PMID- 37351958 OWN - NLM STAT- MEDLINE DCOM- 20230626 LR - 20230626 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 43 IP - 7 DP - 2023 Jul TI - Clinical Significance of Nodal DCsign Expression in Non-small-cell Lung Cancer Patients. PG - 3003-3013 LID - 10.21873/anticanres.16471 [doi] AB - BACKGROUND/AIM: Dendritic cells (DCs) are difficult to evaluate in lung regional lymph nodes because of region-specific structures, such as abundant trabeculae connecting the medullary and subcapsular sinuses, the latter of which contains few anthracotic macrophages. Therefore, DC-specific intercellular adhesion molecule-3-grabbing non-integrin (DCsign)-positive DCs and CD68-positive macrophages are unlikely to show a typical distribution. The present study therefore explored quantitative factors connecting the nodal DC morphology to the patient outcome. MATERIALS AND METHODS: Lymph nodes from 34 non-small-cell lung cancer patients who underwent complete resection were used for immunohistochemical assessments of DCsign and CD68 and terminal deoxynucleotidyl transferase dUTP nick-end labeling. Preoperative patient blood samples were used for the quantitative evaluation of monocytes. RESULTS: The nodal DCs showed a complementary distribution with macrophages, thus few DCs were seen in clusters of macrophages. DCs often presented as a mesh-like rosette that was solitary or connected to a DC cluster. DCs disappeared, and some macrophages were apoptotic when surrounded by cancer cells that have metastasized to lymph nodes. The proportional area of a DC cluster was significantly associated with the histological differentiation of cancer (p=0.013), with a higher ratio tending to lead to a better overall survival (p=0.059), and significantly so in adenocarcinoma (p=0.007). The rosette number was significantly correlated with the smoking index and blood monocyte number (p=0.013 and p=0.005, respectively). CONCLUSION: The nodal DC morphology appears useful as a prognostic factor and may lead to a new phase of clinicopathological studies of solid cancers. CI - Copyright (c) 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Aoki, Masaya AU - Aoki M AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan; mtytah5046@gmail.com. FAU - Kamimura, G O AU - Kamimura GO AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Morizono, Shoichiro AU - Morizono S AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Tokunaga, Takuya AU - Tokunaga T AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Umehara, Tadashi AU - Umehara T AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Harada-Takeda, Aya AU - Harada-Takeda A AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Maeda, Koki AU - Maeda K AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Nagata, Toshiyuki AU - Nagata T AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Ueda, Kazuhiro AU - Ueda K AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Tabata, Kazuhiro AU - Tabata K AD - Department of Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. FAU - Murakami, Gen AU - Murakami G AD - Department of Anatomy, Tokyo Dental College, Tokyo, Japan. FAU - Sato, Masami AU - Sato M AD - Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Transforming Growth Factor beta) SB - IM MH - Humans MH - *Carcinoma, Non-Small-Cell Lung/pathology MH - *Lung Neoplasms/pathology MH - Clinical Relevance MH - Macrophages/metabolism MH - Monocytes/pathology MH - Lymph Nodes/pathology MH - Transforming Growth Factor beta/metabolism MH - Dendritic Cells/metabolism OTO - NOTNLM OT - DCsign OT - Dendritic cell OT - clinicopathological factors OT - lymph node OT - macrophage OT - non-small-cell lung cancer OT - prognosis EDAT- 2023/06/23 19:11 MHDA- 2023/06/26 06:41 CRDT- 2023/06/23 12:13 PHST- 2023/04/10 00:00 [received] PHST- 2023/05/13 00:00 [revised] PHST- 2023/05/15 00:00 [accepted] PHST- 2023/06/26 06:41 [medline] PHST- 2023/06/23 19:11 [pubmed] PHST- 2023/06/23 12:13 [entrez] AID - 43/7/3003 [pii] AID - 10.21873/anticanres.16471 [doi] PST - ppublish SO - Anticancer Res. 2023 Jul;43(7):3003-3013. doi: 10.21873/anticanres.16471.