CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma
Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+&...
Ausführliche Beschreibung
Autor*in: |
Andrea Katharina Lindner [verfasserIn] Agnieszka Martowicz [verfasserIn] Gerold Untergasser [verfasserIn] Johannes Haybaeck [verfasserIn] Eva Compérat [verfasserIn] Florian Kocher [verfasserIn] Andreas Seeber [verfasserIn] Martin Thurnher [verfasserIn] Renate Pichler [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Übergeordnetes Werk: |
In: Cancers - MDPI AG, 2010, 15(2023), 4, p 1001 |
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Übergeordnetes Werk: |
volume:15 ; year:2023 ; number:4, p 1001 |
Links: |
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DOI / URN: |
10.3390/cancers15041001 |
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Katalog-ID: |
DOAJ080992382 |
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520 | |a Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. | ||
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10.3390/cancers15041001 doi (DE-627)DOAJ080992382 (DE-599)DOAJ7aaba224bc5142c799f9dcbaa78dd73d DE-627 ger DE-627 rakwb eng RC254-282 Andrea Katharina Lindner verfasserin aut CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. CXCR3 expression chemokines renal cell carcinoma recurrence immunohistochemistry adjuvant immunotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Agnieszka Martowicz verfasserin aut Gerold Untergasser verfasserin aut Johannes Haybaeck verfasserin aut Eva Compérat verfasserin aut Florian Kocher verfasserin aut Andreas Seeber verfasserin aut Martin Thurnher verfasserin aut Renate Pichler verfasserin aut In Cancers MDPI AG, 2010 15(2023), 4, p 1001 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:15 year:2023 number:4, p 1001 https://doi.org/10.3390/cancers15041001 kostenfrei https://doaj.org/article/7aaba224bc5142c799f9dcbaa78dd73d kostenfrei https://www.mdpi.com/2072-6694/15/4/1001 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 4, p 1001 |
spelling |
10.3390/cancers15041001 doi (DE-627)DOAJ080992382 (DE-599)DOAJ7aaba224bc5142c799f9dcbaa78dd73d DE-627 ger DE-627 rakwb eng RC254-282 Andrea Katharina Lindner verfasserin aut CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. CXCR3 expression chemokines renal cell carcinoma recurrence immunohistochemistry adjuvant immunotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Agnieszka Martowicz verfasserin aut Gerold Untergasser verfasserin aut Johannes Haybaeck verfasserin aut Eva Compérat verfasserin aut Florian Kocher verfasserin aut Andreas Seeber verfasserin aut Martin Thurnher verfasserin aut Renate Pichler verfasserin aut In Cancers MDPI AG, 2010 15(2023), 4, p 1001 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:15 year:2023 number:4, p 1001 https://doi.org/10.3390/cancers15041001 kostenfrei https://doaj.org/article/7aaba224bc5142c799f9dcbaa78dd73d kostenfrei https://www.mdpi.com/2072-6694/15/4/1001 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 4, p 1001 |
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10.3390/cancers15041001 doi (DE-627)DOAJ080992382 (DE-599)DOAJ7aaba224bc5142c799f9dcbaa78dd73d DE-627 ger DE-627 rakwb eng RC254-282 Andrea Katharina Lindner verfasserin aut CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. CXCR3 expression chemokines renal cell carcinoma recurrence immunohistochemistry adjuvant immunotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Agnieszka Martowicz verfasserin aut Gerold Untergasser verfasserin aut Johannes Haybaeck verfasserin aut Eva Compérat verfasserin aut Florian Kocher verfasserin aut Andreas Seeber verfasserin aut Martin Thurnher verfasserin aut Renate Pichler verfasserin aut In Cancers MDPI AG, 2010 15(2023), 4, p 1001 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:15 year:2023 number:4, p 1001 https://doi.org/10.3390/cancers15041001 kostenfrei https://doaj.org/article/7aaba224bc5142c799f9dcbaa78dd73d kostenfrei https://www.mdpi.com/2072-6694/15/4/1001 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 4, p 1001 |
allfieldsGer |
10.3390/cancers15041001 doi (DE-627)DOAJ080992382 (DE-599)DOAJ7aaba224bc5142c799f9dcbaa78dd73d DE-627 ger DE-627 rakwb eng RC254-282 Andrea Katharina Lindner verfasserin aut CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. CXCR3 expression chemokines renal cell carcinoma recurrence immunohistochemistry adjuvant immunotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Agnieszka Martowicz verfasserin aut Gerold Untergasser verfasserin aut Johannes Haybaeck verfasserin aut Eva Compérat verfasserin aut Florian Kocher verfasserin aut Andreas Seeber verfasserin aut Martin Thurnher verfasserin aut Renate Pichler verfasserin aut In Cancers MDPI AG, 2010 15(2023), 4, p 1001 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:15 year:2023 number:4, p 1001 https://doi.org/10.3390/cancers15041001 kostenfrei https://doaj.org/article/7aaba224bc5142c799f9dcbaa78dd73d kostenfrei https://www.mdpi.com/2072-6694/15/4/1001 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 4, p 1001 |
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10.3390/cancers15041001 doi (DE-627)DOAJ080992382 (DE-599)DOAJ7aaba224bc5142c799f9dcbaa78dd73d DE-627 ger DE-627 rakwb eng RC254-282 Andrea Katharina Lindner verfasserin aut CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. CXCR3 expression chemokines renal cell carcinoma recurrence immunohistochemistry adjuvant immunotherapy Neoplasms. Tumors. Oncology. Including cancer and carcinogens Agnieszka Martowicz verfasserin aut Gerold Untergasser verfasserin aut Johannes Haybaeck verfasserin aut Eva Compérat verfasserin aut Florian Kocher verfasserin aut Andreas Seeber verfasserin aut Martin Thurnher verfasserin aut Renate Pichler verfasserin aut In Cancers MDPI AG, 2010 15(2023), 4, p 1001 (DE-627)614095670 (DE-600)2527080-1 20726694 nnns volume:15 year:2023 number:4, p 1001 https://doi.org/10.3390/cancers15041001 kostenfrei https://doaj.org/article/7aaba224bc5142c799f9dcbaa78dd73d kostenfrei https://www.mdpi.com/2072-6694/15/4/1001 kostenfrei https://doaj.org/toc/2072-6694 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 15 2023 4, p 1001 |
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CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma |
abstract |
Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. |
abstractGer |
Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. |
abstract_unstemmed |
Background: Surgery is the standard treatment in localized renal cell carcinoma (RCC). Pembrolizumab is now approved for adjuvant therapy in high-risk patients. However, inhomogeneity of studies gives ambiguity which patient benefit most from adjuvant therapy. A high infiltration of CD8<sup<+</sup< T cells is known to be linked with poor prognosis in RCC. CXCR3 is a key player of CD8<sup<+</sup< T cell differentiation and infiltration. We aimed to evaluate CXCR3 as a potential marker for predicting recurrence. Methods: CXCR3 and immune cell subsets (CD4, CD8, CD68 and FoXP3) were measured on RCC samples by multiplex immunofluorescence (mIF) staining. Cellular localization of CXCR3 was evaluated using single-cell RNA analysis on a publicly available dataset. Results: Tumor samples of 42 RCC patients were analyzed, from which 59.5% were classified as clear-cell RCC and of which 20 had recurrence. Single-cell RNA analysis revealed that <i<CXCR3</i< was predominantly expressed in intratumoral T cells and dendritic cells. CXCR3 expression was higher in advanced tumors stages (<i<p</i< = 0.0044) and grade (<i<p</i< = 0.0518), correlating significantly with a higher CD8<sup<+</sup< T cell expression (<i<p</i< < 0.001). Patients with CXCR3<sup<high</sup< RCCs had also a significant shorter RFS compared to CXCR3<sup<low</sup< (median: 78 vs. 147 months, <i<p</i< = 0.0213). In addition, also tumor stage pT3/4 (<i<p</i< < 0.0001) as well as grade G3/4 (<i<p</i< = 0.0008) negatively influenced RFS. Conclusion: CXCR3<sup<high</sup< cell density was associated with high T cell infiltration and advanced tumor stage, worsening RFS in surgically resected RCC patients. Beside its prognostic value, CXCR3 might be a predictive biomarker to guide therapy decision for adjuvant therapy in localized RCC. |
collection_details |
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title_short |
CXCR3 Expression Is Associated with Advanced Tumor Stage and Grade Influencing Survival after Surgery of Localised Renal Cell Carcinoma |
url |
https://doi.org/10.3390/cancers15041001 https://doaj.org/article/7aaba224bc5142c799f9dcbaa78dd73d https://www.mdpi.com/2072-6694/15/4/1001 https://doaj.org/toc/2072-6694 |
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Agnieszka Martowicz Gerold Untergasser Johannes Haybaeck Eva Compérat Florian Kocher Andreas Seeber Martin Thurnher Renate Pichler |
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Agnieszka Martowicz Gerold Untergasser Johannes Haybaeck Eva Compérat Florian Kocher Andreas Seeber Martin Thurnher Renate Pichler |
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up_date |
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