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van der Hoorn IAE, Martynova E, Subtil B, Meek J, Verrijp K, Textor J, Flórez-Grau G, Piet B, van den Heuvel MM, de Vries IJM, Gorris MAJ. Detection of dendritic cell subsets in the tumor microenvironment by multiplex immunohistochemistry. Eur J Immunol 2024; 54:e2350616. [PMID: 37840200 DOI: 10.1002/eji.202350616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 10/12/2023] [Accepted: 10/13/2023] [Indexed: 10/17/2023]
Abstract
Dendritic cells (DCs) are essential in antitumor immunity. In humans, three main DC subsets are defined: two types of conventional DCs (cDC1s and cDC2s) and plasmacytoid DCs (pDCs). To study DC subsets in the tumor microenvironment (TME), it is important to correctly identify them in tumor tissues. Tumor-derived DCs are often analyzed in cell suspensions in which spatial information about DCs which can be important to determine their function within the TME is lost. Therefore, we developed the first standardized and optimized multiplex immunohistochemistry panel, simultaneously detecting cDC1s, cDC2s, and pDCs within their tissue context. We report on this panel's development, validation, and quantitative analysis. A multiplex immunohistochemistry panel consisting of CD1c, CD303, X-C motif chemokine receptor 1, CD14, CD19, a tumor marker, and DAPI was established. The ImmuNet machine learning pipeline was trained for the detection of DC subsets. The performance of ImmuNet was compared with conventional cell phenotyping software. Ultimately, frequencies of DC subsets within several tumors were defined. In conclusion, this panel provides a method to study cDC1s, cDC2s, and pDCs in the spatial context of the TME, which supports unraveling their specific roles in antitumor immunity.
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Affiliation(s)
- Iris A E van der Hoorn
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Department of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Evgenia Martynova
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Data Science, Institute for Computing and Information Sciences, Radboud University, Nijmegen, the Netherlands
| | - Beatriz Subtil
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Jelena Meek
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Kiek Verrijp
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Division of Immunotherapy, Oncode Institute, Radboud University Medical Center, Nijmegen, the Netherlands
- Department of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Johannes Textor
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Data Science, Institute for Computing and Information Sciences, Radboud University, Nijmegen, the Netherlands
| | - Georgina Flórez-Grau
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Berber Piet
- Department of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Michel M van den Heuvel
- Department of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, the Netherlands
| | - I Jolanda M de Vries
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
| | - Mark A J Gorris
- Department of Medical BioSciences, Radboud University Medical Center, Nijmegen, the Netherlands
- Division of Immunotherapy, Oncode Institute, Radboud University Medical Center, Nijmegen, the Netherlands
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Gorris MAJ, Martynova E, Sweep MWD, van der Hoorn IAE, Sultan S, Claassens MJDE, van der Woude LL, Verrijp K, Figdor CG, Textor J, de Vries IJM. Multiplex Immunohistochemical Analysis of the Spatial Immune Cell Landscape of the Tumor Microenvironment. J Vis Exp 2023. [PMID: 37607099 DOI: 10.3791/65717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/24/2023] Open
Abstract
The immune cell landscape of the tumor microenvironment potentially contains information for the discovery of prognostic and predictive biomarkers. Multiplex immunohistochemistry is a valuable tool to visualize and identify different types of immune cells in tumor tissues while retaining its spatial information. Here we provide detailed protocols to analyze lymphocyte, myeloid, and dendritic cell populations in tissue sections. Starting from cutting formalin-fixed paraffin-embedded sections, automatic multiplex staining procedures on an automated platform, scanning of the slides on a multispectral imaging microscope, to the analysis of images using an in-house-developed machine learning algorithm ImmuNet. These protocols can be applied to a variety of tumor specimens by simply switching tumor markers to analyze immune cells in different compartments of the sample (tumor versus invasive margin) and apply nearest-neighbor analysis. This analysis is not limited to tumor samples but can also be applied to other (non-)pathogenic tissues. Improvements to the equipment and workflow over the past few years have significantly shortened throughput times, which facilitates the future application of this procedure in the diagnostic setting.
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Affiliation(s)
- Mark A J Gorris
- Department of Medical BioSciences, Radboudumc; Division of Immunotherapy, Oncode Institute, Radboudumc;
| | - Evgenia Martynova
- Department of Medical BioSciences, Radboudumc; Data Science, Institute for Computing and Information Sciences, Radboud University
| | - Mark W D Sweep
- Department of Medical BioSciences, Radboudumc; Department of Medical Oncology, Radboudumc
| | - Iris A E van der Hoorn
- Department of Medical BioSciences, Radboudumc; Department of Pulmonary Diseases, Radboudumc
| | - Shabaz Sultan
- Department of Medical BioSciences, Radboudumc; Data Science, Institute for Computing and Information Sciences, Radboud University
| | | | - Lieke L van der Woude
- Department of Medical BioSciences, Radboudumc; Division of Immunotherapy, Oncode Institute, Radboudumc; Department of Pathology, Radboudumc
| | - Kiek Verrijp
- Department of Medical BioSciences, Radboudumc; Division of Immunotherapy, Oncode Institute, Radboudumc; Department of Pathology, Radboudumc
| | - Carl G Figdor
- Department of Medical BioSciences, Radboudumc; Data Science, Institute for Computing and Information Sciences, Radboud University
| | - Johannes Textor
- Department of Medical BioSciences, Radboudumc; Data Science, Institute for Computing and Information Sciences, Radboud University
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Kabwe E, Davidyuk Y, Shamsutdinov A, Morzunov S, Martynova E, Garanina E, Ismagilova R, Belyaev A, Shuralev E, Isaeva G, Khaiboullina S, Rizvanov A. Puumala orthohantavirus genome sequence variations in the Republic of Tatarstan, Russia. Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.09.1373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Yudina AE, Pavlova MG, Sotnikov VM, Tselovalnikova TY, Mazerkina NA, Zheludkova OG, Gerasimov AN, Teryaeva NB, Martynova E, Kim EI. [The glucagon test in diagnosis of secondary adrenal insufficiency after craniospinal irradiation: the feasibility of application, the features of performing the test, and its diagnostic informativity]. ACTA ACUST UNITED AC 2019; 65:227-235. [PMID: 32202724 DOI: 10.14341/probl10219] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Accepted: 07/11/2019] [Indexed: 11/06/2022]
Abstract
BACKGROUND The glucagon test (GT) is a promising alternative to the insulin hypoglycemia test (IHT) in diagnosis of secondary adrenal insufficiency (SAI). AIM To study the feasibility of using the GT in patients after craniospinal irradiation and to determine the cut-off value to rule out SAI. METHODS A total of 28 patients (14 males and 14 females) with the median age of 19 years (17; 23) who had undergone combination treatment (surgery, craniospinal irradiation (35 Gy) with boost to the tumor bed, and polychemotherapy) of extrapituitary brain tumors no later than 2 years before study initiation and 10 healthy volunteers of matching sex and age were examined. All the subjects underwent the GT and IHT with an interval of at least 57 days. The cortisol, ACTH, and glucose levels were measured. RESULTS Twelve out of 28 patients were diagnosed with SAI according to the IHT results. ROC analysis revealed that cortisol release during the GT 499 nmol/L ruled out SAI [100% sensitivity (Se); 62% specificity (Sp)], while the absence of a rise 340 nmol/l verified SAI (Sp 100%; 55% Se). For GT, the area under a curve (AUC) was 93.6%, which corresponds to a very good diagnostic informativity. In 19 patients, the IHT and GT results were concordant (in ten patients, the release of cortisol occurred above the cut-off value in both tests; no release was detected in nine patients). In nine cases, the results were discordant: the maximum cortisol level detected in the GT was 500 nmol/l, but the IHT results ruled out SAI (the GT yielded a false positive outcome). Contrariwise, in three (10.7%) patients the release of cortisol detected in the GT was adequate, while being insufficient in the IHT test. Adverse events (nausea) were reported during the GT test in 9 (25%) subjects; one patient had hypoglycemia (1.8 mmol/l). CONCLUSION GT is highly informative and can be used as a first-level stimulation test for ruling out SAI in patients exposed to craniospinal irradiation performed to manage brain tumors. The cortisol level of 500 nmol/L is the best cut-off value for ruling out SAI according to the GT results. The insulin hypoglycemia test is used as the second-level supporting test in patients with positive GT results.
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Affiliation(s)
- A E Yudina
- I.M. Sechenov First Moscow State Medical University
| | - M G Pavlova
- I.M. Sechenov First Moscow State Medical University
| | - V M Sotnikov
- Russian Scientific Center of Roentgeno-Radiology
| | | | - N A Mazerkina
- N.N. Burdenko National Scientific and Practical Center for Neurosurgery
| | | | | | - N B Teryaeva
- N.N. Burdenko National Scientific and Practical Center for Neurosurgery
| | - E Martynova
- I.M. Sechenov First Moscow State Medical University
| | - E I Kim
- I.M. Sechenov First Moscow State Medical University
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Yudina AE, Pavlova MG, Sotnikov VM, Yudina AE, Sych YP, Mazerkina NA, Zheludkova OG, Teryaeva NB, Gerasimov AN, Martynova E, Kim EI, Berkovskaya MA. [Clinical features and diagnosis of secondary adrenal insufficiency followed complex treatment nonpituitary brain tumors]. ACTA ACUST UNITED AC 2019; 65:330-340. [PMID: 32202737 DOI: 10.14341/probl10246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 07/09/2019] [Accepted: 12/09/2019] [Indexed: 11/06/2022]
Abstract
BACKGROUND The most of the current studies include patients who are different by the etiology of secondary adrenal insufficiency (SAI), or investigate SAI among other late effects of the radiation therapy. AIMS To describe the features of SAI and to select the best method of screening SAI in adult patients followed complex treatment of nonpituitary brain tumors in childhood. MATERIALS AND METHODS It was the retrospective cross-sectional study. 31 patients after the complex treatment of nonpituitary brain tumors in childhood and 20 healthy volunteers were examined. Age and sex ratio were comparable between the groups. Biochemical and clinical blood tests, levels of cortisol, ACTH, DHEA-C were evaluated. The insulin tolerance test (ITT) was performed for all patients and 11 volunteers. RESULTS The prevalence of SAI by ITT was 45.2%. The levels of basal cortisol (BC) were significantly higher in patients without SAI in comparison with the SAI group and volunteers (505 [340; 650] vs 323 [233; 382] and 372 [263; 489] nmol / l; pSAI- without_SAI=0.001; pwihtout_SAI-healthy = 0.04). The SAI group had DHEA-C significantly lower than in other groups one (3.1 [1.8; 3.4] vs 5.1 [2.5; 6.4] and 6.8 [4.1; 8.9]; рSAI- without_SAI = 0.036; pSAI-healthy = 0.001). ROC analysis showed that BC and DHEA-S can be used as high-quality screening tests for SAI (AUC = 89.3% and 88.3%). The maximum level of cortisol (656 [608-686] vs 634 [548-677]; p = 1) and the time of its increase (45 and 60 min) did not differ during ITT in patients without SAI and volunteers. Side effects: delayed hypoglycemia occurred in 4/14 patients of the SAI group 4090 minutes late of injection 60-80 ml of 40% glucose solution for stopping hypoglycemia in the test. CONCLUSIONS 45.2% of patients followed craniospinal irradiation had SAI that is characterized by a decrease in DHEA-C levels. A highly normal level of basal cortisol was observed in 45% of patients without SAI. DHEA-C and blood cortisol can be used for SAI screening.
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Affiliation(s)
- A E Yudina
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - M G Pavlova
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - V M Sotnikov
- Russian Scientific Center of Roentgeno-Radiology
| | - A E Yudina
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - Y P Sych
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - N A Mazerkina
- N.N. Burdenko National Scientific and Practical Center for Neurosurgery
| | | | | | - A N Gerasimov
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - E Martynova
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - E I Kim
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
| | - M A Berkovskaya
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
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Martynova E, Khabirov F, Khaybullin T, Rizvanov A, Khaiboullina S, Akhmedova G, Granatov E, Shakirzanova S. Cytokine activation in cerebrospinal fluid of patients with multiple sclerosis. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.3472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Cordani N, Pozzi S, Martynova E, Fanoni D, Borrelli S, Alotto D, Castagnoli C, Berti E, Viganò MA, Mantovani R. Mutant p53 subverts p63 control over KLF4 expression in keratinocytes. Oncogene 2010; 30:922-32. [DOI: 10.1038/onc.2010.474] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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