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High CD3D/CD4 ratio predicts better survival in muscle-invasive bladder cancer

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单位: [1]Institut Curie, PSL Research University,CNRS, UMR 144, Paris F-75005, France [2]Department of Urology, Beijing Friendship Hospital, Capital MedicalUniveristy , Beijing, 430071, People’s Republic of China [3]Hubei Key Laboratory of Agricultural Bioinformatics, College of Informatics,Huazhong Agricultural University, Wuhan 430070, People’s Republic of China [4]Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan,430071, People’s Republic of China [5]Department of Oncology, Zhongnan Hospital of Wuhan University, Wuhan430071, People’s Republic of China
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关键词: bladder cancer muscle-invasive tumor-infiltrating lymphocytes CD3 CD4 CD8 prognosis immunotherapy basal-squamous subtype

摘要:
Background: Bladder cancer is a common malignancy that affects the human urinary tract. Muscle-invasive bladder cancer (MIBC) is aggressive and has poor prognosis. Previous studies have reported that the tumor-infiltrating lymphocytes (TILs) were associated with MIBC outcome; however, inconsistency remains and mRNA level TIL markers' prognostic significance in MIBC is unclear. Materials and methods: In the present study, we reanalyzed data from four public datasets (the Cancer Genome Atlas for investigation; and CIT, GSE5287, and GSE31684 for validation) to examine the prognostic significance of CD3D, CD4, CD8A, CD3D/CD4 and CD3D/CD8A in MIBC. Results: We found that the CD3D/CD4 ratio was a stable independent prognostic factor in MIBC (beta = -0.87, P = 0.025); high CD3D/CD4 ratio predicted better survival in MIBC, and the power of this association was much stronger in basal-squamous tumors (beta = -4.73, P = 2.67E-06). We also noted that the CD4 expression was significantly higher than CD3D (P < 0.05), indicating the presence of CD3(-)CD4(+) cells which could be immune-suppressing. Conclusion: The CD3D/CD4 ratio can be viewed as a prognostic marker and a rough measurement for the interaction between immune-effecting CD3(+) TILs and immune-suppressing CD3(-)CD4(+) cells in MIBC, and this interaction may play a particularly important role in anti-cancer immunity in basal-squamous tumors as it has a very strong association with survival in this subtype, and may be used to select potential responders to immunotherapy.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 3 区 肿瘤学
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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出版当年[2017]版:
Q2 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2017版] 出版当年五年平均[2013-2017] 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Institut Curie, PSL Research University,CNRS, UMR 144, Paris F-75005, France [2]Department of Urology, Beijing Friendship Hospital, Capital MedicalUniveristy , Beijing, 430071, People’s Republic of China
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通讯机构: [3]Hubei Key Laboratory of Agricultural Bioinformatics, College of Informatics,Huazhong Agricultural University, Wuhan 430070, People’s Republic of China [4]Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan,430071, People’s Republic of China [5]Department of Oncology, Zhongnan Hospital of Wuhan University, Wuhan430071, People’s Republic of China [*1]Department of Oncology, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan 430071, People’s Republic of China [*2]Department of Urology, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuhan 430071, People’s Republic of China
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