The Role of Pathology-Based Methods in Qualitative and Quantitative Approaches to Cancer Immunotherapy.

Simple Summary: Immunotherapy has become the filar of modern oncological treatment, and programmed death-ligand 1 expression is one of the primary immune markers assessed by pathologists. However, there are still some issues concerning the evaluation of the marker and limited information about the i...

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Publicado en:Cancers Vol. 14; no. 15; pp. 3833 - 3858
Autores principales: Kuczkiewicz-Siemion, Olga, Sokół, Kamil, Puton, Beata, Borkowska, Aneta, Szumera-Ciećkiewicz, Anna
Formato: pictorial review tables/charts Journal Article
Publicado: MDPI Aug2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2022
      vid: 14
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      pub: MDPI
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        10.3390/cancers14153833
        158525208
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        atl: The Role of Pathology-Based Methods in Qualitative and Quantitative Approaches to Cancer Immunotherapy.
      aug:
        au:
          Kuczkiewicz-Siemion, Olga
          Sokół, Kamil
          Puton, Beata
          Borkowska, Aneta
          Szumera-Ciećkiewicz, Anna
        affil: Department of Pathology, Maria Sklodowska-Curie National Research Institute of Oncology, 02-781 Warsaw, Poland
      sug:
        subj:
          Neoplasms Therapy
          Immunotherapy Methods
          Neoplasms Pathology
          Neoplasms Radiography
          Diagnostic Imaging Methods
          Neoplasms Immunology
          Image Interpretation, Computer Assisted
          Tumor Markers, Biological Analysis
          Programmed Cell Death Ligand 1
          Digital Imaging
          Artificial Intelligence
          Pathologists Education
      ab: Simple Summary: Immunotherapy has become the filar of modern oncological treatment, and programmed death-ligand 1 expression is one of the primary immune markers assessed by pathologists. However, there are still some issues concerning the evaluation of the marker and limited information about the interaction between the tumour and associated immune cells. Recent studies have focused on cancer immunology to try to understand the complex tumour microenvironment, and multiplex imaging methods are more widely used for this purpose. The presented article aims to provide an overall review of a different multiplex in situ method using spectral imaging, supported by automated image-acquisition and software-assisted marker visualisation and interpretation. Multiplex imaging methods could improve the current understanding of complex tumour-microenvironment immunology and could probably help to better match patients to appropriate treatment regimens. Immune checkpoint inhibitors, including those concerning programmed cell death 1 (PD-1) and its ligand (PD-L1), have revolutionised the cancer therapy approach in the past decade. However, not all patients benefit from immunotherapy equally. The prediction of patient response to this type of therapy is mainly based on conventional immunohistochemistry, which is limited by intraobserver variability, semiquantitative assessment, or single-marker-per-slide evaluation. Multiplex imaging techniques and digital image analysis are powerful tools that could overcome some issues concerning tumour-microenvironment studies. This novel approach to biomarker assessment offers a better understanding of the complicated interactions between tumour cells and their environment. Multiplex labelling enables the detection of multiple markers simultaneously and the exploration of their spatial organisation. Evaluating a variety of immune cell phenotypes and differentiating their subpopulations is possible while preserving tissue histology in most cases. Multiplexing supported by digital pathology could allow pathologists to visualise and understand every cell in a single tissue slide and provide meaning in a complex tumour-microenvironment contexture. This review aims to provide an overview of the different multiplex imaging methods and their application in PD-L1 biomarker assessment. Moreover, we discuss digital imaging techniques, with a focus on slide scanners and software.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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