PMID- 36520215 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231023 IS - 1432-1335 (Electronic) IS - 0171-5216 (Linking) VI - 149 IP - 9 DP - 2023 Aug TI - The role of systemic inflammatory response index (SIRI) and tumor-infiltrating lymphocytes (TILs) in the prognosis of patients with laryngeal squamous cell carcinoma. PG - 5627-5636 LID - 10.1007/s00432-022-04469-1 [doi] AB - OBJECTIVE: Systemic inflammatory response index (SIRI) values and tumor-infiltrating lymphocytes (TILs) are associated with the prognosis of various tumors. There is minimal evidence of those two as prognostic markers in laryngeal squamous cell carcinoma (LSCC). In this study, we aimed to examine the predictive value of SIRI and tumor-infiltrating CD3(+)/CD4(+)/CD8(+) T cells in the prognosis of patients who underwent partial or total laryngectomy. STUDY DESIGN: A total of 78 patients with LSCC who underwent total or partial laryngectomy at the Eye, Ear, Nose, and Throat Hospital of Fudan University between 2013 and 2015 were retrospectively analyzed. METHODS: The tumor tissues of 78 LSCC patients were retrospectively evaluated using immunohistochemical staining for CD3+ /CD4+ /CD8+ -cells. The overall survival (OS) and disease-free survival (DFS) rates were recorded using the Kaplan-Meier method. RESULTS: Patients with high immunoscore (IS) (3-4) had prolonged survival (P < 0.001 for OS). High SIRI values were independently associated with poorer OS and DFS (P = 0.018 for OS; P = 0.016 for DFS). CD8(+) TILs and SIRI values showed a- negative association (P < 0.01). Patients with low SIRI values and high IS had better 5-year OS and DFS than those with high SIRI values and low IS (P < 0.001 for OS; P = 0.0014 for DFS). Patients with 'hot' tumor had a higher 5-year OS than those with 'excluded' or 'cold' phenotype. CONCLUSIONS: The SIRI values and the density of TILs may help predict LSCC patients' outcomes after surgery. The combination of SIRI and IS may be a new component of the tumor, nodes, and metastases (TNM) classification of cancer and prognostic factor for T-cell-target immunotherapy. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Wang, Tian AU - Wang T AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, 83 Fenyang Road, Shanghai, 200031, People's Republic of China. FAU - Zhang, Duo AU - Zhang D AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, 83 Fenyang Road, Shanghai, 200031, People's Republic of China. FAU - Tang, Di AU - Tang D AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, 83 Fenyang Road, Shanghai, 200031, People's Republic of China. FAU - Heng, Yu AU - Heng Y AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, 83 Fenyang Road, Shanghai, 200031, People's Republic of China. FAU - Lu, Li-Ming AU - Lu LM AD - Shanghai Institute of Immunology, Shanghai Jiaotong University School of Medicine, 280 South Chongqing Road, Shanghai, 200025, People's Republic of China. lulunew2003@163.com. FAU - Tao, Lei AU - Tao L AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, 83 Fenyang Road, Shanghai, 200031, People's Republic of China. doctortaolei@163.com. LA - eng GR - (82103316, 81772878, 30972691)/the National Natural Science Foundation of China/ GR - No. SHDC2020CR6011/This study was supported by Clinical Research Plan of SHDC/ GR - 16411950100/the Science and Technology Commission of Shanghai Municipality under Grand/ GR - 11JC1410802/the Shanghai Municipal Science and Technology Foundation under Grand/ PT - Journal Article DEP - 20221215 PL - Germany TA - J Cancer Res Clin Oncol JT - Journal of cancer research and clinical oncology JID - 7902060 SB - IM MH - Humans MH - *Lymphocytes, Tumor-Infiltrating MH - CD8-Positive T-Lymphocytes MH - Squamous Cell Carcinoma of Head and Neck/surgery MH - Retrospective Studies MH - Prognosis MH - *Head and Neck Neoplasms MH - Systemic Inflammatory Response Syndrome OTO - NOTNLM OT - CD3 OT - CD8 OT - IS OT - Laryngeal squamous cell carcinoma (LSCC) OT - SIRI OT - Tumor-infiltrating lymphocytes (TILs) EDAT- 2022/12/16 06:00 MHDA- 2023/10/23 00:45 CRDT- 2022/12/15 11:15 PHST- 2022/08/30 00:00 [received] PHST- 2022/11/06 00:00 [accepted] PHST- 2023/10/23 00:45 [medline] PHST- 2022/12/16 06:00 [pubmed] PHST- 2022/12/15 11:15 [entrez] AID - 10.1007/s00432-022-04469-1 [pii] AID - 10.1007/s00432-022-04469-1 [doi] PST - ppublish SO - J Cancer Res Clin Oncol. 2023 Aug;149(9):5627-5636. doi: 10.1007/s00432-022-04469-1. Epub 2022 Dec 15.