دورية أكاديمية
Tumor Microenvironment before and after Chemoradiation in Locally Advanced Rectal Cancer: Beyond PD-L1.
العنوان: | Tumor Microenvironment before and after Chemoradiation in Locally Advanced Rectal Cancer: Beyond PD-L1. |
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المؤلفون: | Tayshetye P; Department of Hematology-Oncology, Allegheny Health Network, Pittsburgh, PA 15212, USA., Friday AJ; Department of Medical Oncology, Allegheny General Hospital, Pittsburgh, PA 15212, USA., Omstead AN; Esophageal and Lung Institute, Allegheny Health Network, Pittsburgh, PA 15212, USA., Verma T; Department of Pathology and Laboratory Medicine, Allegheny Health Network, Pittsburgh, PA 15212, USA., Miller S; Department of Pathology and Laboratory Medicine, Allegheny Health Network, Pittsburgh, PA 15212, USA., Zheng P; Esophageal and Lung Institute, Allegheny Health Network, Pittsburgh, PA 15212, USA., Jani P; Hematology and Oncology, Northeast Cancer Centre, Sudbury, ON P3E 5J1, Canada., Zaidi A; Esophageal and Lung Institute, Allegheny Health Network, Pittsburgh, PA 15212, USA., Finley G; Department of Medical Oncology, Allegheny General Hospital, Pittsburgh, PA 15212, USA. |
المصدر: | Cancers [Cancers (Basel)] 2022 Dec 31; Vol. 15 (1). Date of Electronic Publication: 2022 Dec 31. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Basel, Switzerland : MDPI |
مستخلص: | Background: In locally advanced rectal cancer treatment, neoadjuvant concurrent chemoradiation therapy (cCRT) is the standard of care. The tumor microenvironment (TME) is a complex entity comprising of tumor cells, immune cells and surrounding stroma and is closely associated with tumor growth and survival, response to antitumor therapies and also resistance to treatment. We aimed to assess the change in biomarkers associated with TME following standard neoadjuvant cCRT in rectal cancer. Methods: We accessed archival tissue from rectal cancer patients treated with neoadjuvant cCRT at Allegheny Health Network (AHN) facilities over the past 14 years. Pre-treatment and post-treatment biopsies were assayed for PD-L1, CD8+ T-cells, CXCL9, TIM-3, IDO-1, IFN-G, IL17RE, LAG-3, and OX40 in 41 patients. Results: We found statistically significant upregulation in multiple biomarkers namely CD8, IL17RE, LAG3 and OX40 post neoadjuvant cCRT and a trend towards upregulation, although not statistically significant, in biomarkers PD-L1, CXCL9, TIM-3, IDO-1 and IFN-G expression. Conclusions: This provides a glimpse into the TME before and after neoadjuvant cCRT. We suggest that the biomarkers noted to be upregulated could be used for designing appropriate clinical trials and development of therapeutic targeted drug therapy in an effort to achieve better response to neoadjuvant therapy, increasing clinical and pathological complete response rates and improved overall outcomes. |
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فهرسة مساهمة: | Keywords: biomarker; chemoradiation; immunotherapy; neoadjuvant; rectal cancer; tumor microenvironment |
تواريخ الأحداث: | Date Created: 20230108 Latest Revision: 20230111 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC9818440 |
DOI: | 10.3390/cancers15010276 |
PMID: | 36612271 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2072-6694 |
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DOI: | 10.3390/cancers15010276 |