Endocrine oncology

Characterization of Immune Infiltrate Along the Leading Edge of Differentiated Thyroid Cancer

ThyroidPublished Mechanistic study

Authors' conclusion

Higher tumoral PD-1 and PD-L1 expression indicate their role in DTC occurrence. A trend for more Tregs and M2 macrophages but less M1 macrophages intratumorally in patients with distant metastatic DTC, suggests their potential role as prognostic biomarkers.

Study context

Population
Adults with differentiated thyroid cancer (DTC); thyroid tissue collected at thyroidectomy
Participants
17 adults
Comparison
Tumor vs adjacent thyroid tissue from the same patient
Outcome
Mean percentage expression of immune markers (CD45, CD3, Tregs, CD4, CD8, CD68, M2 and M1 macrophages, PD-1, PD-L1), tumor vs adjacent tissue
Methodological detailsmultiplex immunofluorescence, paired comparison of tumor vs adjacent thyroid tissue, spatial analysis along tumor leading edge
  • Multiplex immunofluorescence
  • Paired comparison of tumor vs adjacent thyroid tissue
  • Spatial analysis along tumor leading edge

Main finding

As reported in the abstract

Immune marker expression, tumor vs adjacent tissue
  • PD-1 and PD-L1 showed a significant increase in expression intratumorally vs adjacent thyroid tissue
  • Higher trend for M2 macrophages intratumorally vs adjacent tissue
  • Along the leading edge, PD-L1 correlated negatively with CD45 and positively with CD163 intratumorally
  • Tumor vs Adjacent thyroid tissue: P < 0.05

Further findings

Tumor marker expression by distant metastases (exploratory)

Nonsignificant trend for higher FOXP3 but less CD8 and iNOS expression in DTC with (n = 3) vs without distant metastases (n = 14)
  • Exploratory analysis

Tumor marker expression by thyroiditis (exploratory)

Nonsignificant trend for higher CD58 and iNOS expression in DTC with (n = 7) than without thyroiditis (n = 10)
  • Exploratory analysis

Original publication

Characterization of Immune Infiltrate Along the Leading Edge of Differentiated Thyroid Cancer. Thyroid. Published 12 July 2024. doi:10.1089/thy.2024.0072

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