Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy

Abstract The pro-tumor effects of mast cell (MC) in the tumor microenvironment (TME) are becoming increasingly clear. Recently, MC were shown to contribute to tumor malignancy by supporting the migration of tumor-associated macrophages (TAMs), suggesting a relationship with tumor immunity. In the cu...

Full description

Saved in:
Bibliographic Details
Main Authors: Masaaki Nishi, Shoko Yamashita, Chie Takasu, Yuma Wada, Kozo Yoshikawa, Takuya Tokunaga, Toshihiro Nakao, Hideya Kashihara, Toshiaki Yoshimoto, Mitsuo Shimada
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-025-13458-9
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832594721765064704
author Masaaki Nishi
Shoko Yamashita
Chie Takasu
Yuma Wada
Kozo Yoshikawa
Takuya Tokunaga
Toshihiro Nakao
Hideya Kashihara
Toshiaki Yoshimoto
Mitsuo Shimada
author_facet Masaaki Nishi
Shoko Yamashita
Chie Takasu
Yuma Wada
Kozo Yoshikawa
Takuya Tokunaga
Toshihiro Nakao
Hideya Kashihara
Toshiaki Yoshimoto
Mitsuo Shimada
author_sort Masaaki Nishi
collection DOAJ
description Abstract The pro-tumor effects of mast cell (MC) in the tumor microenvironment (TME) are becoming increasingly clear. Recently, MC were shown to contribute to tumor malignancy by supporting the migration of tumor-associated macrophages (TAMs), suggesting a relationship with tumor immunity. In the current study, we aimed to examine the correlation between MC infiltration and neoadjuvant chemoradiotherapy (nCRT) response for locally advanced rectal cancer (LARC). Ninety-five LARC patients who recieved nCRT were enrolled in this study. Protein levels of the MC marker tryptase and TAM marker CD206 were evaluated with immunohistochemistry (IHC). The correlation between MC infiltration and prognostic factors was evaluated. The effects of MCs on the malignant potential were examined using in vitro proliferation and invasion assays with a colorectal cancer (CRC) cell line (HCT-116). Following nCRT, 31.6% of resected LARC patient specimens were positive for MC infiltration by tryptase IHC analysis. MC infiltration was significantly correlated with nCRT response. The 5-year disease-free survival (DFS) rate was significantly lower in the MC-positive group compared with the MC-negative group (52.3% vs. 76.8%). Univariate and multivariate analyses revealed that MC infiltration was the independent prognostic indicator for DFS. MC infiltration was significantly correlated with CD206 expression, and therefore TAMs. In vitro experiments suggested that tumor activated mast cells could promote CRC cell malignant behavior via production of macrophage inhibitory factor. MC infiltration in LARC patients was positively correlated with TAM infiltration and resistance to nCRT, and was also an independent poor prognostic indicator.
format Article
id doaj-art-d504556fc42b4fa0a2f6aa3aa3d0b9fb
institution Kabale University
issn 1471-2407
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Cancer
spelling doaj-art-d504556fc42b4fa0a2f6aa3aa3d0b9fb2025-01-19T12:26:43ZengBMCBMC Cancer1471-24072025-01-0125111010.1186/s12885-025-13458-9Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapyMasaaki Nishi0Shoko Yamashita1Chie Takasu2Yuma Wada3Kozo Yoshikawa4Takuya Tokunaga5Toshihiro Nakao6Hideya Kashihara7Toshiaki Yoshimoto8Mitsuo Shimada9Department of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityDepartment of Surgery, Tokushima UniversityAbstract The pro-tumor effects of mast cell (MC) in the tumor microenvironment (TME) are becoming increasingly clear. Recently, MC were shown to contribute to tumor malignancy by supporting the migration of tumor-associated macrophages (TAMs), suggesting a relationship with tumor immunity. In the current study, we aimed to examine the correlation between MC infiltration and neoadjuvant chemoradiotherapy (nCRT) response for locally advanced rectal cancer (LARC). Ninety-five LARC patients who recieved nCRT were enrolled in this study. Protein levels of the MC marker tryptase and TAM marker CD206 were evaluated with immunohistochemistry (IHC). The correlation between MC infiltration and prognostic factors was evaluated. The effects of MCs on the malignant potential were examined using in vitro proliferation and invasion assays with a colorectal cancer (CRC) cell line (HCT-116). Following nCRT, 31.6% of resected LARC patient specimens were positive for MC infiltration by tryptase IHC analysis. MC infiltration was significantly correlated with nCRT response. The 5-year disease-free survival (DFS) rate was significantly lower in the MC-positive group compared with the MC-negative group (52.3% vs. 76.8%). Univariate and multivariate analyses revealed that MC infiltration was the independent prognostic indicator for DFS. MC infiltration was significantly correlated with CD206 expression, and therefore TAMs. In vitro experiments suggested that tumor activated mast cells could promote CRC cell malignant behavior via production of macrophage inhibitory factor. MC infiltration in LARC patients was positively correlated with TAM infiltration and resistance to nCRT, and was also an independent poor prognostic indicator.https://doi.org/10.1186/s12885-025-13458-9Mast cellRectal cancerNeoadjuvant chemoradiotherapyTumor associated macrophage
spellingShingle Masaaki Nishi
Shoko Yamashita
Chie Takasu
Yuma Wada
Kozo Yoshikawa
Takuya Tokunaga
Toshihiro Nakao
Hideya Kashihara
Toshiaki Yoshimoto
Mitsuo Shimada
Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
BMC Cancer
Mast cell
Rectal cancer
Neoadjuvant chemoradiotherapy
Tumor associated macrophage
title Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
title_full Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
title_fullStr Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
title_full_unstemmed Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
title_short Role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
title_sort role of mast cell in locally advanced rectal cancer treated with neoadjuvant chemoradiotherapy
topic Mast cell
Rectal cancer
Neoadjuvant chemoradiotherapy
Tumor associated macrophage
url https://doi.org/10.1186/s12885-025-13458-9
work_keys_str_mv AT masaakinishi roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT shokoyamashita roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT chietakasu roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT yumawada roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT kozoyoshikawa roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT takuyatokunaga roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT toshihironakao roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT hideyakashihara roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT toshiakiyoshimoto roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy
AT mitsuoshimada roleofmastcellinlocallyadvancedrectalcancertreatedwithneoadjuvantchemoradiotherapy