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KMID : 1039420150490040318
Journal of Pathology and Translational Medicine
2015 Volume.49 No. 4 p.318 ~ p.324
Cancers with Higher Density of Tumor-Associated Macrophages Were Associated with Poor Survival Rates
Jung Kyong-Yeun

Cho Sun-Wook
Kim Young-A
Kim Dae-In
Oh Byung-Chul
Park Do-Joon
Park Young-Joo
Abstract
Background: Macrophages are a component of a tumor¡¯s microenvironment and have various roles in tumor progression and metastasis. This study evaluated the relationships between tumor-associated macrophage (TAM) density and clinical outcomes in 14 different types of human cancers.

Methods: We investigated TAM density in human tissue microarray sections from 14 different types of human cancers (n = 266) and normal thyroid, lung, and breast tissues (n = 22). The five-year survival rates of each cancer were obtained from the 2011 Korea Central Cancer Registry.

Results: Among 13 human cancers, excluding thyroid cancer, pancreas, lung, and gallbladder cancers had the highest density of CD163-positive macrophages (7.0¡¾3.5%, 6.9¡¾7.4%, and 6.9 ¡¾ 5.5%, respectively). The five-year relative survival rates of these cancers (pancreas, 8.7%; lung, 20.7%; gallbladder, 27.5%) were lower than those of other cancers. The histological subtypes in thyroid cancer exhibited significantly different CD163-positive macrophages densities (papillary, 1.8 ¡¾ 1.6% vs anaplastic, 22.9 ¡¾ 17.1%; p < .001), but no significant difference between histological subtypes was detected in lung and breast cancers. Moreover, there was no significant difference in CD163-positive macrophages densities among the TNM stages in lung, breast, and thyroid cancers.

Conclusions: Cancers with higher TAM densities (pancreas, lung, anaplastic thyroid, and gallbladder) were associated with poor survival rate.
KEYWORD
Tumor-associated macrophage, Prognosis, Neoplasms
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