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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The infiltration of immune cells and their roles of the infiltrating-immune cells in gastrointestinal stromal tumor (GIST) is still unclear.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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We aimed to discover the infiltration cell types and the relationship between the infiltrating-immune cells and the progression of GIST.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Single-cell RNA sequencing were performed to discover types of the infiltrating-immune cells and to analyze CellChat between cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Immunohistochemistry of 80 GIST samples were used to clarify the relation between macrophages and recurrence risk.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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In vitro, flow cytometry and Real-time PCR were performed to uncover a potential mechanism of tumor cell regulation of macrophages.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Tumor cells, macrophages, and T-cells were the predominant cell types.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The MIF/CXCR4 axis was the most common ligand–receptor interaction between macrophages and tumor cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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As the risk increased, expression levels of CD68, CD206, MIF, and CXCR4 gradually increased.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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In vitro, we found that GIST882 was able to secrete MIF and GIST882 cell supernatant upregulated M2 polarization.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Real-time PCR showed that expression levels of IL-10 mRNA and Arginase-1 mRNA were also the highest in the GIST882 cell supernatant group.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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These findings identify that macrophages are the most abundant infiltrating cells in GIST.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The MIF/CXCR4 axis is the most common ligand–receptor interaction between macrophages and tumor cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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GIST cells can regulate macrophage M2 polarization through the MIF/CXCR4 axis.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Gastrointestinal stromal tumor (GIST) is the most common mesenchymal tumors in the gastrointestinal tract (1).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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It is well-known that GISTs originate from the interstitial cells of Cajal and that GISTs are characterized by acquired gene mutations.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Specifically, KIT (75–80%) and PDGFRA (5–10%) are the most common gain-of-function mutations (2, 3).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The risk stratification based on tumor size, tumor site, and mitotic count is often used to predict the recurrence risk.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Targeted therapy is the first choice for the patients with metastatic disease and those with intermediate or high recurrence risk (4).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Imatinib, from the first generation of tyrosine kinase inhibitors (TKIs), is the most effective drug.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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However, patients invariably develop drug resistance.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The second generation and the third generation of TKIs have limited benefit and more drug side effects (5).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Thus, it is important to develop new treatment strategies.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Recently, the monoclonal antibodies against immunological checkpoints PD-1 and CTLA-4 have been used in most tumors to improve overall survival (6–8).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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However, not all the patients can benefit from the immune therapy.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Factors such as PD-1/PD-L1, tumor mutational burden, and microsatellite instability have been suggested to predict treatment response.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Tumor-infiltrating immune cells seem to play an important role in treatment responses and tumor progression (9–11).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Available studies have shown abundant immune cell infiltration in GIST (5, 12–14).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Moreover, it has been demonstrated that imatinib could lead to the activation of CD8 T cells and that CD8 T cells also promote imatinib’s antitumor effects (5, 15).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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However, CD8 T cells become exhausted and macrophage count increases with tumor progression (12, 16).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Although abundant immune cell infiltration has been found in GIST microenvironment, clinical studies have shown that immunotherapy is not ideal (17, 18).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Thus, it is important to clarify the roles of infiltrated immune cells in the progression of GIST.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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In this study, we aimed to determine the role of macrophages during tumor progression and cell-chat types between macrophages and tumor cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Two patients (G01 and G02) were recruited for single-cell transcriptome analysis.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The two tumors were both located on the greater curvature of the gastric body.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The patient G01 underwent surgical resection, and the patient G02 underwent endoscopic resection.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Immunohistochemical results showed that CD117, DOG-1, and CD34 were positive.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The maximum tumor diameter in the patient G01 was 10 cm, and the mitotic index was 12/50 high-power fields (HPF).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Thus, the risk in G01 was considered high.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The maximum diameter of the tumor in the patient G02 was 2 cm, and the mitotic index was 1/50 HPF.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Hence, the risk in G02 was defined as very low.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Tumor tissues were obtained from the resection specimens and were cut into small pieces.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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These pieces were digested with collagenase IV for 15 min at 37°C.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Next, 70-µm cell strainer was used for filtration.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Countess II Automated Cell Counter was used to determine the cell viability.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Cells were loaded onto the 10X Chromium Single Cell Platform (10X Genomics) at a concentration of 1,000 cells/µL (Single Cell 3′ library and Gel Bead Kit v.3) as described in the manufacturer’s protocol.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Generation of gel beads in emulsion (GEMs), barcoding, GEM-RT clean-up, complementary DNA amplification, and library construction were all performed as per the manufacturer’s protocol.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Qubit was used for library quantification before pooling.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The final library pool was sequenced on an Illumina NovaSeq 6000 instrument using 150-base-pair paired-end reads.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Cell ranger 3.0 software was used to generate cells × genes matrixes, and all parameters were set to default.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Criteria of quality control were as follows: (a) RNA counts less than 500; (b) RNA counts larger than 98% of cells; (c) mitochondrial gene expression percentage higher than 15%.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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A tool named CellChat was used to analyze and infer intercellular communication networks from these single-cell transcriptome data.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Tissue microarray with 5-micron was created from paraffin-embedded tumor tissues, which were collected from January 2011 to September 2020.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The inclusion criteria were as follows: (1) all patients were diagnosed with GIST; (2) Clinicopathological information were complete.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The exclusion criteria were as follows: (1) patients were treated with targeted drugs; (2) tumors were not located in stomach or intestine; (3) tissue was not used for immunohistochemistry.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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According to these inclusion criteria and exclusion criteria, 80 patients were included for this study.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Immunohistochemistry and immunofluorescence were performed on the tissue microarray with the following antibodies: rabbit polyclonal antibodies against human CD8 (ZEN Bio, Lot No:10011860), CD206 (Protein tech, Lot No:00080496), MIF (ZEN Bio, Lot No:20200101), and CXCR4 (ZEN Bio, Lot No: BJ10221968), and monoclonal mouse antibody against human CD68 (Abcam, Lot No:00098190).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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ImageJ software was used to scan the stained tissue chip and count the stained cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Human GIST cells GIST882 with a mutation in KIT exon 13 were provided by Jonathan Fletcher (Dana-Farber Cancer Institute, Boston, MA) (19, 20).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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GIST882 cells were maintained in Dulbecco’s modified Eagle’s medium (DMEM, HyClone, Logan, UT) with high glucose supplemented with 10% fetal bovine serum (FBS, HyClone) and 1% penicillin/streptomycin (HyClone).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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GIST882 cells were identified as CD117-positive by flow cytometry.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Human THP-1 monocytes were kindly provided by Stem Cell Bank, Chinese Academy of Science.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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THP-1 monocytes were grown in RPMI 1640 (HyClone) supplemented with 10% FBS and 1% penicillin/streptomycin.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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THP-1 monocytes were treated with PMA (100 ng/mL, Sigma-Aldrich, MO, USA) to induce them to differentiate into macrophage-like cells (21).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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GIST882 cells were cultured to 60% confluence and replaced with FBS-free medium.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The supernatants were collected at 24 and 48 h and stored at −80°C.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The secreted MIF in GIST882 supernatants was quantified by ELISA (Beyotime Biotechnology, China) following standard protocols.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Human-specific antibodies (CD206, Lot No: B318421 and CD86, Lot No: 0209406) were purchased from BD Biosciences.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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All samples of these groups were measured by BD flow cytometry.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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FlowJo software (version 7.6) (Ashland, OR, USA) was used to analyze these data.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Total RNA was extracted from GIST882 cells by using TRIzol reagent (Takara Bio Inc., Japan) in accordance with the manufacturer’s instructions.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Total RNA (1 μg) was reversely transcribed to form cDNA using cDNA synthesis kit (Yeasen, China).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Real-time PCR was quantified using Hieff qPCR SYBR Green Master Mix Kit (Yeasen) and performed on iQ5 Opticon System (Bio-Rad, Hercules, CA).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The expression of mRNA was normalized to that of glyceraldehyde-3-phosphate dehydrogenase and calculated by using the 2 method.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The study protocol was approved by the Ethics Committee of Sichuan Cancer Hospital (SCCHEC-02-2021-013).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Written informed consent was obtained from the patients.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Patient records/information were anonymized, and the methods were adopted in accordance with the approved guidelines.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The Fisher exact test and the t test were used for comparison of different groups.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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These statistical analyses were conducted with the GraphPad Prism software version 9 and SPSS 26.0 (IBM SPSS).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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In the single-cell RNA sequencing analysis, we included one patient with very-low-risk GIST and one patient with high-risk GIST.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The clinicopathological characteristics are shown in Table 1 .
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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After quality control, 11 208 effective cells were obtained in the G01 sample (high risk), whereas 9 996 effective cells were obtained in the G02 sample (very low risk).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Clusters were detected and visualized by uniform manifold approximation and projection (UMAP) ( Figure 1 ).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The following cell clusters were identified in the samples: tumor cells, macrophages/monocytes, CD8 T cells, dendritic cells, endothelial cells, and NK cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Immune cells were the majority of the infiltrating cells in the two tumor samples ( Figure 2 ).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The major cell types were the same in the two tumor samples, namely tumor cells, macrophages/monocytes, and CD8 T cells.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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However, the counts of infiltrating cells differed between the two tumor samples ( Table 2 ).
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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In G01, the count of tumor cells was 6176, accounting for 55.1% of the total cell number; the count of macrophages was 3850, accounting for 34.3% of the total cell number; and the count of CD8 T cells was 700, accounting for 6.2% of the total cell number.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
|
In G02, the count of tumor cells was 2750, accounting for 27.5% of the total cell number; the count of macrophages was 4130, accounting for 41.3% of the total cell number; and the count of CD8 T cells was 1593, accounting for 15.9% of the total cell number.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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These results revealed that CD8 T cells were more abundant in the very-low-risk GIST sample than in the high-risk GIST sample.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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In contrast, macrophages were less abundant in the very-low-risk GIST sample than in the high-risk GIST sample.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Clinicopathological characteristics of two patients performed by single-cell RNA sequencing.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Cell clusters were visualized by uniform manifold approximation and projection (UMAP) in these two tumors.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Distribution of infiltration cells in two tumors.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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G01: high risk GIST; G02: very low risk GIST.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Cell counts of every cluster in two samples.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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Seven cell types were identified in the single-cell analysis.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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To further show the potential interactions between these cell types, CellChat was used to quantitatively infer and analyze cell-to-cell communication networks in tumor tissues.
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PMC11502962
|
Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The interaction numbers and interaction weights of cell-to-cell were analyzed in G01 and G02 as shown in Figure 3 .
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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The thicker lines showed more significant interaction between the cell clusters.
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PMC11502962
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Gastrointestinal stromal tumors regulate macrophage M2 polarization through the MIF/CXCR4 axis to immune escape.
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These results showed the high interaction strength of tumor cells with macrophages and monocytes.
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