PMID- 29158791 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1837-9664 (Print) IS - 1837-9664 (Electronic) IS - 1837-9664 (Linking) VI - 8 IP - 16 DP - 2017 TI - Correlation of cancer stem cell markers and immune cell markers in resected non-small cell lung cancer. PG - 3190-3197 LID - 10.7150/jca.20172 [doi] AB - Background: Recent studies confirmed that immunotherapy showed prominent efficacy in non-small cell lung cancer (NSCLC). Cancer stem cells/cancer initiating cells are resistant to anticancer treatment. The purpose of the study was to analyze the correlation of cancer stem cells/cancer initiating cells and tumor-infiltrating immune cells in NSCLC. Methods: CD133, octamer 4 (OCT-4), CD8, CD56, human leukocyte antigen (HLA) class I and programmed death ligand-1 (PD-L1) were assessed in 172 resected NSCLC samples. The staining was analyzed and scored by the pathologist who was blinded to the clinical pathological data of the patients. Results: High CD8+ T cell infiltration was correlated significantly with squamous cell carcinoma histology (p=0.008). High PD-L1 expression (>/=10%) was associated with high tumor status (p=0.043). Pearson's correlation test showed that CD56+ cells were negatively correlated with CD133 expression (r=-0.361, p<0.001) and weakly correlated with negative OCT-4 expression (r=-0.180, p=0.018). There was a strong positive correlation between CD8 and HLA class I (r=0.573, p<0.001). In the survival analysis, high CD8+ T cell infiltration is an independent predictor of improved disease-free survival and overall survival. Patients with low CD133 expression and high CD56 expression had a longer overall survival than those with high CD133 expression and/or low CD56 expression (p=0.013). Conclusion: There is a negative correlation between CD56+ cells and cancer stem cell markers. This correlation may confirm the possibility that natural killer cells can target CD133+ cancer stem cells/cancer initiating cells in non-small cell lung cancer. FAU - Huang, Zhaoqin AU - Huang Z AD - Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China. FAU - Yu, Haining AU - Yu H AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. FAU - Zhang, Jianbo AU - Zhang J AD - Department of Pathology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, China. FAU - Jing, Haiyan AU - Jing H AD - Department of Pathology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China. FAU - Zhu, Wanqi AU - Zhu W AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. FAU - Li, Xiaolin AU - Li X AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. FAU - Kong, Lingling AU - Kong L AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. FAU - Xing, Ligang AU - Xing L AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. FAU - Yu, Jinming AU - Yu J AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. FAU - Meng, Xiangjiao AU - Meng X AD - Department of Radiation Oncology, Shandong Cancer Hospital Affiliated to Shandong University, Shandong Academic of Medical Science, Jinan, Shandong, China. LA - eng PT - Journal Article DEP - 20170915 PL - Australia TA - J Cancer JT - Journal of Cancer JID - 101535920 PMC - PMC5665035 OTO - NOTNLM OT - CD133 OT - CD8+ T cells OT - NK cells OT - Non-small cell lung cancer OT - OCT-4 COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2017/11/22 06:00 MHDA- 2017/11/22 06:01 PMCR- 2017/01/01 CRDT- 2017/11/22 06:00 PHST- 2017/03/20 00:00 [received] PHST- 2017/08/30 00:00 [accepted] PHST- 2017/11/22 06:00 [entrez] PHST- 2017/11/22 06:00 [pubmed] PHST- 2017/11/22 06:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - jcav08p3190 [pii] AID - 10.7150/jca.20172 [doi] PST - epublish SO - J Cancer. 2017 Sep 15;8(16):3190-3197. doi: 10.7150/jca.20172. eCollection 2017.