Tumor microenvironment derived biomarkers in renal cell cancer
Author: Frödin-Bolling, Magnus
Date: 2017-12-08
Location: Föreläsningssalen, CCK R8:00, Karolinska University Hospital, Solna
Time: 09.00
Department: Inst för onkologi-patologi / Dept of Oncology-Pathology
View/ Open:
Thesis (608.7Kb)
Abstract
Renal cell carcinoma (RCC) is the 13th most common malignancy worldwide, and constitutes around 2% of all malignant tumors. The entity renal cell carcinoma comprises a heterogenous group of malignant tumors that originates from the epithelial cells in the renal proximal tubule. The most frequently occurring subtype is clear cell renal cell carcinoma which is characterized by a mutation in the von-Hippel-Lindau gene leading to accumulation of hypoxia inducible factor and subsequent upregulation of growth factors involved in angiogenesis. RCC is inherently resistant to conventional chemotherapy, and thus radical surgery before metastasis has occurred still is the best chance for permanent cure. However, in recent years, the introduction of various targeted therapies and immunemodulators have changed the picture, and there are now numerous options which increases the hope for patients with metastatic disease.
In this thesis, we investigated the tumor microenvironment to identify factors with impact on prognosis and response to anti-angiogenic therapy in patients with mRCC. We found that both high perivascular expression of PDGFR-β as well as high heterogeneity of perivascular PDGFR-β was significantly associated with shorter survival. In order to make an in-depth characterization of the tumor microenvironment, we compared vascular, perivascular and stromal features in renal, colorectal and ovarian cancer. This revealed significant differences regarding several metrics, but also similarities. We also studied the impact on tumor infiltrating B-lymphocytes in RCC and found that high infiltration conveyed a worse prognosis, counter to what is seen in many other tumor types, suggesting that high levels B-cells in RCC rather dampens the anti-tumor immune response than indicates an activated immune system. In the last paper, we investigated the role of intratumoral vessel size for response to anti-angiogenic treatment and found that tumors dominated by medium sized vessels was more sensitive to sunitinib.
In summary, our findings indicate that the tumor microenvironment influences prognosis as well as response to treatment in a context dependent manner, and that this prompts further investigation within this field.
In this thesis, we investigated the tumor microenvironment to identify factors with impact on prognosis and response to anti-angiogenic therapy in patients with mRCC. We found that both high perivascular expression of PDGFR-β as well as high heterogeneity of perivascular PDGFR-β was significantly associated with shorter survival. In order to make an in-depth characterization of the tumor microenvironment, we compared vascular, perivascular and stromal features in renal, colorectal and ovarian cancer. This revealed significant differences regarding several metrics, but also similarities. We also studied the impact on tumor infiltrating B-lymphocytes in RCC and found that high infiltration conveyed a worse prognosis, counter to what is seen in many other tumor types, suggesting that high levels B-cells in RCC rather dampens the anti-tumor immune response than indicates an activated immune system. In the last paper, we investigated the role of intratumoral vessel size for response to anti-angiogenic treatment and found that tumors dominated by medium sized vessels was more sensitive to sunitinib.
In summary, our findings indicate that the tumor microenvironment influences prognosis as well as response to treatment in a context dependent manner, and that this prompts further investigation within this field.
List of papers:
I. MAGNUS FRÖDIN, Artur Mezheyeuski, Sara Corvigno, Ulrika Harmenberg, Per Sandström, Lars Egevad, Martin Johansson, and Arne Östman. (2016). Perivascular PDGFR-β is an independent marker for prognosis in renal cell carcinoma. British Journal of Cancer. 2016, 116, 195-201.
Fulltext (DOI)
Pubmed
View record in Web of Science®
II. Corvigno, Sara; FRÖDIN, MAGNUS; Wisman, G Bea A; Nijman, Hans W; Van Der Zee, Ate Gj; Jirström, Karin; Nodin, Björn; Hrynchyk, Ina; Edler, David; Ragnhammar, Peter; Johansson, Martin; Dahlstrand, Hanna; Mezheyeuski, Artur; Östman, Arne. (2017). Multi‐parametric profiling of renal cell, colorectal, and ovarian cancer identifies tumour‐type‐specific stroma phenotypes and a novel vascular biomarker. Journal of Pathology: Clinical research. 2017, 3(3), 214-224.
Fulltext (DOI)
Pubmed
View record in Web of Science®
III. Elin Sjöberg, MAGNUS FRÖDIN, Artur Mezheyeusky, Martin Johansson, Ulrika Harmenberg, Lars Egevad, Per Sandström, Arne Östman. (2017). Identification of a CD20/ MS4A1-high minority-group of renal cell cancer associated with poor prognosis. [Manuscript]
IV. MAGNUS FRÖDIN, Artur Mezheyeuski, Katriina Peltola, Petri Bono, Ulrika Harmenberg, Martin Johansson, Lars Egevad, Arne Östman, Per Sandström. (2017). Vessel diameter predicts response to sunitinib in mRCC. [Manuscript]
I. MAGNUS FRÖDIN, Artur Mezheyeuski, Sara Corvigno, Ulrika Harmenberg, Per Sandström, Lars Egevad, Martin Johansson, and Arne Östman. (2016). Perivascular PDGFR-β is an independent marker for prognosis in renal cell carcinoma. British Journal of Cancer. 2016, 116, 195-201.
Fulltext (DOI)
Pubmed
View record in Web of Science®
II. Corvigno, Sara; FRÖDIN, MAGNUS; Wisman, G Bea A; Nijman, Hans W; Van Der Zee, Ate Gj; Jirström, Karin; Nodin, Björn; Hrynchyk, Ina; Edler, David; Ragnhammar, Peter; Johansson, Martin; Dahlstrand, Hanna; Mezheyeuski, Artur; Östman, Arne. (2017). Multi‐parametric profiling of renal cell, colorectal, and ovarian cancer identifies tumour‐type‐specific stroma phenotypes and a novel vascular biomarker. Journal of Pathology: Clinical research. 2017, 3(3), 214-224.
Fulltext (DOI)
Pubmed
View record in Web of Science®
III. Elin Sjöberg, MAGNUS FRÖDIN, Artur Mezheyeusky, Martin Johansson, Ulrika Harmenberg, Lars Egevad, Per Sandström, Arne Östman. (2017). Identification of a CD20/ MS4A1-high minority-group of renal cell cancer associated with poor prognosis. [Manuscript]
IV. MAGNUS FRÖDIN, Artur Mezheyeuski, Katriina Peltola, Petri Bono, Ulrika Harmenberg, Martin Johansson, Lars Egevad, Arne Östman, Per Sandström. (2017). Vessel diameter predicts response to sunitinib in mRCC. [Manuscript]
Institution: Karolinska Institutet
Supervisor: Sandström, Per
Co-supervisor: Östman, Arne; Ullén, Anders; Hatschek, Thomas
Issue date: 2017-11-16
Rights:
Publication year: 2017
ISBN: 978-91-7676-894-5
Statistics
Total Visits
Views | |
---|---|
Tumor ... | 467 |
Tumor ...(legacy) | 411 |
Total Visits Per Month
October 2023 | November 2023 | December 2023 | January 2024 | February 2024 | March 2024 | April 2024 | |
---|---|---|---|---|---|---|---|
Tumor ... | 2 | 3 | 1 | 5 | 1 | 1 | 3 |
File Visits
Views | |
---|---|
Thesis_Magnus_Frödin-Bolling.pdf | 463 |
Thesis_Magnus_Frödin-Bolling.pdf(legacy) | 299 |
Top country views
Views | |
---|---|
United States | 165 |
Sweden | 139 |
Denmark | 114 |
Germany | 80 |
Australia | 69 |
China | 53 |
Austria | 19 |
United Kingdom | 17 |
Finland | 13 |
Canada | 12 |
Top cities views
Views | |
---|---|
Sydney | 66 |
Ashburn | 64 |
Copenhagen | 57 |
Stockholm | 31 |
Beijing | 19 |
Woodbridge | 14 |
Vienna | 13 |
Houston | 9 |
Menlo Park | 9 |
Dublin | 8 |