Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients

Abstract Cellular subpopulations within the colorectal tumor microenvironment (TME) include CD3+ and CD8+ lymphocytes, CD68+ and CD163+ macrophages, and tumor buds (TBs), all of which have known prognostic significance in stage II colorectal cancer. However, the prognostic relevance of their spatial...

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Autores principales: Ines P. Nearchou, Bethany M. Gwyther, Elena C. T. Georgiakakis, Christos G. Gavriel, Kate Lillard, Yoshiki Kajiwara, Hideki Ueno, David J. Harrison, Peter D. Caie
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/b091618682f248ec9f3158fc6819a836
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spelling oai:doaj.org-article:b091618682f248ec9f3158fc6819a8362021-12-02T15:42:59ZSpatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients10.1038/s41746-020-0275-x2398-6352https://doaj.org/article/b091618682f248ec9f3158fc6819a8362020-05-01T00:00:00Zhttps://doi.org/10.1038/s41746-020-0275-xhttps://doaj.org/toc/2398-6352Abstract Cellular subpopulations within the colorectal tumor microenvironment (TME) include CD3+ and CD8+ lymphocytes, CD68+ and CD163+ macrophages, and tumor buds (TBs), all of which have known prognostic significance in stage II colorectal cancer. However, the prognostic relevance of their spatial interactions remains unknown. Here, by applying automated image analysis and machine learning approaches, we evaluate the prognostic significance of these cellular subpopulations and their spatial interactions. Resultant data, from a training cohort retrospectively collated from Edinburgh, UK hospitals (n = 113), were used to create a combinatorial prognostic model, which identified a subpopulation of patients who exhibit 100% survival over a 5-year follow-up period. The combinatorial model integrated lymphocytic infiltration, the number of lymphocytes within 50-μm proximity to TBs, and the CD68+/CD163+ macrophage ratio. This finding was confirmed on an independent validation cohort, which included patients treated in Japan and Scotland (n = 117). This work shows that by analyzing multiple cellular subpopulations from the complex TME, it is possible to identify patients for whom surgical resection alone may be curative.Ines P. NearchouBethany M. GwytherElena C. T. GeorgiakakisChristos G. GavrielKate LillardYoshiki KajiwaraHideki UenoDavid J. HarrisonPeter D. CaieNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 3, Iss 1, Pp 1-10 (2020)
institution DOAJ
collection DOAJ
language EN
topic Computer applications to medicine. Medical informatics
R858-859.7
spellingShingle Computer applications to medicine. Medical informatics
R858-859.7
Ines P. Nearchou
Bethany M. Gwyther
Elena C. T. Georgiakakis
Christos G. Gavriel
Kate Lillard
Yoshiki Kajiwara
Hideki Ueno
David J. Harrison
Peter D. Caie
Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients
description Abstract Cellular subpopulations within the colorectal tumor microenvironment (TME) include CD3+ and CD8+ lymphocytes, CD68+ and CD163+ macrophages, and tumor buds (TBs), all of which have known prognostic significance in stage II colorectal cancer. However, the prognostic relevance of their spatial interactions remains unknown. Here, by applying automated image analysis and machine learning approaches, we evaluate the prognostic significance of these cellular subpopulations and their spatial interactions. Resultant data, from a training cohort retrospectively collated from Edinburgh, UK hospitals (n = 113), were used to create a combinatorial prognostic model, which identified a subpopulation of patients who exhibit 100% survival over a 5-year follow-up period. The combinatorial model integrated lymphocytic infiltration, the number of lymphocytes within 50-μm proximity to TBs, and the CD68+/CD163+ macrophage ratio. This finding was confirmed on an independent validation cohort, which included patients treated in Japan and Scotland (n = 117). This work shows that by analyzing multiple cellular subpopulations from the complex TME, it is possible to identify patients for whom surgical resection alone may be curative.
format article
author Ines P. Nearchou
Bethany M. Gwyther
Elena C. T. Georgiakakis
Christos G. Gavriel
Kate Lillard
Yoshiki Kajiwara
Hideki Ueno
David J. Harrison
Peter D. Caie
author_facet Ines P. Nearchou
Bethany M. Gwyther
Elena C. T. Georgiakakis
Christos G. Gavriel
Kate Lillard
Yoshiki Kajiwara
Hideki Ueno
David J. Harrison
Peter D. Caie
author_sort Ines P. Nearchou
title Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients
title_short Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients
title_full Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients
title_fullStr Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients
title_full_unstemmed Spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage II patients
title_sort spatial immune profiling of the colorectal tumor microenvironment predicts good outcome in stage ii patients
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/b091618682f248ec9f3158fc6819a836
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