Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences, GSP-7, ul. Miklukho-Maklaya, 16/10, Moscow, 117997, Russia.
Peoples' Friendship University of Russia (RUDN University), ul. Miklukho-Maklaya, 6, Moscow, 117198, Russia.
Cancer Immunol Immunother. 2019 May;68(5):721-729. doi: 10.1007/s00262-019-02312-0. Epub 2019 Feb 11.
The development of new approaches to breast cancer (BC) early diagnosis is an important objective of modern oncology. Although the role of the immune system in cancer initiation process was experimentally well established, the prognostic value of cellular blood immunological parameters (CBIPs) for BC onset prediction was not demonstrated either in clinics or in mouse models. In this study, we focused on revealing informative CBIPs for mammary cancer (MC) onset prediction in the BLRB/BYRB mouse model with a high incidence of natural MC development. Blood samples were collected from 80 aging females of these original mouse strains, 12 basic CBIPs were estimated by flow cytometry. Then mice were followed up for 28 weeks, and the outcome of females (MC diagnosis, death without MC or MC-free survival) was registered. We estimated the patterns of changes in CBIPs with age and in accordance with the outcome. An increasing imbalance in 11 CBIPs during natural aging of females clearly resembled human immunosenescence phenomenon and several patterns corresponded to the results obtained on cancer-free members of BC-affected families. We stratified heterogeneous female population into middle-aged and old subgroups. Low NK-cell levels in middle-aged mice and low B-cell along with high T-helper levels in old mice distinguished females with developed MC from the other groups. We found a reliable correlation of several CBIPs with age at MC diagnosis and survival of cancer-bearing females. Thus, we demonstrated the predictive potential of CBIPs as a basis for the development of prognostic models for BC onset in clinics.
开发新的乳腺癌(BC)早期诊断方法是现代肿瘤学的一个重要目标。尽管免疫系统在癌症发生过程中的作用已在实验中得到充分证实,但细胞血液免疫参数(CBIPs)在预测 BC 发病方面的预后价值在临床或小鼠模型中均未得到证实。在这项研究中,我们专注于揭示 BLRB/BYRB 小鼠模型中用于预测乳腺肿瘤(MC)发病的信息丰富的 CBIPs,该模型具有自然 MC 发展的高发生率。从这些原始小鼠品系的 80 只老年雌性中采集血液样本,通过流式细胞术估计 12 项基本 CBIP。然后对这些雌性进行 28 周的随访,记录雌性的结果(MC 诊断、无 MC 死亡或 MC 无进展生存)。我们估计了 CBIPs 随年龄的变化模式以及与结果的对应关系。在雌性自然衰老过程中,11 项 CBIP 的不平衡增加明显类似于人类免疫衰老现象,几种模式与从未患 BC 的 BC 家族成员中获得的结果相吻合。我们将异质的雌性人群分为中年和老年亚组。中年小鼠中 NK 细胞水平低,老年小鼠中 B 细胞低而 T 辅助细胞高,可将发生 MC 的雌性与其他组区分开来。我们发现了几个 CBIP 与 MC 诊断时的年龄和携带肿瘤的雌性的生存之间存在可靠的相关性。因此,我们证明了 CBIP 作为临床开发 BC 发病预后模型基础的预测潜力。