Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages

BackgroundFor patients with high grade serous carcinoma of the ovary (HGSC), survival rates have remained static for the last half century. Despite the presence of tumor mutations and infiltration of immune cells, existing immunotherapies have achieved little success against HGSC. These observations...

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Main Authors: Sarah Nersesian, Riley J. Arseneau, Jorge P. Mejia, Stacey N. Lee, Lauren P. Westhaver, Nigel W. Griffiths, Stephanie R. Grantham, Liliane Meunier, Laudine Communal, Avik Mukherjee, Anne-Marie Mes-Masson, Thomas Arnason, Brad H. Nelson, Jeanette E. Boudreau
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1307873/full
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author Sarah Nersesian
Sarah Nersesian
Riley J. Arseneau
Riley J. Arseneau
Jorge P. Mejia
Jorge P. Mejia
Stacey N. Lee
Stacey N. Lee
Lauren P. Westhaver
Nigel W. Griffiths
Stephanie R. Grantham
Liliane Meunier
Laudine Communal
Avik Mukherjee
Anne-Marie Mes-Masson
Anne-Marie Mes-Masson
Thomas Arnason
Thomas Arnason
Brad H. Nelson
Brad H. Nelson
Brad H. Nelson
Jeanette E. Boudreau
Jeanette E. Boudreau
Jeanette E. Boudreau
author_facet Sarah Nersesian
Sarah Nersesian
Riley J. Arseneau
Riley J. Arseneau
Jorge P. Mejia
Jorge P. Mejia
Stacey N. Lee
Stacey N. Lee
Lauren P. Westhaver
Nigel W. Griffiths
Stephanie R. Grantham
Liliane Meunier
Laudine Communal
Avik Mukherjee
Anne-Marie Mes-Masson
Anne-Marie Mes-Masson
Thomas Arnason
Thomas Arnason
Brad H. Nelson
Brad H. Nelson
Brad H. Nelson
Jeanette E. Boudreau
Jeanette E. Boudreau
Jeanette E. Boudreau
author_sort Sarah Nersesian
collection DOAJ
description BackgroundFor patients with high grade serous carcinoma of the ovary (HGSC), survival rates have remained static for the last half century. Despite the presence of tumor mutations and infiltration of immune cells, existing immunotherapies have achieved little success against HGSC. These observations highlight a gap in the understanding of how the immune system functions and interacts within HGSC tumors.MethodsWe analyzed duplicate core samples from 939 patients with HGSC to understand patterns of immune cell infiltration, localization, and associations with clinical features. We used high-parameter immunohistochemical/Opal multiplex, digital pathology, computational biology, and multivariate analysis to identify immune cell subsets and their associations with HGSC tumors.ResultsWe defined six patterns of cellular infiltration by spatially restricted unsupervised clustering of cell subsets. Each pattern was represented to some extent in most patient samples, but their specific distributions differed. Overall (OS) and progression-free survival (PFS) corresponded with higher infiltration of CD16a+ cells, and their co-localization with macrophages, T cells, NK cells, in one of six cellular neighborhoods that we defined with our spatial assessment.ConclusionsImmune cell neighborhoods containing CD16a+ cells are associated with improved OS and PFS for patients with HGSC. Patterns of immunologic neighborhoods differentiate patient outcomes, and could inform future, more precise approaches to treatment.
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spelling doaj.art-391fa1616f8d4b798e9dc94b54faccbb2024-01-22T04:25:08ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-01-011410.3389/fimmu.2023.13078731307873Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophagesSarah Nersesian0Sarah Nersesian1Riley J. Arseneau2Riley J. Arseneau3Jorge P. Mejia4Jorge P. Mejia5Stacey N. Lee6Stacey N. Lee7Lauren P. Westhaver8Nigel W. Griffiths9Stephanie R. Grantham10Liliane Meunier11Laudine Communal12Avik Mukherjee13Anne-Marie Mes-Masson14Anne-Marie Mes-Masson15Thomas Arnason16Thomas Arnason17Brad H. Nelson18Brad H. Nelson19Brad H. Nelson20Jeanette E. Boudreau21Jeanette E. Boudreau22Jeanette E. Boudreau23Department of Microbiology and Immunology, Dalhousie University, Halifax, NS, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS, CanadaDepartment of Pathology, Dalhousie University, Halifax, NS, CanadaDepartment of Microbiology and Immunology, Dalhousie University, Halifax, NS, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS, CanadaDepartment of Microbiology and Immunology, Dalhousie University, Halifax, NS, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS, CanadaDepartment of Pathology, Dalhousie University, Halifax, NS, CanadaDepartment of Pathology, Dalhousie University, Halifax, NS, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS, CanadaCentre de recherche du Centre hospitalier de l’Université de Montréal and Institut du cancer de Montréal, Montreal, QC, CanadaCentre de recherche du Centre hospitalier de l’Université de Montréal and Institut du cancer de Montréal, Montreal, QC, CanadaAkoya Biosciences, Menlo Park, CA, United StatesCentre de recherche du Centre hospitalier de l’Université de Montréal and Institut du cancer de Montréal, Montreal, QC, CanadaDepartment of Medicine, Université de Montréal, Montreal, QC, CanadaDepartment of Pathology, Dalhousie University, Halifax, NS, CanadaDepartment of Pathology & Laboratory Medicine, QEII Health Sciences Centre, Nova Scotia Health (Central Zone), Halifax, NS, CanadaDeeley Research Centre, British Columbia Cancer Research Institute, Victoria, BC, CanadaDepartment of Biochemistry and Microbiology, University of Victoria, Victoria, BC, Canada0Department of Medical Genetics, University of British Columbia, Vancouver, BC, CanadaDepartment of Microbiology and Immunology, Dalhousie University, Halifax, NS, CanadaBeatrice Hunter Cancer Research Institute, Halifax, NS, CanadaDepartment of Pathology, Dalhousie University, Halifax, NS, CanadaBackgroundFor patients with high grade serous carcinoma of the ovary (HGSC), survival rates have remained static for the last half century. Despite the presence of tumor mutations and infiltration of immune cells, existing immunotherapies have achieved little success against HGSC. These observations highlight a gap in the understanding of how the immune system functions and interacts within HGSC tumors.MethodsWe analyzed duplicate core samples from 939 patients with HGSC to understand patterns of immune cell infiltration, localization, and associations with clinical features. We used high-parameter immunohistochemical/Opal multiplex, digital pathology, computational biology, and multivariate analysis to identify immune cell subsets and their associations with HGSC tumors.ResultsWe defined six patterns of cellular infiltration by spatially restricted unsupervised clustering of cell subsets. Each pattern was represented to some extent in most patient samples, but their specific distributions differed. Overall (OS) and progression-free survival (PFS) corresponded with higher infiltration of CD16a+ cells, and their co-localization with macrophages, T cells, NK cells, in one of six cellular neighborhoods that we defined with our spatial assessment.ConclusionsImmune cell neighborhoods containing CD16a+ cells are associated with improved OS and PFS for patients with HGSC. Patterns of immunologic neighborhoods differentiate patient outcomes, and could inform future, more precise approaches to treatment.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1307873/fullnatural killer (NK) cellovarian cancerhigh grade serous cancerspatial biologyCD16A
spellingShingle Sarah Nersesian
Sarah Nersesian
Riley J. Arseneau
Riley J. Arseneau
Jorge P. Mejia
Jorge P. Mejia
Stacey N. Lee
Stacey N. Lee
Lauren P. Westhaver
Nigel W. Griffiths
Stephanie R. Grantham
Liliane Meunier
Laudine Communal
Avik Mukherjee
Anne-Marie Mes-Masson
Anne-Marie Mes-Masson
Thomas Arnason
Thomas Arnason
Brad H. Nelson
Brad H. Nelson
Brad H. Nelson
Jeanette E. Boudreau
Jeanette E. Boudreau
Jeanette E. Boudreau
Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages
Frontiers in Immunology
natural killer (NK) cell
ovarian cancer
high grade serous cancer
spatial biology
CD16A
title Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages
title_full Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages
title_fullStr Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages
title_full_unstemmed Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages
title_short Improved overall survival in patients with high-grade serous ovarian cancer is associated with CD16a+ immunologic neighborhoods containing NK cells, T cells and macrophages
title_sort improved overall survival in patients with high grade serous ovarian cancer is associated with cd16a immunologic neighborhoods containing nk cells t cells and macrophages
topic natural killer (NK) cell
ovarian cancer
high grade serous cancer
spatial biology
CD16A
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1307873/full
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