Spatial distribution of tumour immune in fi ltrate predicts outcomes of patients with high-risk soft tissue sarcomas after neoadjuvant chemotherapy


Por: Pasquali, S, Vallacchi, V, Lalli, L, Collini, P, Barisella, M, Romagosa, C, Bague, S, Coindre, JM, Dei Tos, AP, Palmerini, E, Quagliuolo, V, Martin-Broto, J, Lopez-Pousa, A, Grignani, G, Blay, JY, Beveridge, RD, Casiraghi, E, Brich, S, Renne, SL, Bergamaschi, L, Vergani, B, Sbaraglia, M, Casali, PG, Rivoltini, L, Stacchiotti, S, Gronchi, A

Publicada: 1 ago 2024 Ahead of Print: 1 jul 2024
Resumen:
Background Anthracycline-based neoadjuvant chemotherapy (NAC) may modify tumour immune in fi ltrate. This study characterized immune in fi ltrate spatial distribution after NAC in primary high-risk soft tissue sarcomas (STS) and investigate association with prognosis. Methods The ISG-STS 1001 trial randomized STS patients to anthracycline plus ifosfamide (AI) or a histology-tailored (HT) NAC. Four areas of tumour specimens were sampled: the area showing the highest lymphocyte in fi ltrate (HI) at H & E; the area with lack of post-treatment changes (highest grade, HG); the area with post-treatment changes (lowest grade, LG); and the tumour edge (TE). CD3, CD8, PD-1, CD20, FOXP3, and CD163 were analyzed at immunohistochemistry and digital pathology. A machine learning method was used to generate sarcoma immune index scores (SIS) that predict patient disease-free and overall survival (DFS and OS). Findings Tumour in fi ltrating lymphocytes and PD-1+ cells together with CD163+ cells were more represented in STS histologies with complex compared to simple karyotype, while CD20+ B-cells were detected in both these histology groups. PD-1+ cells exerted a negative prognostic value irrespectively of their spatial distribution. Enrichment in CD20+ B-cells at HI and TE areas was associated with better patient outcomes. We generated a prognostic SIS for each tumour area, having the HI-SIS the best performance. Such prognostic value was driven by treatment with AI. Interpretation The different spatial distribution of immune populations and their different association with prognosis support NAC as a modi fi er of tumour immune in fi ltrate in STS.

Filiaciones:
Pasquali, S:
 Fdn IRCCS Ist Nazl Tumori, Dept Expt Oncol, Mol Pharmacol, Via GAmadeo 42, I-20133 Milan, Italy

Vallacchi, V:
 Fdn IRCCS Ist Nazl Tumori, Dept Expt Oncol, Translat Immunol Unit, Via G Venezian 1, I-20133 Milan, Italy

Lalli, L:
 Fdn IRCCS Ist Nazl Tumori, Dept Expt Oncol, Translat Immunol Unit, Via G Venezian 1, I-20133 Milan, Italy

Collini, P:
 Fdn IRCCS Ist Nazl Tumori Milano, Dept Adv Diagnost, Soft Tissue Tumor Pathol Unit, Milan, Italy

Barisella, M:
 ASST Fatebenefratelli Sacco, Pathol Unit, Milan, Italy

Romagosa, C:
 Vall dHebron Univ Hosp, Pathol Dept, Barcelona, Spain

Bague, S:
 Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Pathol Dept, Barcelona, Spain

Coindre, JM:
 Inst Bergonie, Dept Pathol, F-33000 Bordeaux, France

 Inst Bergonie, INSERM U1218 ACTION, F-33000 Bordeaux, France

Dei Tos, AP:
 Univ Padua, Dept Med DIMED, Surg Pathol & Cytopathol Unit, Padua, Italy

Palmerini, E:
 IRCCS Ist Ortoped Rizzoli, Osteoncol Bone & Soft Tissue Sarcomas & Innovat Th, Bologna, Italy

Quagliuolo, V:
 IRCCS Humanitas Res Hosp, Surg Dept, Rozzano, Italy

Martin-Broto, J:
 Fdn Jimenez Diaz Univ Hosp, Oncol Dept, Madrid, Spain

Lopez-Pousa, A:
 Hosp Santa Creu & Sant Pau, Med Oncol Dept, Carrer St Quinti 89, Barcelona 08041, Spain

Grignani, G:
 Citta Salute & Sci Hosp, Med Oncol Unit, Turin, Italy

Blay, JY:
 Ctr Leon Berard, Lyon, France

 Univ Claude Bernard Lyon 1, Lyon, France

Beveridge, RD:
 Hosp Univ & Politecn La Fe, Dept Canc Med, Valencia, Spain

Casiraghi, E:
 Univ Milan, Dept Comp Sci Giovanni Degli Antoni, AnacletoLab, Milan, Italy

Brich, S:
 Fdn IRCCS Ist Nazl Tumori Milano, Dept Adv Diagnost, Soft Tissue Tumor Pathol Unit, Milan, Italy

Renne, SL:
 IRCCS Humanitas Res Hosp, Pathol Dept, Rozzano, Italy

 Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, Milan, Italy

Bergamaschi, L:
 Fdn IRCCS Ist Nazl Tumori, Dept Expt Oncol, Translat Immunol Unit, Via G Venezian 1, I-20133 Milan, Italy

Vergani, B:
 Univ Milano Bicocca, Sch Med & Surg, Monza, Italy

Sbaraglia, M:
 Univ Padua, Dept Med DIMED, Surg Pathol & Cytopathol Unit, Padua, Italy

Casali, PG:
 Fdn IRCCS Ist Nazl Tumori Milano, Dept Canc Med, Milan, Italy

Rivoltini, L:
 Fdn IRCCS Ist Nazl Tumori, Dept Expt Oncol, Translat Immunol Unit, Via G Venezian 1, I-20133 Milan, Italy

Stacchiotti, S:
 Fdn IRCCS Ist Nazl Tumori Milano, Dept Canc Med, Milan, Italy

Gronchi, A:
 Fdn IRCCS Ist Nazl Tumori, Dept Surg, Sarcoma Serv, Via G Venezian 1, I-20133 Milan, Italy
ISSN: 23523964
Editorial
ELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS, Reino Unido
Tipo de documento: Article
Volumen: 106 Número:
Páginas:
WOS Id: 001273309200001
ID de PubMed: 39018755
imagen Green Published, gold

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