肿瘤相关巨噬细胞与新疆哈萨克族食管鳞癌的相关性分析

Correlation between tumor-associated macrophages and the occurrence and development of Kazakh esophageal squamous cell carcinoma in Xinjiang

目的初步探讨肿瘤相关巨噬细胞与哈萨克族(哈族)食管鳞癌发生和发展的相关性。方法收集200例食管鳞癌、癌旁正常组织及样本临床病理学资料。以CD68为分子标记物,运用免疫组织化学方法检测哈族食管鳞癌和癌旁正常组织中肿瘤相关巨噬细胞的分布,通过计数肿瘤相关巨噬细胞数目来量化肿瘤相关巨噬细胞在肿瘤(癌巢和间质部位)以及癌旁正常组织(上皮和间质部位)的分布及密度。同时结合临床病理资料及患者预后情况,分析高密度的肿瘤相关巨噬细胞是否与哈族食管鳞癌发生和发展及不良预后具有相关性。结果 (1)哈族食管组织癌巢及间质中CD68阳性的肿瘤相关巨噬细胞的密度明显高于癌旁正常组织(P均<0.05);(2)哈族食管鳞癌癌巢中的肿瘤相关巨噬细胞密度与哈族食管鳞癌淋巴结转移和临床病理分期(晚期)具有明显的正相关性(P<0.05),而这种相关性更明显的体现在哈族食管鳞癌间质中的肿瘤相关巨噬细胞与肿瘤淋巴结转移和临床病理分期(晚期)之间(P<0.001);(3)通过生存分析发现在哈族食管鳞癌癌巢中高密度CD68阳性肿瘤相关巨噬细胞的分布与患者的不良预后密切相关(P<0.05)。结论高密度肿瘤相关巨噬细胞可促进新疆哈萨克族食管鳞癌的发生发展,且可作为哈萨克族食管鳞癌的不良预后因素。

Objective To investigate the correlation between tumor-associated macrophages(TAMs)and the occurrence and progression of Kazakh esophageal squamous cell carcinoma.Methods We collected 200 cases of esophageal squamous cell carcinoma(ESCC),cancer adjacent normal(CAN)tissues and clinical pathological data of the specimens.CD68 was used as the TAM marker,and immunohistochemistry(IHC)counts were used to detect the distribution of TAMs and quantify the density of TAMs in tumor nest/epithelial and surrounding stroma.At the same time,by combining with clinical pathological data and the patients' prognosis,we analyzed whether the high density of TAMs distribution was associated with the occurrence and development of Kazakh ESCC and the patients' poor prognosis.Results(1) The density of TAMs in the tumor nests and stroma was significantly higher than that in CAN tissues(P<0.05).(2) The density of TAMs in tumor nest had a significant positive correlation with lymph node metastasis and clinical pathological stage(advanced)in Kazakh ESCC(P<0.05),and this correlation was more evident between the density of TAMs in tumor stroma and lymph node metastasis and clinical pathological stage(advanced)(P<0.001).(3) The survival analysis found that the high density of CD68-positive TAMs in cancer nest showed a positive correlation with poor prognosis of ESCC(P<0.05).Conclusion High density of TAMs can promote the occurrence and development of Kazakh ESCC in Xinjiang and can be used as a poor prognostic factor for ESCC in Kazakh population.