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024 7 _ |a 0021-9738
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037 _ _ |a DKFZ-2024-02198
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Nelson, Brad H
|b 0
245 _ _ |a Immunological and molecular features of the tumor microenvironment of long-term survivors of ovarian cancer.
260 _ _ |a Ann Arbor, Mich.
|c 2024
|b ASCJ
336 7 _ |a article
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500 _ _ |a 2024 Oct 29;134(24):e179501
520 _ _ |a Despite an overall poor prognosis, about 15% of patients with advanced-stage tubo-ovarian high-grade serous carcinoma (HGSC) survive ten or more years after standard treatment.We evaluated the tumor microenvironment of this exceptional, understudied group using a large international cohort enriched for long-term survivors (LTS; 10+ years; n = 374) compared to medium-term (MTS; 5-7.99 years; n = 433) and short-term survivors (STS; 2-4.99 years; n = 416). Primary tumor samples were immunostained and scored for intra-epithelial and intra-stromal densities of 10 immune-cell subsets (including T cells, B cells, plasma cells, myeloid cells, PD-1+ cells, and PD-L1+ cells) and epithelial content.Positive associations with LTS compared to STS were seen for 9/10 immune-cell subsets. In particular, the combination of intra-epithelial CD8+ T cells and intra-stromal B cells showed near five-fold increased odds of LTS compared to STS. All of these associations were stronger in tumors with high epithelial content and/or the C4/Differentiated molecular subtype, despite immune-cell densities generally being higher in tumors with low epithelial content and/or the C2/Immunoreactive molecular subtype.The tumor microenvironment of HGSC long-term survivors is distinguished by the intersection of T and B cell co-infiltration, high epithelial content and C4/Differentiated molecular subtype, features which may inspire new approaches to immunotherapy.Ovarian Cancer Research Program (OCRP) of the Congressionally Directed Medical Research Program (CDMRP), U.S. Department of Defense (DOD); American Cancer Society; BC Cancer Foundation; Canada's Networks of Centres of Excellence; Canadian Cancer Society; Canadian Institutes of Health Research; Cancer Councils of New South Wales, Victoria, Queensland, South Australia and Tasmania, Cancer Foundation of Western Australia; Cancer Institute NSW; Cancer Research UK; Deutsche Forschungsgesellschaft; ELAN Funds of the University of Erlangen-Nuremberg; Fred C. and Katherine B. Andersen Foundation; Genome BC; German Cancer Research Center; German Federal Ministry of Education and Research, Programme of Clinical Biomedical Research; Instituto de Salud Carlos III; Mayo Foundation; Minnesota Ovarian Cancer Alliance; Ministerio de Economía y Competitividad; MRC; National Center for Advancing Translational Sciences; National Health and Medical Research Council of Australia (NHMRC); Ovarian Cancer Australia; Peter MacCallum Foundation; Sydney West Translational Cancer Research Centre; Terry Fox Research Institute; The Eve Appeal (The Oak Foundation); UK National Institute for Health Research Biomedical Research Centres at the University of Cambridge; University of Pittsburgh School of Medicine; U.S. National Cancer Institute of the National Institutes of Health; VGH & UBC Hospital Foundation; Victorian Cancer Agency.
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650 _ 7 |a Cancer
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650 _ 7 |a Cellular immune response
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650 _ 7 |a Epidemiology
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650 _ 7 |a Immunology
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650 _ 7 |a Oncology
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700 1 _ |a Hamilton, Phineas T
|b 1
700 1 _ |a Phung, Minh Tung
|b 2
700 1 _ |a Milne, Katy
|b 3
700 1 _ |a Harris, Bronwyn
|b 4
700 1 _ |a Thornton, Shelby
|b 5
700 1 _ |a Stevens, Donald Li
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700 1 _ |a Kalaria, Shreena
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700 1 _ |a Singh, Karanvir
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700 1 _ |a Laumont, Céline M
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700 1 _ |a Moss, Elena
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700 1 _ |a Alimujiang, Aliya
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700 1 _ |a Meagher, Nicola S
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700 1 _ |a Bolithon, Adelyn
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700 1 _ |a Fereday, Sian
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700 1 _ |a Kennedy, Catherine J
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700 1 _ |a Hendley, Joy
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700 1 _ |a Ariyaratne, Dinuka
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700 1 _ |a Alsop, Kathryn
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700 1 _ |a Traficante, Nadia
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700 1 _ |a Goode, Ellen L
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700 1 _ |a Karnezis, Anthony N
|b 21
700 1 _ |a Shen, Hui
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700 1 _ |a Richardson, Jean
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700 1 _ |a McKinnon Deurloo, Cindy
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700 1 _ |a Chase, Anne
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700 1 _ |a Grout, Bronwyn
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700 1 _ |a Doherty, Jennifer A
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700 1 _ |a Harris, Holly R
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700 1 _ |a Cushing-Haugen, Kara L
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700 1 _ |a Anglesio, Michael S
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700 1 _ |a Heinze, Karolin
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700 1 _ |a Huntsman, David
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700 1 _ |a Talhouk, Aline
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700 1 _ |a Hanley, Gillian E
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700 1 _ |a Alsop, Jennifer
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700 1 _ |a Jimenez-Linan, Mercedes
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700 1 _ |a Pharoah, Paul Dp
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700 1 _ |a Boros, Jessica
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700 1 _ |a Brand, Alison H
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700 1 _ |a Harnett, Paul R
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700 1 _ |a Sharma, Raghwa
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700 1 _ |a Hecht, Jonathan L
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700 1 _ |a Sasamoto, Naoko
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700 1 _ |a Terry, Kathryn L
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700 1 _ |a Karlan, Beth Y
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700 1 _ |a Lester, Jenny
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700 1 _ |a Carney, Michael E
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700 1 _ |a Goodman, Marc T
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700 1 _ |a Hernandez, Brenda Y
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700 1 _ |a Wilkens, Lynne R
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700 1 _ |a Behrens, Sabine
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700 1 _ |a Turzanski Fortner, Renée
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700 1 _ |a Fasching, Peter A
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700 1 _ |a Bisinotto, Christiani
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700 1 _ |a Candido Dos Reis, Francisco José
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700 1 _ |a Ghatage, Prafull
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700 1 _ |a Köbel, Martin
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700 1 _ |a Elishaev, Esther
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700 1 _ |a Modugno, Francesmary
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700 1 _ |a Cook, Linda S
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700 1 _ |a Le, Nhu D
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700 1 _ |a Gentry-Maharaj, Aleksandra
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700 1 _ |a Menon, Usha
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700 1 _ |a García, María J
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700 1 _ |a Rodriguez-Antona, Cristina
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700 1 _ |a Farrington, Kyo M
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700 1 _ |a Kelemen, Linda E
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700 1 _ |a Kommoss, Stefan
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700 1 _ |a Staebler, Annette
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700 1 _ |a Garsed, Dale W
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700 1 _ |a Brenton, James D
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700 1 _ |a Piskorz, Anna M
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700 1 _ |a Bowtell, David Dl
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700 1 _ |a DeFazio, Anna
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700 1 _ |a Ramus, Susan J
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700 1 _ |a Pike, Malcolm C
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700 1 _ |a Pearce, Celeste Leigh
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Marc 21