HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration

Background: This study aimed to investigate the effect of increased HER-2 expression on tumor-infiltrating lymphocytes (TILs) and determine its impact on the prognosis of colorectal cancer (CRC) patients; Methods: HER-2, CD4, CD8, CD19, LY6G, CD56, CD68, CD11b, and EpCam expression in CRC tissues an...

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Main Authors: Di Yang, Bo Wang, Yinuo Li, Jingyao Zhang, Xuantong Gong, Hao Qin, Yan Wang, Yahui Zhao, Yong Wang
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/11/2889
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author Di Yang
Bo Wang
Yinuo Li
Jingyao Zhang
Xuantong Gong
Hao Qin
Yan Wang
Yahui Zhao
Yong Wang
author_facet Di Yang
Bo Wang
Yinuo Li
Jingyao Zhang
Xuantong Gong
Hao Qin
Yan Wang
Yahui Zhao
Yong Wang
author_sort Di Yang
collection DOAJ
description Background: This study aimed to investigate the effect of increased HER-2 expression on tumor-infiltrating lymphocytes (TILs) and determine its impact on the prognosis of colorectal cancer (CRC) patients; Methods: HER-2, CD4, CD8, CD19, LY6G, CD56, CD68, CD11b, and EpCam expression in CRC tissues and adjacent paracancerous tissues were assessed using multiplex fluorescence immunohistochemical staining. The correlation between HER-2 expression and the number of TILs in CRC tissues was analyzed. Kaplan–Meier and Cox proportional hazards models were used to analyze survival outcomes; Results: The expression of HER-2 in tumor tissues was higher than that in paracancerous tissues (1.31 ± 0.45 vs. 0.86 ± 0.20, <i>p</i> < 0.05). Additionally, there was an increase in the numbers of CD4+, CD8+, CD19+, and CD68+ cells in CRC tissues (14.11 ± 1.10 vs. 3.40 ± 0.18, <i>p</i> < 0.005; 0.16 ± 0.12 vs. 0.04 ± 0.04, <i>p</i> < 0.005; 0.71 ± 0.46 vs. 0.25 ± 0.13, <i>p</i> < 0.0005; 0.27 ± 0.24 vs. 0.03 ± 0.11, <i>p</i> < 0.05). An increase in HER-2 expression was positively correlated with an increase in CD4, CD8, and CD19 (<i>p</i> < 0.0001). In HER-2-positive CRC tissues, CD68 expression was increased (0.80 ± 0.55 vs. 0.25 ± 0.22, <i>p</i> < 0.05). In HER-2-upregulated CRC tissues, CD4, CD8, CD19, CD68, CD11b, Ly6G, and CD56 expressions were elevated (0.70 ± 0.37 vs. 0.32 ± 0.17, <i>p</i> = 0.03; 0.22 ± 0.13 vs. 0.09 ± 0.06, <i>p</i> = 0.03; 0.31 ± 0.19 vs. 0.12 ± 0.08, <i>p</i> = 0.02; 1.05 ± 0.62 vs. 0.43 ± 0.21, <i>p</i> < 0.01; 1.34 ± 0.81 vs. 0.53 ± 0.23, <i>p</i> < 0.01; 0.50 ± 0.31 vs. 0.19 ± 0.10, <i>p</i> < 0.01; 1.26 ± 0.74 vs. 0.52 ± 0.24, <i>p</i> < 0.01). Furthermore, increased HER-2 expression was an independent risk factor for recurrence-free survival (RFS) in patients (<i>p</i> < 0.01, HR = 3.421); Conclusions: The increased expression of HER-2 and its relationship with immune cells will provide new insights for immunotherapy in CRC patients.
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spelling doaj.art-6c369b00ee3043c5a0f369fcce2370982023-11-24T14:30:36ZengMDPI AGBiomedicines2227-90592023-10-011111288910.3390/biomedicines11112889HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell InfiltrationDi Yang0Bo Wang1Yinuo Li2Jingyao Zhang3Xuantong Gong4Hao Qin5Yan Wang6Yahui Zhao7Yong Wang8Department of Ultrasound, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaDepartment of Ultrasound, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaState Key Laboratory of Molecular Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaKey Laboratory of Cancer and Microbiome, State Key Laboratory of Molecular Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaDepartment of Ultrasound, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaKey Laboratory of Cancer and Microbiome, State Key Laboratory of Molecular Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaKey Laboratory of Cancer and Microbiome, State Key Laboratory of Molecular Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaState Key Laboratory of Molecular Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaDepartment of Ultrasound, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, ChinaBackground: This study aimed to investigate the effect of increased HER-2 expression on tumor-infiltrating lymphocytes (TILs) and determine its impact on the prognosis of colorectal cancer (CRC) patients; Methods: HER-2, CD4, CD8, CD19, LY6G, CD56, CD68, CD11b, and EpCam expression in CRC tissues and adjacent paracancerous tissues were assessed using multiplex fluorescence immunohistochemical staining. The correlation between HER-2 expression and the number of TILs in CRC tissues was analyzed. Kaplan–Meier and Cox proportional hazards models were used to analyze survival outcomes; Results: The expression of HER-2 in tumor tissues was higher than that in paracancerous tissues (1.31 ± 0.45 vs. 0.86 ± 0.20, <i>p</i> < 0.05). Additionally, there was an increase in the numbers of CD4+, CD8+, CD19+, and CD68+ cells in CRC tissues (14.11 ± 1.10 vs. 3.40 ± 0.18, <i>p</i> < 0.005; 0.16 ± 0.12 vs. 0.04 ± 0.04, <i>p</i> < 0.005; 0.71 ± 0.46 vs. 0.25 ± 0.13, <i>p</i> < 0.0005; 0.27 ± 0.24 vs. 0.03 ± 0.11, <i>p</i> < 0.05). An increase in HER-2 expression was positively correlated with an increase in CD4, CD8, and CD19 (<i>p</i> < 0.0001). In HER-2-positive CRC tissues, CD68 expression was increased (0.80 ± 0.55 vs. 0.25 ± 0.22, <i>p</i> < 0.05). In HER-2-upregulated CRC tissues, CD4, CD8, CD19, CD68, CD11b, Ly6G, and CD56 expressions were elevated (0.70 ± 0.37 vs. 0.32 ± 0.17, <i>p</i> = 0.03; 0.22 ± 0.13 vs. 0.09 ± 0.06, <i>p</i> = 0.03; 0.31 ± 0.19 vs. 0.12 ± 0.08, <i>p</i> = 0.02; 1.05 ± 0.62 vs. 0.43 ± 0.21, <i>p</i> < 0.01; 1.34 ± 0.81 vs. 0.53 ± 0.23, <i>p</i> < 0.01; 0.50 ± 0.31 vs. 0.19 ± 0.10, <i>p</i> < 0.01; 1.26 ± 0.74 vs. 0.52 ± 0.24, <i>p</i> < 0.01). Furthermore, increased HER-2 expression was an independent risk factor for recurrence-free survival (RFS) in patients (<i>p</i> < 0.01, HR = 3.421); Conclusions: The increased expression of HER-2 and its relationship with immune cells will provide new insights for immunotherapy in CRC patients.https://www.mdpi.com/2227-9059/11/11/2889HER2colorectal cancerimmune cell
spellingShingle Di Yang
Bo Wang
Yinuo Li
Jingyao Zhang
Xuantong Gong
Hao Qin
Yan Wang
Yahui Zhao
Yong Wang
HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration
Biomedicines
HER2
colorectal cancer
immune cell
title HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration
title_full HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration
title_fullStr HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration
title_full_unstemmed HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration
title_short HER-2 Expression in Colorectal Cancer and Its Correlation with Immune Cell Infiltration
title_sort her 2 expression in colorectal cancer and its correlation with immune cell infiltration
topic HER2
colorectal cancer
immune cell
url https://www.mdpi.com/2227-9059/11/11/2889
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