Impact of tumour stroma-immune interactions on survival prognosis and response to neoadjuvant chemotherapy in bladder cancerResearch in context

Autor: Libo Liu, Longhao Xu, Daqin Wu, Yingying Zhu, Xiaoyang Li, Chunru Xu, Ke Chen, Yi Lin, Jianwen Lao, Peicong Cai, Xuesong Li, Yun Luo, Xiang Li, Jian Huang, Tianxin Lin, Wenlong Zhong
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: EBioMedicine, Vol 104, Iss , Pp 105152- (2024)
Druh dokumentu: article
ISSN: 2352-3964
DOI: 10.1016/j.ebiom.2024.105152
Popis: Summary: Background: The tumour stroma is associated with unfavourable prognosis in diverse solid tumours, but its prognostic and predictive value in bladder cancer (BCa) is unclear. Methods: In this multicentre, retrospective study, we included 830 patients with BCa from six independent cohorts. Differences in overall survival (OS) and cancer-specific survival (CSS) were investigated between high-tumour stroma ratio (TSR) and low-TSR groups. Multi-omics analyses, including RNA sequencing, immunohistochemistry, and single-cell RNA sequencing, were performed to study stroma-immune interactions. TSR prediction models were developed based on pelvic CT scans, and the best performing model was selected based on receiver operator characteristic analysis. Findings: Compared to low-TSR tumours, high-TSR tumours were significantly associated with worse OS (HR = 1.193, 95% CI: 1.046–1.361, P = 0.008) and CSS (HR = 1.337, 95% CI: 1.139–1.569, P
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