background. The tumor immune microenvironment exerts a pivotal influence in tumor initiation and progression. The aim of this study was to analyze the immune context of sporadic and familial adenomatous polyposis (FAP) lesions along the colorectal adenoma–carcinoma sequence (ACS). Methods. We analyzed immune cell counts (CD3+, CD4+, CD8+, Foxp3+, and CD57+), tumor mutation burden (TMB), MHC-I expression and PD-L1 expression of 59 FAP and 74 sporadic colorectal lesions, encompassing adenomas with low-grade dysplasia (LGD) (30 FAP 30 sporadic), adenomas with high-grade dysplasia (22 FAP 30 sporadic), and invasive adenocarcinomas (7 FAP 14 sporadic). Results. The sporadic colorectal ACS was characterized by (1) a stepwise decrease in immune cell counts, (2) an increase in TMB and MHC-I expression, and (3) a lower PD-L1 expression. In FAP lesions, we observed the same patterns, except for an increase in TMB along the ACS. FAP LGD lesions harbored lower Foxp3+ T cell counts than sporadic LGD lesions. A decrease in PD-L1 expression occurred earlier in FAP lesions compared to sporadic ones. Conclusions. The colorectal ACS is characterized by a progressive loss of adaptive immune infiltrate and by the establishment of a progressively immune cold microenvironment. These changes do not appear to be related with the loss of immunogenicity of tumor cells, or to the onset of an immunosuppressive tumor microenvironment. |
Databáze: | OpenAIRE |
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