4.0 Article

Density of Tumor-Infiltrating FOXP3+T Cells as a Response Marker for Induction Chemoradiotherapy and a Potential Prognostic Factor in Patients Treated with Trimodality Therapy for Locally Advanced Non-Small Cell Lung Cancer

Journal

ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY
Volume 20, Issue 6, Pages 980-986

Publisher

MEDICAL TRIBUNE INC
DOI: 10.5761/atcs.oa.13-00237

Keywords

non-small cell lung cancer (NSCLC); induction chemoradiotherapy; tumor-infiltrating T cell; regulatory T cell (Treg); FOXP3

Ask authors/readers for more resources

Purpose: To examine the relationship between the density of tumor-infiltrating T cell sub-populations and the pathological response to induction chemoradiotherapy (CRT) in patients with locally advanced NSCLC, and to assess the impact of T cell density on patient prognosis. Methods: A total of 64 patients with c-stages IIA-IIIB NSCLC who underwent induction CRT followed by R0 surgery were enrolled. Tumor-infiltrating T cells expressing either FOXP3 or CD8 were detected by immunohistochemical staining. Results: Mean numbers of tumor-infiltrating FOXP3+ T cells were 39.9 for patients with minor pathological responses (n = 9), 18.4 for those with major pathological responses (n = 25), and 12.9 for those with complete pathological responses (n = 30; P < 0.001). The number of CD8+ T cells was not associated with pathological responses. Patients with lower FOXP3+ T cell densities showed better survival, although the difference was not statistically significant. Conclusion: Our study demonstrated that the density of tumor-infiltrating FOXP3+ T cells indicated the degree of response for induction CRT and prognosis in patients treated with trimodality therapy for locally advanced NSCLC, suggesting that FOXP3+ T cells may be target for adjunct immunotherapy.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.0
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Oncology

Salvage surgery after definitive chemoradiotherapy for patients with non-small cell lung cancer

Akira Hamada, Junichi Soh, Tetsuya Mitsudomi

Summary: Salvage surgery can be considered as an effective treatment option for patients with locally advanced lung cancer, especially for those with late local recurrence or significant metabolic response. In certain conditions, the accumulation of real-world evidence may be necessary for further evaluation, as phase III trials are often difficult to conduct.

TRANSLATIONAL LUNG CANCER RESEARCH (2021)

Article Oncology

Frequent EGFR Mutations and Better Prognosis in Positron Emission Tomography-Negative Solid Cancer

Kenichi Suda, Shuta Ohara, Toshio Fujino, Akira Hamada, Masato Chiba, Masaki Shimoji, Toshiki Takemoto, Junichi Soh, Tetsuya Mitsudomi

Summary: PET-negative, solid-type lung cancers are rare subgroup of lung cancers with better prognosis and frequent EGFR mutation.

CLINICAL LUNG CANCER (2022)

Article Oncology

Intra-tumor and Inter-tumor Heterogeneity in MET Exon 14 Skipping Mutations and Co-mutations in Pulmonary Pleomorphic Carcinomas

Toshio Fujino, Kenichi Suda, Kazuko Sakai, Isao Murakami, Shigeki Shimizu, Shuta Ohara, Takamasa Koga, Akira Hamada, Junichi Soh, Kazuto Nishio, Tetsuya Mitsudomi

Summary: The efficacy of MET-TKI monotherapy for NSCLC with MET exon 14 skipping mutations is unsatisfactory. Heterogeneity in co-occurring genetic alterations, rather than heterogeneity in MET exon 14 skipping mutation status, may affect the efficacy of MET-TKIs. Evaluating the therapeutic implications of intertumor and intratumor heterogeneity is important for future studies.

CLINICAL LUNG CANCER (2022)

Article Oncology

Survival and prognostic factors in patients undergoing pulmonary metastasectomy for lung metastases from retroperitoneal sarcoma

Fumiaki Takatsu, Hiromasa Yamamoto, Yasuaki Tomioka, Shin Tanaka, Kazuhiko Shien, Ken Suzawa, Kentaroh Miyoshi, Shinji Otani, Mikio Okazaki, Seiichiro Sugimoto, Masaomi Yamane, Katsuhito Takahashi, Shinichi Toyooka

Summary: This study retrospectively analyzed patients with retroperitoneal sarcoma metastasized to the lungs and found that age, disease-free interval, and size of metastasis were associated with prognosis. Pulmonary metastasectomy can be an effective management strategy for these patients.

WORLD JOURNAL OF SURGICAL ONCOLOGY (2022)

Article Multidisciplinary Sciences

One-step nucleic acid amplification for intraoperative diagnosis of lymph node metastasis in lung cancer patients: a single-center prospective study

Kei Namba, Ken Suzawa, Kazuhiko Shien, Akihiro Miura, Yuta Takahashi, Shunsaku Miyauchi, Kota Araki, Kentaro Nakata, Shuta Tomida, Shin Tanaka, Kentaroh Miyoshi, Shinji Otani, Hiromasa Yamamoto, Mikio Okazaki, Seiichiro Sugimoto, Junichi Soh, Masaomi Yamane, Shinichi Toyooka

Summary: This study demonstrates that the one-step nucleic acid amplification (OSNA) technique can be applied for intraoperative lymph node metastasis diagnosis in non-small cell lung cancer, with high sensitivity and specificity.

SCIENTIFIC REPORTS (2022)

Article Oncology

Drug repositioning of tranilast to sensitize a cancer therapy by targeting cancer-associated fibroblast

Kosuke Ochi, Ken Suzawa, Yin Min Thu, Fumiaki Takatsu, Shimpei Tsudaka, Yidan Zhu, Kentaro Nakata, Tatsuaki Takeda, Kazuhiko Shien, Hiromasa Yamamoto, Mikio Okazaki, Seiichiro Sugimoto, Tadahiko Shien, Yoshiharu Okamoto, Shuta Tomida, Shinichi Toyooka

Summary: This study found that tranilast can inhibit the interaction between non-small cell lung cancer cells and cancer-associated fibroblasts (CAFs) in the tumor microenvironment, thereby reversing the drug resistance of cancer cells.

CANCER SCIENCE (2022)

Article Health Care Sciences & Services

Robotic Mediastinal Tumor Resections: Position and Port Placement

Mikio Okazaki, Kazuhiko Shien, Ken Suzawa, Seiichiro Sugimoto, Shinichi Toyooka

Summary: This study describes the optimal position and port placement during robotic resection for various mediastinal tumors. The choice of approach should be based on the size, location, and aggressiveness of the tumor.

JOURNAL OF PERSONALIZED MEDICINE (2022)

Article Surgery

Donor's long-term quality of life following living-donor lobar lung transplantation

Kento Fujii, Shin Tanaka, Megumi Ishihara, Kei Matsubara, Kohei Hashimoto, Shuji Okahara, Kazuhiko Shien, Ken Suzawa, Kentaroh Miyoshi, Shinji Otani, Hiromasa Yamamoto, Mikio Okazaki, Seiichiro Sugimoto, Masaomi Yamane, Shinichi Toyooka

Summary: Living lung donors have a satisfactory long-term health-related quality of life after surgery, although some donors experience poorer physical, mental, and social health. Factors such as donor and recipient age, lung allocation score, and recipient death can affect the mental and social health of the donors. The study emphasizes the importance of informing potential donors about relevant risk factors and providing appropriate support for high-risk donors.

CLINICAL TRANSPLANTATION (2023)

Article Biotechnology & Applied Microbiology

Functional Blockage of S100A8/A9 Ameliorates Ischemia-Reperfusion Injury in the Lung

Kentaro Nakata, Mikio Okazaki, Tomohisa Sakaue, Rie Kinoshita, Yuhei Komoda, Dai Shimizu, Haruchika Yamamoto, Shin Tanaka, Ken Suzawa, Kazuhiko Shien, Kentaroh Miyoshi, Hiromasa Yamamoto, Toshiaki Ohara, Seiichiro Sugimoto, Masaomi Yamane, Akihiro Matsukawa, Masakiyo Sakaguchi, Shinichi Toyooka

Summary: This study identified neutrophil-derived S100A8/A9 as a key factor in lung IR injury and identified it as a novel therapeutic target for lung IR injury. The use of anti-S100A8/A9 antibodies significantly improved IR injury.

BIOENGINEERING-BASEL (2022)

Article Oncology

EGFR Mutation is a Prognostic Factor in Lung Cancer Patients with Pleural Dissemination Detected During or After Surgery

Toshiya Fujiwara, Kazuhiko Shien, Motoki Matsuura, Junichi Soh, Hiromasa Yamamoto, Soshi Takao, Yuho Maki, Tsuyoshi Ueno, Ryujiro Sugimoto, Ken Suzawa, Mikio Okazaki, Hiroyuki Tao, Makio Hayama, Masafumi Kataoka, Yoshifumi Sano, Hidetoshi Inokawa, Motohiro Yamashita, Osamu Kawamata, Kazuhiko Kataoka, Shinichi Toyooka

Summary: This study found that surgical resection of primary tumors improved the prognosis of patients with non-small cell lung cancer (NSCLC) when pleural dissemination (PD) or malignant pleural effusion (MPE) existed, especially when the tumors harbored an EGFR mutation.

ANNALS OF SURGICAL ONCOLOGY (2023)

Article Multidisciplinary Sciences

Diagnostic value of circulating microRNA-21 in chronic lung allograft dysfunction after bilateral cadaveric and living-donor lobar lung transplantation*

Toshio Shiotani, Seiichiro Sugimoto, Yasuaki Tomioka, Haruchika Yamamoto, Shin Tanaka, Kentaroh Miyoshi, Ken Suzawa, Kazuhiko Shien, Hiromasa Yamamoto, Mikio Okazaki, Shinichi Toyooka

Summary: miR-21 in the bloodstream shows potential value in diagnosing CLAD after bilateral LT.

HELIYON (2023)

Editorial Material Oncology

EGFR Mutation is a Prognostic Factor in Lung Cancer Patients with Pleural Dissemination Detected During or After Surgery

Toshiya Fujiwara, Kazuhiko Shien, Motoki Matsuura, Junichi Soh, Hiromasa Yamamoto, Soshi Takao, Yuho Maki, Tsuyoshi Ueno, Ryujiro Sugimoto, Ken Suzawa, Mikio Okazaki, Hiroyuki Tao, Makio Hayama, Masafumi Kataoka, Yoshifumi Sano, Hidetoshi Inokawa, Motohiro Yamashita, Osamu Kawamata, Kazuhiko Kataoka, Shinichi Toyooka

ANNALS OF SURGICAL ONCOLOGY (2023)

Article Cardiac & Cardiovascular Systems

Surgical outcome of ipsilateral anatomical resection for lung cancer after pulmonary lobectomy

Mikio Okazaki, Ken Suzawa, Kazuhiko Shien, Hiromasa Yamamoto, Kota Araki, Mototsugu Watanabe, Masanori Okada, Yuho Maki, Tsuyoshi Ueno, Shinji Otani, Ryujiro Sugimoto, Hitoshi Nishikawa, Riki Okita, Makio Hayama, Hiroyuki Tao, Toshiya Fujiwara, Hidetoshi Inokawa, Yuji Hirami, Yoshifumi Sano, Motohiro Yamashita, Osamu Kawamata, Motoki Matsuura, Shinichi Toyooka

Summary: We retrospectively examined the surgical outcome and prognosis of ipsilateral anatomical resection for lung cancer after pulmonary lobectomy using a multicentre database. The 5-year overall survival rate after anatomical resection followed by ipsilateral lobectomy is comparable to that in patients who underwent anatomical resection without prior pulmonary lobectomy, but with a higher frequency of intraoperative and postoperative complications.

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY (2023)

Article Cardiac & Cardiovascular Systems

Limited resection for stage IA radiologically invasive lung cancer: a real-world nationwide database study

Junichi Soh, Shinichi Toyooka, Yasushi Shintani, Jiro Okami, Hiroyuki Ito, Takashi Ohtsuka, Takeshi Morig, Shun-Ichi Watanabe, Hisao Asamura, Masayuki Chida, Shunsuke Endo, Ryoichi Nakanishi, Mitsutaka Kadokure, Hidemi Suzuki, Etsuo Miyaoka, Ichiro Yoshinon, And Hiroshi Date

Summary: This study investigated the prognostic validity of limited resection in patients with radiologically invasive lung cancer. The results showed that segmentectomy can have an equivalent prognosis to lobectomy in certain cases.

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY (2022)

No Data Available