Tumor Immune-Infiltrate Landscape After Chemo-Radiotherapy in a Case Series of Patients with Non-small Cell Lung Cancer: Pretreatment Predictors and Correlation With Outcome.

chemo-radiotherapy immunotherapy locally advanced NSCLC platelet-to-lymphocyte ratio tumor immune microenvironment

Journal

The oncologist
ISSN: 1549-490X
Titre abrégé: Oncologist
Pays: England
ID NLM: 9607837

Informations de publication

Date de publication:
04 03 2022
Historique:
received: 19 08 2021
accepted: 28 10 2021
entrez: 31 5 2022
pubmed: 1 6 2022
medline: 3 6 2022
Statut: ppublish

Résumé

Data on tumor immune-milieu after chemo-radiation (CT-RT) are scarce. Noninvasive tools are needed to improve the treatment of non-small cell lung cancer (NSCLC), especially in the locally advanced (LA) setting. We collected a series of superior-sulcus (SS)- patients with NSCLC referred to our Institute (2015-2019), eligible for a preoperative CT-RT. We characterized tumor-infiltrating immune cells (TIICs), determined PD-L1-TPS and the residual viable tumor cells (RVTC). Radiological and metabolic responses were reviewed. We calculated pre-surgery neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR). Eight patients were included. Radiological responses were 6 disease stabilities (SD) and 2 partial responses (PR). Metabolic responses were 4 SD and 4 PR. CD68+-TIICs were correlated with metabolic response and lower RVTC. CD68+-TIICs were associated with higher PLR. Higher PLR values seemed linked with lower RVTC. These preliminary results could be useful for consolidation treatment selection for patients with LA-NSCLC without evaluable baseline PD-L1 and higher PLR values.

Identifiants

pubmed: 35641202
pii: 6518014
doi: 10.1093/oncolo/oyab047
pmc: PMC8895738
doi:

Substances chimiques

B7-H1 Antigen 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e199-e202

Informations de copyright

© The Author(s) 2022. Published by Oxford University Press.

Références

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Auteurs

Alberto Pavan (A)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.

Alessandra Ferro (A)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.
Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

Francesco Fortarezza (F)

Pathology Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University Hospital, Padova, Italy.

Marco Schiavon (M)

Thoracic Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University Hospital, Padova, Italy.

Laura Evangelista (L)

Nuclear Medicine Unit, Department of Medicine, Padova University Hospital, Padova, Italy.

Federica Pezzuto (F)

Pathology Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University Hospital, Padova, Italy.

Francesca Lunardi (F)

Pathology Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University Hospital, Padova, Italy.

Stefano Frega (S)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.

Laura Bonanno (L)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.

Federico Rea (F)

Thoracic Surgery Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University Hospital, Padova, Italy.

Valentina Guarneri (V)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.
Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

PierFranco Conte (P)

Medical Oncology 2, Istituto Oncologico Veneto IRCCS, Padova, Italy.
Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

Fiorella Calabrese (F)

Pathology Division, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padova University Hospital, Padova, Italy.

Giulia Pasello (G)

Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

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