Prognostic impact of tumor-associated macrophage infiltration in non-small cell lung cancer: A systemic review and meta-analysis

Tumor-associated macrophages (TAMs) are important components of cancer microenvironment. In the present study, we searched PubMed, Embase, Cochrane library and Web of Science to perform a meta-analysis of 20 studies including a total of 2,572 non-small cell lung cancer (NSCLC) patients, in order to...

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Published inOncotarget Vol. 7; no. 23; pp. 34217 - 34228
Main Authors Mei, Jiandong, Xiao, Zhilan, Guo, Chenglin, Pu, Qiang, Ma, Lin, Liu, Chengwu, Lin, Feng, Liao, Hu, You, Zongbing, Liu, Lunxu
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Published United States Impact Journals LLC 07.06.2016
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Abstract Tumor-associated macrophages (TAMs) are important components of cancer microenvironment. In the present study, we searched PubMed, Embase, Cochrane library and Web of Science to perform a meta-analysis of 20 studies including a total of 2,572 non-small cell lung cancer (NSCLC) patients, in order to determine the association between TAMs and NSCLC prognosis. The combined hazard ratio (HR) of 9 studies showed that the density of total CD68+ TAMs in the tumor islet and stroma was not associated with overall survival (OS) of the patients. However, the pooled HR of 4 studies showed that high density of CD68+ TAMs in the tumor islet predicted better OS, while the pooled HR of 6 studies showed that high density of CD68+ TAMs in the tumor stroma was associated with poor OS. A high islet/stroma ratio of CD68+ TAMs was associated with better OS. A high density of M1 TAMs in the tumor islet was associated with better OS, while a high density of M2 TAMs in the tumor stroma predicted poor OS. These findings suggest that, although the density of total CD68+ TAMs is not associated with OS, the localization and M1/M2 polarization of TAMs are potential prognostic predictors of NSCLC.
AbstractList Tumor-associated macrophages (TAMs) are important components of cancer microenvironment. In the present study, we searched PubMed, Embase, Cochrane library and Web of Science to perform a meta-analysis of 20 studies including a total of 2,572 non-small cell lung cancer (NSCLC) patients, in order to determine the association between TAMs and NSCLC prognosis. The combined hazard ratio (HR) of 9 studies showed that the density of total CD68+ TAMs in the tumor islet and stroma was not associated with overall survival (OS) of the patients. However, the pooled HR of 4 studies showed that high density of CD68+ TAMs in the tumor islet predicted better OS, while the pooled HR of 6 studies showed that high density of CD68+ TAMs in the tumor stroma was associated with poor OS. A high islet/stroma ratio of CD68+ TAMs was associated with better OS. A high density of M1 TAMs in the tumor islet was associated with better OS, while a high density of M2 TAMs in the tumor stroma predicted poor OS. These findings suggest that, although the density of total CD68+ TAMs is not associated with OS, the localization and M1/M2 polarization of TAMs are potential prognostic predictors of NSCLC.
Tumor-associated macrophages (TAMs) are important components of cancer microenvironment. In the present study, we searched PubMed, Embase, Cochrane library and Web of Science to perform a meta-analysis of 20 studies including a total of 2,572 non-small cell lung cancer (NSCLC) patients, in order to determine the association between TAMs and NSCLC prognosis. The combined hazard ratio (HR) of 9 studies showed that the density of total CD68 + TAMs in the tumor islet and stroma was not associated with overall survival (OS) of the patients. However, the pooled HR of 4 studies showed that high density of CD68 + TAMs in the tumor islet predicted better OS, while the pooled HR of 6 studies showed that high density of CD68 + TAMs in the tumor stroma was associated with poor OS. A high islet/stroma ratio of CD68 + TAMs was associated with better OS. A high density of M1 TAMs in the tumor islet was associated with better OS, while a high density of M2 TAMs in the tumor stroma predicted poor OS. These findings suggest that, although the density of total CD68 + TAMs is not associated with OS, the localization and M1/M2 polarization of TAMs are potential prognostic predictors of NSCLC.
Author Guo, Chenglin
Liao, Hu
You, Zongbing
Mei, Jiandong
Ma, Lin
Xiao, Zhilan
Pu, Qiang
Liu, Chengwu
Liu, Lunxu
Lin, Feng
AuthorAffiliation 2 Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
3 Department of Structural and Cellular Biology, Tulane University, New Orleans, LA 70112, USA
1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
AuthorAffiliation_xml – name: 2 Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– name: 1 Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
– name: 3 Department of Structural and Cellular Biology, Tulane University, New Orleans, LA 70112, USA
Author_xml – sequence: 1
  givenname: Jiandong
  surname: Mei
  fullname: Mei, Jiandong
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 2
  givenname: Zhilan
  surname: Xiao
  fullname: Xiao, Zhilan
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 3
  givenname: Chenglin
  surname: Guo
  fullname: Guo, Chenglin
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 4
  givenname: Qiang
  surname: Pu
  fullname: Pu, Qiang
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 5
  givenname: Lin
  surname: Ma
  fullname: Ma, Lin
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 6
  givenname: Chengwu
  surname: Liu
  fullname: Liu, Chengwu
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 7
  givenname: Feng
  surname: Lin
  fullname: Lin, Feng
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 8
  givenname: Hu
  surname: Liao
  fullname: Liao, Hu
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
– sequence: 9
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  surname: You
  fullname: You, Zongbing
  organization: Department of Structural and Cellular Biology, Tulane University, New Orleans, LA 70112, USA
– sequence: 10
  givenname: Lunxu
  surname: Liu
  fullname: Liu, Lunxu
  organization: Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu 610041, China
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Keywords clinicopathological characteristics
prognosis
non-small cell lung cancer (NSCLC)
tumor-associated macrophages (TAMs)
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Snippet Tumor-associated macrophages (TAMs) are important components of cancer microenvironment. In the present study, we searched PubMed, Embase, Cochrane library and...
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SubjectTerms Carcinoma, Non-Small-Cell Lung - immunology
Carcinoma, Non-Small-Cell Lung - mortality
Carcinoma, Non-Small-Cell Lung - pathology
Humans
Lung Neoplasms - immunology
Lung Neoplasms - mortality
Lung Neoplasms - pathology
Macrophages - immunology
Macrophages - pathology
Prognosis
Research Paper
Tumor Microenvironment - immunology
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Title Prognostic impact of tumor-associated macrophage infiltration in non-small cell lung cancer: A systemic review and meta-analysis
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