Literature DB >> 28845570

Peripheral blood monocyte count reflecting tumor-infiltrating macrophages is a predictive factor of adverse pathology in radical prostatectomy specimens.

Takuji Hayashi1, Kazutoshi Fujita1, Satoshi Nojima2, Yujiro Hayashi1, Kosuke Nakano1, Yu Ishizuya1, Cong Wang1, Yoshiyuki Yamamoto1, Toshiro Kinouchi1, Kyosuke Matsuzaki1, Norihiko Kawamura1, Kentaro Jingushi1, Atsunari Kawashima1, Akira Nagahara1, Takeshi Ujike1, Motohide Uemura1, Ryoichi Imamura1, Eiichi Morii2, Norio Nonomura1.   

Abstract

BACKGROUND: Tumor-infiltrating macrophages, which are thought to be derived from blood monocytes, interact with tumor cells to promote cancer progression. The aim of this study was to assess the association of peripheral blood monocyte count with pathological findings and local tumor-infiltrating macrophages in prostatectomy specimens.
METHODS: Preoperative peripheral blood monocyte counts were retrospectively assessed for their associations with pathological findings (pathological T stage, Gleason Score, extraprostatic extension, seminal vesicle invasion, and surgical margin) and biochemical recurrence of 248 patients who underwent radical prostatectomy. Local tumor-infiltrating macrophages were also evaluated immunohistochemically for their association with peripheral monocyte counts.
RESULTS: The peripheral monocyte counts of the patients with extraprostatic extension, seminal vesicle invasion, or primary Gleason ≥4 were significantly higher than those of the patients without each of these pathological findings (P < 0.001, P = 0.034, and P = 0.004, respectively). Peripheral monocyte count was a significant predictor of adverse pathology and postoperative biochemical recurrence in localized prostate cancer by multivariate analysis (P = 0.001 and P = 0.041, respectively). Both the density and the count of tumor-infiltrating macrophages correlated significantly with the peripheral blood monocyte count (Spearman rank correlation coefficients were 0.463 and 0.649, respectively, P < 0.001).
CONCLUSIONS: Peripheral blood monocyte count reflecting local tumor-infiltrating macrophages was a predictive factor for tumor progression and prognosis in patients with localized prostate cancer. Elucidating the mechanism of the interaction of peripheral monocytes with tumor-infiltrating macrophages is necessary.
© 2017 Wiley Periodicals, Inc.

Entities:  

Keywords:  adverse pathology; macrophage; monocyte; peripheral; prostate cancer

Mesh:

Substances:

Year:  2017        PMID: 28845570     DOI: 10.1002/pros.23398

Source DB:  PubMed          Journal:  Prostate        ISSN: 0270-4137            Impact factor:   4.104


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