PMID- 32372254 OWN - NLM STAT- MEDLINE DCOM- 20210208 LR - 20210208 IS - 2589-0409 (Electronic) IS - 1110-0362 (Linking) VI - 32 IP - 1 DP - 2020 Apr 15 TI - Clinico-pathological significance of immunohistochemically marked tumor-associated macrophage in classic Hodgkin lymphoma. PG - 18 LID - 10.1186/s43046-020-00029-1 [doi] AB - BACKGROUND: Tumor-associated macrophages (TAM) are pivotal in remodeling of the tumor immune microenvironment and clinical outcome. Herein, we aim to evaluate the impact of immunohistochemical (IHC) expression of CD68 and CD163 in TAM on clinico-pathological features, patients' response to therapy and the overall survival (OS). RESULTS: This retrospective study was performed on paraffin-embedded tissue blocks of 100 classic Hodgkin Lymphoma (cHL) cases diagnosed and treated at our Institution. Immunohistochemical scores of CD68 and CD163 were statistically related to bulky disease (p value = 0.005 for both), tumor stage (p value = 0.02 for both), International Prognostic Score (IPS) (p value = 0.04 and 0.02 respectively), and the overall response rate (ORR) (p value = 0.001). Additionally, CD163 was also statistically related to gender (p value = 0.02), serum albumin level (p value = 0.03), and B symptoms (p value = 0.04). HCV seropositivity did not relate to either CD68 or CD163 score. Using univariate analysis revealed that B symptoms, bulky disease, IPS >/= 3, and CD163 > 25% were associated with lower OS (p values = 0.003, 0.006, 0.001, and < 0.001 respectively), while after multivariate cox regression analysis, B symptoms, IPS >/= 3, and CD163 > 25% were related to inferior OS (p values 0.02, 0.02, and 0.003). CONCLUSION: CD163 expressing TAM is a powerful predictor for OS in cHL, unlike CD68. FAU - Abd Allah, Mona Y Y AU - Abd Allah MYY AD - Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt. FAU - Fahmi, Maryan Waheeb AU - Fahmi MW AUID- ORCID: 0000-0002-2685-1220 AD - Medical Oncology Internal Medicine Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt. marianwaheeb@mans.edu.eg. FAU - El-Ashwah, Shaimaa AU - El-Ashwah S AD - Clinical Hematology Internal Medicine Department, Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, 35516, Egypt. LA - eng PT - Journal Article DEP - 20200415 PL - England TA - J Egypt Natl Canc Inst JT - Journal of the Egyptian National Cancer Institute JID - 9424566 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, Myelomonocytic) RN - 0 (Biomarkers, Tumor) RN - 0 (CD163 antigen) RN - 0 (CD68 antigen, human) RN - 0 (Receptors, Cell Surface) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antigens, CD/analysis/metabolism MH - Antigens, Differentiation, Myelomonocytic/analysis/metabolism MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology/therapeutic use MH - Biomarkers, Tumor/*antagonists & inhibitors/metabolism MH - Disease-Free Survival MH - Drug Resistance, Neoplasm MH - Female MH - Follow-Up Studies MH - Hodgkin Disease/drug therapy/*immunology/mortality/pathology MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/*epidemiology/immunology/prevention & control MH - Prognosis MH - Receptors, Cell Surface/analysis/metabolism MH - Retrospective Studies MH - Tumor Microenvironment/*immunology MH - Tumor-Associated Macrophages/*immunology/metabolism MH - Young Adult OTO - NOTNLM OT - CD163 OT - CD68 OT - Classic Hodgkin lymphoma (cHL) OT - Disease free survival (DFS) OT - Overall survival (OS) OT - Tumor-associated macrophage (TAM) EDAT- 2020/05/07 06:00 MHDA- 2021/02/09 06:00 CRDT- 2020/05/07 06:00 PHST- 2020/02/07 00:00 [received] PHST- 2020/03/19 00:00 [accepted] PHST- 2020/05/07 06:00 [entrez] PHST- 2020/05/07 06:00 [pubmed] PHST- 2021/02/09 06:00 [medline] AID - 10.1186/s43046-020-00029-1 [pii] AID - 10.1186/s43046-020-00029-1 [doi] PST - epublish SO - J Egypt Natl Canc Inst. 2020 Apr 15;32(1):18. doi: 10.1186/s43046-020-00029-1.