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Mast cell phenotypes and microvessels in non‐small cell lung cancer and its prognostic significance
Abstract
The impact of interstitial inflammatory cells, such as mast cells, and angiogenesis on the prognosis of cancer patients has been reported in many solid tumors, although there is disagreement about their role. We undertook a retrospective study with tissue samples from 65 patients with stage I and II non-small cell lung cancer to assess the clinical pathologic role and prognostic significance of mast cells. Mast cell phenotypes were identified by immunohistochemistry for tryptase and chymase. In addition, we identified microvessels using the endothelial marker CD34. Mast cell and microvessel density was quantified by assessing immunopositive cells in the intratumoral and peritumoral zones of tumor specimens. Both mast cell and microvessel density was higher in the peritumoral zone than the intratumoral zone (P <or= .05). A positive correlation between mast cell (tryptase-chymase phenotype) and microvessel densities was observed in the intratumoral zone (P <or= .05), supporting the involvement of mast cells in the angiogenic process. Regarding survival, a subset of stage I patients had a worse prognosis at five years when low mast cell (tryptase-chymase phenotype) density was found in the peritumoral zone (median survival in months [range]: 27 [1-60] versus 46 [1-60]). Multivariate Cox analysis indicated that this parameter may be an independent prognostic factor (P <or= .05) useful for selecting candidates for earlier treatment.
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“In clinical and experimental studies alike, mast cells have been associated with both, beneficial and detrimental outcomes. This is true often even for the same tumor types, including pancreatic, 217 , 218 lung, 219 , 220 colorectal 221 , 222 and prostate cancer 223 , 224 , 225 as well as melanoma. 220 , 226 , 227 , 228 , 229 , 230 Other reports concluded they have no role at all. 231 , 232 , 233”
From Mast cell ontogeny: From fetal development to life‐long health and disease (2023) · cites this paper as [219]
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“For example, when inducing squamous epithelial carcinogenesis in these mice, neoplastic growth was attenuated in comparison to MCproficient littermates, mostly by a lower activation of the angiogenic vasculature and a failure of keratinocytes to reach hyperproliferative growth characteristics [32].”
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Cited by
Sorted by citations
Mast cell ontogeny: From fetal development to life‐long health and disease
Chia, S. L., Kapoor, S., Carvalho, C., Bajénoff, M., & Gentek, R. (2023) · Immunological Reviews · doi:10.1111/imr.13191 · Cited by 60
Risk of solid cancer in patients with mast cell activation syndrome: results from Germany and USA
Molderings, G. J., Zienkiewicz, T., Homann, J., Menzen, M., & Afrin, L. B. (2017) · F1000Research · doi:10.12688/f1000research.12730.1 · Cited by 38
Metadata
- Authors
- Carlini, M. J., Dalurzo, M. C. L., Lastiri, J. M., Smith, D. E., Vasallo, B. C., Puricelli, L. I., & Lauría de Cidre, L. S.
- Venue
- Human Pathology
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 41
- Issue
- 5
- Pages
- 697-705
- ISSN
- 0046-8177
- Cited by
- 79
- References
- 1
- Language
- en
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