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MZB1 in borderline resectable pancreatic cancer resected after neoadjuvant chemoradiotherapy. | LitMetric

AI Article Synopsis

Article Abstract

Background: A high accumulation of CD8 tumor-infiltrating lymphocytes (TILs) induced by neoadjuvant chemoradiotherapy (NACRT) is associated with a favorable prognosis in patients with pancreatic ductal adenocarcinoma (PDAC). However, the correlation between a high accumulation of CD8 TILs and a favorable prognosis has yet to be fully clarified. The aim of this study was to determine predictive markers of a high accumulation of CD8 TILs, with a favorable prognosis, using proteomic analysis.

Materials And Methods: We studied 72 resected borderline resectable PDAC patients treated with NACRT between April 2009 and March 2014. Three matched pairs of high CD8 TIL patients with a favorable prognosis and low CD8 TIL patients with a poor prognosis were selected. Shotgun proteomics of the stroma and cancerous lesion was performed using formalin-fixed, paraffin-embedded tissue. Validation of the identified proteins was performed using immunohistochemical staining. Relationships between the identified proteins and TILs and clinical outcomes were assessed.

Results: Marginal zone B- and B1-cell-specific protein (MZB1) was detected in the tumor stroma. MZB1 expression was positively correlated with a high accumulation of CD8 TILs. High stromal MZB1 expression also correlated with disease-free and overall survival. In a subgroup analysis of CD8 expression, there was a significant association between stromal MZB1 expression and disease-free and overall survival in the high CD8 TIL group.

Conclusions: MZB1 is a potential marker of a high accumulation of CD8 TILs in borderline resectable PDACs resected after NACRT. Combination of CD8 TILs with MZB1 may be a new biomarker of resected cases after NACRT.

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http://dx.doi.org/10.1016/j.jss.2017.07.003DOI Listing

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