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Table 1 Immune studies of PAs

From: Research advances on the immune research and prospect of immunotherapy in pituitary adenomas

Cell type and marker

Conclusion/distribution

Ref.

Population

Methods

Year

CD3 (T cells)

FPAs > NFPAs; GH adenomas > ACTH adenomas > PRL adenomas.

[5, 49]

67; 48

Immunohistochemistry

2020; 2016

CD4 (T cells)

FPAs > NFPAs; GH adenomas > non-GH adenomas. T cell phenotype was the CD4+ memory resting phenotype. May have angiogenic effects.

[32, 41, 48, 49]

24; 134; 35; 48

Immunohistochemistry

2020 ;2020; 2015; 2016

CD8 (T cells)

GH adenomas > non-GH adenomas. Positively correlated with serum PRL and intratumoral immunostaining of PRL and GH. Cavernous sinus invasion > non-invasive tumors. The number of CD8+ lymphocytes was positively correlated with the number of CD68+ macrophages. FPAs > NFPAs (especially GHomas). Cushing pituitary tumors had higher CD8+ T cells.

[41, 42, 48, 50,51,52]

134; 191; 35; 27; 64; 115

Immunohistochemistry; Computational approach;

RNA-seq.;

2020; 2018; 2015; 2019; 2020; 2020

FOXP3 (regulatory T cells)

AIP-mutated GH tumors > sporadic ones and NPG. Cavernous sinus invasion > non-invasive tumors. May have angiogenic effects.

[32, 50, 53]

24; 27; 15

Immunohistochemistry

2020; 2019; 2019

CD20 (B cells)

FPAs > NFPAs (especially GHomas). May have angiogenic effects.

[32, 52]

24; 115

Immunohistochemistry; RNA-seq.

2020; 2020

CD45 (lymphocytes)

The CD45 staining in pituitary adenomas was significantly greater than that in normal pituitary. There was no statistically significant difference among the various secretory types. High (MIB-1 > 3%) proliferative indices > low (MIB-1 ≤ 3%) proliferative indices.

[49, 54]

48; 72

Immunohistochemistry

2016; 2010

CD68 (macrophages)

The numbers of CD68+ cells showed a positive correlation with the tumor sizes and Knosp classification grades. Sparsely granulated GH and null cell tumors > densely granulated GH and ACTH tumors. AIP-mutated GH tumors > sporadic ones and NPG. The number of CD8+ lymphocytes was positively correlated with the number of CD68+ macrophages. Gonadotroph PitNETs present an increased CD68+ macrophage signature compared to somatotroph, lactotroph, and corticotroph PitNETs. The percentage of CD68+ and CD163+ infiltrating macrophages was significantly associated with the aggressiveness of gonadotropin tumors. Macrophages and NK cells are positively correlated. M2 macrophages > M1 macrophages. In the PA stroma, CD68+ macrophages > CD4+ T cells and CD8+ T cells.

[31, 41, 47, 48, 51,52,53]

35; 134; 28;35; 64; 115; 15

Immunohistochemistry; Computational approach; flow cytometry

2021; 2020; 2020; 2015; 2020; 2020; 2019

CD147

Invasion tumors > non-invasive tumors.

[55]

55

Immunohistochemistry

2005

CD163

The most abundant type of immune cell in PitNETs, and mainly CD163 +.

[14]

45

immunohistochemistry

2019

NK cells

Macrophages and NK cells are positively correlated.

[52]

115

Immunohistochemistry; RNA-seq.

2020

Neutrophils

PitNETs contained fewer neutrophils. NF-PitNETs had more neutrophils than somatotropinomas.

[14]

45

Immunohistochemistry

2019

CTLA-4

There was no significant difference in CTLA-4 expression among tumor subtypes.

[52]

115

Immunohistochemistry; RNA-seq.

2020

PD-1

NFPAs>FPAs (especially GHomas). High (MIB-1 > 3%) proliferative indices > low (MIB-1 ≤ 3%) proliferative indices.

[49, 52]

48; 115

Immunohistochemistry

2016; 2020

PD-L1

FPAs > NFPAs (especially GHomas). Positively correlated with serum PRL and intratumoral immunostaining of PRL and GH. The score tended to be higher (p = 0.050) in the cavernous sinus invasion group. There was no difference between primary and recurrent adenomas.

[5, 42, 49, 50, 52, 56]

67; 191; 48; 27; 115; 55.

Immunohistochemistry; RNA-seq.

2020; 2018; 2016; 2019; 2020; 2020

  1. Abbreviations: FPAs functional pituitary adenoma, NFPAs non-functional pituitary adenoma, GH growth hormone, PRL prolactin, ACTH adrenocorticotropic hormone, FoxP3 forkhead box protein P3, NK cell natural killer cell, PitNETs pituitary neuroendocrine tumor, NPG normal pituitary glands, AIP aryl hydrocarbon receptor-interacting protein, CTLA-4 co-inhibitory cytotoxic T lymphocyte-associated protein 4