Prognostic value of CD103+ tumor-infiltrating lymphocytes in bladder cancer: A systematic review and meta-analysis.
Eduardo Germano Teixeira, Lucas Antônio Fernandes Torres, Maria Luiza Rodrigues Defante et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the prognostic significance of CD103+ tumor-infiltrating lymphocytes in bladder cancer, focusing on muscle-invasive and metastatic cases. The analysis included three studies with six cohorts, revealing that high CD103+ infiltration is associated with improved overall survival (HR: 0.50, 95% CI: 0.30-0.83), particularly in patients undergoing surgery with adjuvant chemotherapy.
Key findings
- High CD103+ infiltration was associated with improved overall survival (HR: 0.50, 95% CI: 0.30-0.83).
- Patients undergoing surgery with adjuvant chemotherapy showed a significant survival benefit (HR: 0.20).
- Muscle-invasive bladder cancer patients had a pronounced benefit (HR: 0.27) compared to metastatic cases (HR: 0.79).
- Immunohistochemistry cohorts demonstrated a numerically larger effect than ITGAE mRNA cohorts.
Why it matters
Understanding the role of CD103+ tumor-infiltrating lymphocytes could enhance prognostic assessments in bladder cancer, potentially guiding treatment decisions and improving patient outcomes.