1. Immunovascular microenvironment in relation to prognostic heterogeneity of WNT/β‐catenin‐activated hepatocellular carcinoma
- Author
-
Kosuke Matsuda, Yutaka Kurebayashi, Yohei Masugi, Ken Yamazaki, Akihisa Ueno, Hanako Tsujikawa, Hidenori Ojima, Minoru Kitago, Osamu Itano, Masahiro Shinoda, Yuta Abe, and Michiie Sakamoto
- Subjects
Infectious Diseases ,Hepatology - Abstract
WNT/β-catenin-activated hepatocellular carcinoma (W/B subclass HCC) is considered as molecularly homogeneous entity and has been linked to resistance to immunotherapy. However, recent studies have indicated possible heterogeneity in the immuno-vascular microenvironment in this subclass. We set out to test the hypothesis that specific immuno-vascular features might stratify W/B subclass HCCs into tumors having distinct aggressive natures.In this study, we analyzed 352 resected HCCs including 78 immunohistochemically defined W/B subclass HCCs. The density of tumor-infiltrating CD3The T-cell density of W/B subclass HCCs was regionally heterogenous within tumor tissues, and focally reduced T-cell density was observed in areas with VETC. VETC-positivity (defined as VETC area ratio greater than 1%) and T-cell infiltration were inversely associated in both W/B subclass and non-W/B subclass HCCs. Fibroblast growth factor 2 (FGF2) gene expression was higher in W/B subclass than in non-W/B subclass HCCs. VETC positivity and low T-cell density correlated with increased expression of FGF2 in W/B subclass HCCs. VETC-positive HCCs showed significantly shorter DFS in W/B subclass HCCs.In conclusion, the immune and vascular microenvironments are interrelated and are also correlated with clinicopathological heterogeneity in W/B subclass HCC. These results may inform clinical practice and translational research on the development of therapeutic stratification of HCCs. This article is protected by copyright. All rights reserved.
- Published
- 2023
- Full Text
- View/download PDF